Microfracture of the Femoral Condyle

Phase I (Weeks 0-8)

1. Weightbearing: Touchdown weightbearing (20–30% of body weight max) for 6–8 weeks – no bracing required
2. 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 level of flexion that is comfortable
   • Advance 10° per day until full flexion is achieved
   • Passive range of motion and stretching under guidance of PT
3. Therapeutic Exercises
   • Quadriceps / Hamstring isometrics
   • Heel slides

Phase II (Weeks 8-12)

1. Weightbearing: Advance to full weightbearing as tolerated — discontinue crutch use
2. Range of Motion – Advance to full / painless ROM
3. Therapeutic Exercises
   • Closed-chain extension exercises
   • Hamstring curls
   • Toe raises
   • Balance exercises
   • Begin use of the stationary bicycle / elliptical

Phase III (Months 3-6)

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