High Tibial Osteotomy (HTO)

Mammoth Orthopedic Institute / Sierra Park PT · Brian B. Gilmer MD (US Ski Team Physician); Karly M. Dawson PA-C; Sara E…

Weight-Bearing

TTWB until specific MD instructions to progress; PWB progressing to FWB with MD clearance wks 6-12; DC brace at 6 weeks

Key Restrictions

TTWB until MD clearance; brace on at all times (day and sleep) x6 weeks, off only for hygiene; CPM 10 hrs/day wks 0-2 set 0-90°; avoid varus/valgus stress and pivoting; impact activity not until 20 weeks with MD clearance

Timeline & Phases

3 phases (document labels Phase I, II, IV — no Phase III listed): Phase I (0-6 wks, TTWB, CPM 10 hrs/day wks 0-2, brace at all times, ROM 0-90°), Phase II (6-12 wks, PWB progressing to FWB with MD clearance, DC brace, stationary bike), Phase IV (12-24 wks, functional training and sport-specific, impact after 20 wks MD clearance)

Notes

References Brian Cole MD (briancolemd.com); CPM 10 hrs/day wks 0-2 set 0-90°; document labels phases I, II, IV (Phase III absent); Sara E. Chavez MPT; Gilmer MD; impact activity not until 20 weeks with MD clearance; WB progression requires MD clearance at each step

Surgeon / Author

Brian B. Gilmer MD (US Ski Team Physician); Karly M. Dawson PA-C; Sara E. Chavez MPT