Tibial Tubercle Osteotomy Rehabilitation Protocols
4 Tibial Tubercle Osteotomy rehabilitation protocols from 4 institutions, published 2014–2024. Weight-bearing progressions vary by institution — compare them in the table below before selecting a protocol.
Compare by institution
| Institution | Weight-Bearing | Key Restrictions |
|---|---|---|
| Lahey Hospital & Medical Center — Tibial Tubercle Transfer… | WBAT in brace locked in extension wks 1-6; progressive WB wks 6-12 | No SLRs/no active knee extension wks 2-6; OC/CC extension arc limited to 0-30° in Phase III; medial patellar… |
| NYU Langone Health — (TTO) | TTWB | TTWB (20%) w/ crutches 0-6 wks; brace locked in extension 0-2 wks (including sleep), unlocked 2-6 wks; ROM… |
| Orthopaedic Associates of Maine — Elmslie-Trillat | TDWB with crutches and immobilizer (blocked 0°) 4 wks; WBAT with crutches wks 4-8 | TDWB with immobilizer blocked at 0° for 4 wks; no flexion past 90° for 4 wks; avoid active knee extension wks… |
| University Orthopedics (Brown University) | WBAT with crutches from POD 1; brace locked in full extension x 6 weeks; D/C… | No resisted closed-chain or open-chain exercises x 6 weeks; brace locked in extension x 6 weeks; no contact… |
All 4 Tibial Tubercle Osteotomy protocols
Tibial Tubercle Osteotomy — Tibial Tubercle Transfer and Lateral Release
Lahey Hospital & Medical Center
Tibial Tubercle Osteotomy — (TTO)
NYU Langone Health
Tibial Tubercle Osteotomy — Elmslie-Trillat
Orthopaedic Associates of Maine
Tibial Tubercle Osteotomy
University Orthopedics (Brown University)