Tibial Tubercle Osteotomy — (TTO)

NYU Langone Health · Dr. Daniel J. Kaplan, MD

Weight-Bearing

TTWB

Key Restrictions

TTWB (20%) w/ crutches 0-6 wks; brace locked in extension 0-2 wks (including sleep), unlocked 2-6 wks; ROM goal 0-90 by 6 wks (PROM/AAROM); no resisted exercises >45 deg in early phases; advance to 50% WB at 6 wks, WBAT at 8 wks; RTS at 6 months with physician clearance

Timeline & Phases

Phase I: 0-2 wks (TTWB, brace locked in extension, ROM 0-90 PROM); Phase II: 2-6 wks (TTWB, brace unlocked, ROM 0-90 PROM); Phase III: 6-8 wks (50% WB, brace wean, full ROM, wall sits/TKE to 45 deg); Phase IV: 8-12 wks (WBAT, wean brace, full AROM, light OKC, theraband 0-45); Phase V: 12-16 wks (normalize gait, treadmill walking, sport-specific); Phase VI: 16-20+ wks (advanced CKC, plyometrics, running, RTS at 6 months)

Surgeon / Author

Dr. Daniel J. Kaplan, MD

Published

2024-07