Cartilage Procedure — Microfracture (Tibiofemoral)

University Orthopedics (Brown University) · University Orthopedics Sports Medicine Division

Weight-Bearing

TTWB x 6 weeks; WBAT when gait normal (~Phase IV, 6-8 wks)

Key Restrictions

TTWB x 6 weeks; no resisted closed/open chain exercises x 6 weeks; no contact sports until 6 months

Timeline & Phases

Phase I (0-2 wks): CPM 8hrs/day, TTWB; Phase II (2-4 wks): no extensor lag; Phase III (4-6 wks): full AROM, TTWB; Phase IV (6-8 wks): WBAT, normal gait; Phase V (8-12 wks): walk 2 miles; Phase VI (3-4 months): run 2 miles; Phase VII (4-6 months): return to all activities

Notes

Tibiofemoral variant; TTWB (toe-touch weight bearing) x 6 weeks; no resisted CKC/OKC x 6 weeks

Surgeon / Author

University Orthopedics Sports Medicine Division