Osteotomy — High Tibial Osteotomy

Massachusetts General Hospital · MGH Sports Medicine

Weight-Bearing

NWB / TDWB wks 0-4; progressive WB per osteotomy healing

Key Restrictions

Brace locked in extension wks 0-4; no rotational stress on operative extremity; WB restricted until radiographic evidence of healing; 4 phases through 16+ weeks

Timeline & Phases

Phase I (0-4 wks): NWB/TDWB, brace locked, quad sets, SLR, ankle pumps, ROM 0-90 deg; Phase II (4-8 wks): progressive WB with brace, AROM, strengthening; Phase III (8-12 wks): full WB, progressive strengthening, balance; Phase IV (12-16+ wks): return to activity, sport-specific training

Notes

MGH Sports Medicine; post-op osteotomy healing determines progression; radiographic confirmation required before advancing WB; brace locked in extension early phase. [Archived copy — original Massachusetts General Hospital URL retired in the Mass General Brigham site migration; Wayback snapshot 2026-02-28.]

Surgeon / Author

MGH Sports Medicine