Dr. Anthony A. Schepsis

Coastal Orthopedics
Beverly, MA
Professor of Orthopedic Surgery
Boston University School of Medicine

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schepsis@comcast.net

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Microfracture



                                                                        Anthony A. Schepsis, M.D.

Coastal Orthopedics

Beverly- Lahey Health

978-927-3040978-927-3040

Rehabilitation Protocol:  Microfracture Procedure

DOS:  _____________________ Defect location _____________________________________

  1. Immediate post op period:  0-4 weeks
  1. Non-weight bearing ____ weeks from date of surgery, then partial weight bear for ____ weeks.
  2. Brace locked in extension while ambulating for _____ weeks
  1. Active, Active Assisted, and Passive range of motion
  2. Isometric quad, VMO strengthening
  3. Water activities allowed for straight leg swim, and kick (no breast stroke or side kick)
  4. Maintain Flexibility and mobility of uninvolved leg and unaffected joints of involved leg
  5. RESTRICTIONS: ____________________________________________________________________________________________________________________________________________________________
  1. 6-8 weeks Phase:
  1. Progress to Full Weight bear gradually by the ____ week
  2. Start treadmill / slow gait training
  3. Range of motion – full
  4. Strengthening- isometric and closed chain quad & hamstring
  5. Resistive exercises of hamstring, calves, hip
  6. Stationary Bike
  1. 12 weeks- 5 months
  1. Progress treadmill with incline for mild impact
  2. ____  Jog, ____ running
  3. Full ROM
  4. Strengthening- increase workload
  1. 6 + months:
  1. Initiate impact training, fast walk, and light jog on treadmill with incline
  2. Full ROM
  3. Strengthening- more advance training
  4. FCT-plyometric training, jumping, side steps possible
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