Tibial Osteotomy — Distal Tibial Rotational Osteotomy

Children's Colorado / Center for Gait and Movement Analysis (CGMA) · CGMA Physical Therapy Team, Children's Colorado

Weight-Bearing

NWB x 3 weeks in short leg cast; WBAT weeks 4-6; healing 6-8 weeks

Key Restrictions

No impact, torque, or unprotected WB x 3 weeks; minimize fall risk; spasticity complications on cast removal; avoid aggressive ROM initially

Timeline & Phases

Phase 1 (days 1-7): NWB, pain management, safe transfers, hip/knee PROM/AAROM/AROM, isometrics, balance; Phase 2 (days 8-21): pain management; Phase 3 (day 22+): progressive WB per MD, functional balance, avoid impact/torque, bracing assessment, scar mobility ~6 weeks, full LE ROM all planes, LE strengthening (glutes/calves), return to pre-op function

Notes

Pediatric; indication is internal or external tibial torsion; rotational tibial and fibular osteotomy with internal hardware fixation; Children's Colorado CGMA

Surgeon / Author

CGMA Physical Therapy Team, Children's Colorado

Published

October 2007