Osteochondritis Dissecans — (OCD) — Surgical Fixation (Knee)

UW Health Sports Medicine · UW Health Sports Rehabilitation & Sports Medicine Physician Group

Weight-Bearing

TDWB with crutches x 8 wks; then WBAT

Key Restrictions

TDWB x 8 wks; hinged or unloader brace; Phase I: high volume/low load (2-3x/day, high reps, minimal resistance); CKC squat limited to 0-60° ROM in Phase II; Biodex <25% deficit before impact

Timeline & Phases

Phase I (0-8 wks: TDWB, brace, quad/NWB exercises, high-volume low-load) -> Phase II (8-12 wks: normalize gait, CKC 0-60°, bike/elliptical) -> Phase III (12-18 wks: low-amp impact at ~14-15 wks; Biodex <20%) -> Phase IV (18-24 wks: multi-planar, RTS)

Notes

Copyright 2018; 4-phase protocol; surgical options: arthroscopic drilling (to improve blood supply), fragment fixation (screws/nails/sutures), bone graft for large lesions; Biodex <25% to initiate impact; RTS with surgeon clearance; imaging follow-up post-op; UW Health Sports Medicine, Madison WI

Surgeon / Author

UW Health Sports Rehabilitation & Sports Medicine Physician Group