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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