Tibial Tubercle Transfer/Distal 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