Cartilage Restoration — Patellofemoral Microfracture / OATS / ACI

Lahey Hospital & Medical Center · J. Baumfeld MD, M. Lemos MD

Weight-Bearing

NWB 0-4 wks; partial WB wks 5-8; FWB ~wks 9-12

Key Restrictions

CPM 8-12 hrs/day up to 6 wks; PROM 0-60° initially; no impact until 12 wks

Timeline & Phases

Phase I (0-4 wks): NWB, CPM, PROM 0-60°; Phase II (4-8 wks): partial WB, PROM 0-90°; Phase III (8-12 wks): FWB, closed chain; Phase IV (12-16 wks): low-impact activity; Phase V (4-6 mo): low-impact sports; Phase VI (6-8 mo): higher-impact sports; Phase VII (8-10 mo): high-impact sports; return to all sports 12-18 mo

Notes

Specifically for patellofemoral lesions (vs tibiofemoral). Initial ROM restricted to 0-60° rather than 0-90°.

Surgeon / Author

J. Baumfeld MD, M. Lemos MD

Published

2014-02