Tibial Plateau Fracture

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

Weight-Bearing

NWB (foot may touch ground for balance only) x6 weeks; TTWB wks 6-12; if MD cleared at wk 8: WB 25%/wk reaching FWB at wk 12

Key Restrictions

NWB x6 weeks; hinged brace unlocked 0-90 deg x6 weeks; DC brace at 6 weeks; 90 deg flexion goal by wk 6; WB progression from wk 8 requires MD clearance; strength 80% uninvolved by wk 16; pool running wk 16; pass RTS test required

Timeline & Phases

4 phases: Phase I (wks 1-6, NWB, brace unlocked 0-90 deg, ROM to 90 deg by wk 6), Phase II (wks 6-12, TTWB then WB 25%/wk from wk 9 to FWB wk 12 with MD clearance), Phase III (12 wks-6 months, full ROM, strength 80% uninvolved, pool running wk 16 then treadmill), Phase IV (6-12 months, bilateral to SL plyometrics, sport-specific, RTS test)

Notes

References Brigham and Women's Hospital and Rosenberg Cooley Metcalf Clinic (Dr. Lind); WB progression from wk 8 requires MD clearance; pool running begins wk 16; MD follow-up at 6 months for Phase IV; Erin Stansbury PTA 6/13/16; Gilmer MD 6/13/2016

Surgeon / Author

Brian B. Gilmer MD (US Ski Team Physician); Karly M. Dawson PA-C; Erin Stansbury PTA

Published

June 2016