Osteochondral Autograft Transplant (OATS)

Phase I (Weeks 0-6)

• Weightbearing:  Non-weightbearing
• Bracing:
  • Hinged knee brace locked in extension (week 1) – remove for CPM and rehab with PT
  • Weeks 2-6: Gradually open brace in 20° increments as quad control is obtained
  • D/C brace when patient can perform straight leg raise without an extension lag
• 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 – starting at 40°of flexion
  • Advance 10° per day until full flexion is achieved (should be at 100° by week 6)
  • PROM/AAROM and stretching under guidance of PT
• Therapeutic Exercises
  • Patellar mobilization
  • Quad/Hamstring/Adductor/Gluteal sets – Straight leg raises/Ankle pumps
  • Stationary bike for ROM 

Phase II (Weeks 6-8)

• Weightbearing:  Advance to full weightbearing as tolerated — discontinue crutch use
• Range of Motion – Advance to full/painless ROM (patient should obtain 130° of flexion)
• Therapeutic Exercises
  • Closed chain exercises – wall sits, shuttle, mini-squats, toe raises
  • Gait training
  • Patellar mobilization
  • Begin unilateral stance activities

 Phase III (Weeks 8-12)

• • Advance closed chain strengthening exercises, proprioception activities
  • Sport-specific rehabilitation
• Therapeutic Exercises
• Range of Motion – Full/Painless ROM
• Weightbearing:  Full weightbearing
• Gradual return to athletic activity as tolerated
  • Jogging — 3 months
  • Higher impact activities – 4-6 months
• 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.