Tibial Tubercle Osteotomy — Elmslie-Trillat

Orthopaedic Associates of Maine

Weight-Bearing

TDWB with crutches and immobilizer (blocked 0°) 4 wks; WBAT with crutches wks 4-8

Key Restrictions

TDWB with immobilizer blocked at 0° for 4 wks; no flexion past 90° for 4 wks; avoid active knee extension wks 4-6; regular patellar mobilization (superior and inferior only); FWB by wk 8; RTS dependent on functional sports test and surgeon clearance

Timeline & Phases

Phase I (Day 1-4 wks), Phase II (Wks 4-8), Phase III (Wks 8-12), Phase IV (Wks 12-16), Phase V (Wks 16-6 months), Phase VI (6+ months RTS)

Notes

Also covers extensor mechanism realignment with MPFL reconstruction; RTS dependent on functional sports assessment and surgeon clearance