Clinical Reference Only: Protocols are cataloged from third-party sources and provided for reference only. Treating clinicians must verify current accuracy and follow the operative report and surgeon's specific instructions.

Fracture Rehabilitation Protocols

5 Fracture rehabilitation protocols from 5 institutions, published 2019–2025. Weight-bearing progressions vary by institution — compare them in the table below before selecting a protocol.

Compare by institution

InstitutionWeight-BearingKey Restrictions
Dr. Jorge Chahla MD (Rush University Medical Center) — Hip… WBAT; no brace required No treadmill (compression on new joint); no running/jogging, high impact aerobics, jumping rope, or…
Jacob B. Stirton MD (Union General Hospital) — Hip Fracture… Either WBAT or TTWB with walker (depends on fracture and fixation type) No hip flex past 90 deg; no crossing legs; no twisting hip inwards (keep knees/toes up); avoid prolonged…
Kaplin Sports Medicine — Hip Fracture - Multiple Fixation… Varies by fixation type: IMN and plate/screws generally WBAT; hip pinning (screws only)… Ask surgeon about bending past 90 deg; no squatting or kneeling until cleared by doctor
Orthopedic One — Hip Fracture Fixation (ORIF/IMN) WBAT (all phases) Hip flex not more than 90 deg (Phase 1-2, progress thereafter); no brace; ROM of knee and ankle unlimited…
UW Health Sports Medicine — Tibial Spine Avulsion Fracture… TDWB wks 1-2; PWB (max 50% BW) wks 3-6; WBAT after 6 weeks Brace locked in extension x 6 wks; ROM graded in 30° increments: 0-30° wks 1-2, 30-60° wks 3-4, 60-90° wks…

All 5 Fracture protocols

Fracture — Hip Fracture - ORIF
Dr. Jorge Chahla MD (Rush University Medical Center)
Dr. Jorge Chahla · 2025
Fracture — Hip Fracture Fixation
Jacob B. Stirton MD (Union General Hospital)
Dr. Jacob B. Stirton · 2019
Fracture — Hip Fracture - Multiple Fixation Types (Screws, Plate/Screws, IMN, Hemiarthroplasty)
Kaplin Sports Medicine
Dr. Lisa Kaplin, DO
Fracture — Hip Fracture Fixation (ORIF/IMN)
Orthopedic One
Dr. Jason R. Ferrel · Last updated July 10, 2024
Fracture — Tibial Spine Avulsion Fracture Surgical Fixation
UW Health Sports Medicine
UW Health Sports Rehabilitation & Sports Medicine Physician Group

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