Tibial Tubercle Transferdistal Realignment Rehab Program

PHASE 1: 0-6 WEEKS

• Heel Touch Weight Bearing (20%)
• ROM: progress from passive to active to resisted ROM as tolerated
  • Goal: 125° of flexion at 4 weeks post-op
• Brace locked in full extension except for exercise/hygiene until 2 weeks post-op
• May unlock brace at 2 weeks post-op
• Strengthening: quad sets, co-contractions, isometric abduction/adduction.

PHASE 2: 6 WEEKS – 3 MONTHS

• ROM: progress to full ROM
• Wean from brace
• May advance weight bearing as tolerated
• Strengthening: partial wall sits, SLR, etc.
• Begin hamstring strengthening, theraband, open chain exercises at 10 weeks

PHASE 3: 3 MONTHS – 5 MONTHS

• May begin treadmill, balance exercises, proprioception, sport-specific drills
• Strengthening: Advance closed-chain exercises and single leg strengthening
• May begin plyometrics and high-impact activities at 4 months post-op
• Transition to home exercise program