Office Hours: M-F 8:30 AM - 5:00 PM
Physical Therapy Hours: M-F 7:00 AM - 8:00 PM
Rehab Protocols

Microfracture of the Femoral Trochlea/Patellar Defect

Phase I (Weeks 0-8)

  • Weightbearing:  Weightbearing as tolerated in hinged knee brace locked in extension
  • Hinged Knee Brace:  Locked in extension for ambulation – opened up 0-40° for ROM exercises
  • Range of Motion – Continuous Passive Motion (CPM) Machine for 6-8 hours per day for 6-8 weeks
    • Set CPM to 1 cycle per minute – range from 0-40°
    • Passive Range of Motion and stretching under guidance of PT
  • Therapeutic Exercises
    • Quadriceps/Hamstring isometrics 

Phase II (Weeks 8-12)

  • Weightbearing:  Advance to full weightbearing as tolerated — discontinue crutch use
  • Discontinue Use of Hinged Knee Brace
  • Range of Motion – Advance to full/painless ROM (PROM/AAROM/AROM)
  • Therapeutic Exercises
    • Emphasize Patellofemoral Program
    • Closed chain extension exercises
    • Hamstring curls
    • Toe raises
    • Balance exercises
    • Begin use of the stationary bicycle/elliptical

 Phase III (Months 3-6)

  • Weightbearing:  Full weightbearing
  • Range of Motion – Full/Painless ROM
  • Therapeutic Exercises
    • Advance closed chain strengthening exercises, proprioception activities
    • Sport-specific rehabilitation
    • Gradual return to athletic activity as tolerated – including jumping/cutting/pivoting sports
    • Maintenance program for strength and endurance

 

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, based in Brookfield, CT and Danbury, CT, provides comprehensive orthopaedic care, sports medicine, joint replacements, and interventional pain management to patients of all ages.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, provides orthopedic care including: orthopedic examination, foot surgery, ankle surgery, hand surgery, hip surgery, hip replacement, hip resurfacing, knee surgery, knee replacement, orthopedic oncology, shoulder surgery, elbow surgery, and MAKOplasty.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, also provides sports medicine, physical therapy, pain management, interventional pain management, radiology, x-ray, ultrasound, cortisone injection, and PRP injections.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, treats sprains, fractures, ligament tears, arthritis, musculoskeletal pain, neurological pain, cancer pain, neck pain, and back pain.

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