This protocol is intended for the purposes of guiding post-surgical or post-injury rehabilitation exercises and goals. These guidelines may be interpreted by a certified physical or occupation therapist and tailored to meet patient specific goals and expectations.

REHABILITATION GUIDELINES FOR TIBIAL PLATEAU FRACTURE PHASE I (WEEKS 1-6) DATES: Appointments • MD follow up visit at 2 weeks post op • Begin physical therapy for knee ROM at 2 weeks post op Rehabilitation Goals • Maintain knee EXT to allow incisions to heal and prevent knee flexion contracture

TIBIAL PLATEAU ORIF PHYSICAL THERAPY Philosophy This protocol is to be utilized as a guideline. There will always be individual differences amongst patients regarding progression and tolerance of specific activities. Progression through the protocol will depend on successful

Tibial Plateau Fracture Post-Operative Protocol Phase I – Maximum Protection (0 to 1 weeks): 0 to 1 week: • Ice and modalities to reduce pain and inflammation • Use crutches non-weight bearing for 6 weeks • Brace for 6 weeks in full extension (may begin light knee range of motion exercises once incision is healed and cleared by Dr ...

Tibial Plateau Fracture ORIF Rehabilitation Protocol . Phase / Goals Immobilization ROM Therapeutic Exercises Phase 1 (0-2 weeks) Goals: • No quad lag

TIBIAL PLATEAU OPEN REDUCTION INTERNAL FIXATION (ORIF) PHYSICAL THERAPY PROTOCOL Bryan M. Saltzman, M.D. Indiana University Health Physicians Assistant Professor of Orthopaedic Surgery, Indiana University Sports Medicine, Cartilage Restoration, Shoulder/Elbow IU Health Methodist Hospital – 1801 N Senate Ave, Indianapolis, IN 46202

Tibial Plateau Fracture ORIF Rehabilitation Protocol . Phase / Goals Immobilization ROM Therapeutic Exercises . Phase 1 (0-2 weeks) • Goals:

Tibial Plateau Open Reduction Internal Fixation (ORIF) Physical Therapy Protocol David P. Trofa, M.D. Assistant Professor of Orthopaedic Surgery, Columbia University Medical Center Chief of Sports Medicine, New York-Presbyterian Westchester Director of Clinical Outcomes, Department of Orthopaedic Surgery Head Team Physician, Columbia University

Tibial Plateau ORIF Protocol 0-6 Weeks Post Op • Non weight bearing x 6 weeks • Brace 0-90 (unlocked) for 6 weeks (unless otherwise specified) • No biking • Knee PROM and AAROM to 90 degrees • Quad strengthening to gain full extension • SLR in brace at 0 until quad can maintain knee locked • Heel slides in brace

2 weeks: Begin floor-based core, hip and glutes work and patellar mobilization and SLR, Progress non-weight bearing flexibility, modalities. Discontinue brace once WBAT without crutches. Can …