Tibial Tubercle Osteotomy — Tibial Tubercle Transfer and Lateral Release

Lahey Hospital & Medical Center · M. Lemos MD, L. Scola DPT

Weight-Bearing

WBAT in brace locked in extension wks 1-6; progressive WB wks 6-12

Key Restrictions

No SLRs/no active knee extension wks 2-6; OC/CC extension arc limited to 0-30° in Phase III; medial patellar glides mandatory

Timeline & Phases

Phase I (wks 1-2): WBAT locked brace, passive ROM; Phase II (wks 2-6): brace locked, avoid active extension; Phase III (wks 6-12): wean brace, extension 0-30° only; Phase IV (wks 12-16): walk/jog; return to sport wks 20-24

Notes

Medial patellar glides emphasized throughout rehab. Extension arc restrictions protect tibial tubercle fixation.

Surgeon / Author

M. Lemos MD, L. Scola DPT

Published

2014-10