MPFL Reconstruction — with Tibial Tubercle Transfer

Lahey Hospital & Medical Center · B. Jolley MD, M. Dynan PT DPT OCS

Weight-Bearing

Brace locked in extension wks 0-6; progressive WB; brace off after wk 8

Key Restrictions

ROM restricted 0-6 wks (full ext wk 1-2, 30° wk 3, 60° wk 4, 90° wk 5, 120° wk 6); medial patellar glides only Phase I; OC/CC extension limited 0-30° Phase III; jogging begins Phase IV (~12+ wks); RTS 4+ months per surgeon

Timeline & Phases

Phase I (0-6 wks): locked brace, progressive ROM per week, medial patellar glides; Phase II (6-12 wks): wean brace, full ROM; Phase III (12+ wks): strengthening, extension arc 0-30°; Phase IV: jogging progression; return to sport 4+ months

Notes

Combines MPFL reconstruction with concomitant tibial tubercle transfer (TTT). ROM progressed gradually each week in Phase I.

Surgeon / Author

B. Jolley MD, M. Dynan PT DPT OCS

Published

2018-03