OATS Procedure — OATS Transplant of Femoral Condyle (Allograft)

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

Weight-Bearing

TTWB x6 weeks; WB 25%/week to full WB; crutches weaning off by 8-10 weeks

Key Restrictions

TTWB x6 weeks; brace locked 0° for ambulation x6 weeks; graduated ROM (0-90° wks 1-2, 0-110° wks 3-4, 0-130° wks 5-6); no OKC exercises x6 weeks; avoid loading in deep knee flexion; no impact until 12 weeks; squats/lunges to 60° or less in Phase II

Timeline & Phases

3 phases: Phase I (0-6 wks, TTWB brace locked, graduated ROM, bike no resistance wk 3-4, pool at 3-4 wks if incisions closed), Phase II (6-12 wks, 25% WB/wk to full, CKC, single leg stance 15 sec goal), Phase III (12-18 wks, deep squats/lunges, single leg exercises, run/walk progression, double leg jumps near end of phase)

Notes

References Baer MD and Sherry PT (University of Wisconsin); pool at 3-4 weeks if incisions closed and MD cleared for PWB; bike with no resistance from wk 3-4; Phase III allows slow run/walk program and double leg jump progression; RTS clearance required before returning to high-impact sports; Julie Perumal PT DPT

Surgeon / Author

Brian B. Gilmer MD (US Ski Team Physician); Karly M. Dawson PA-C; Julie Perumal PT DPT