This document, authored by Jared T. Lee, MD, outlines a rehabilitation plan following a High Tibial Osteotomy procedure.
The protocol includes:
- **Phases of Rehabilitation:** Six distinct phases (Weeks 0-2, Weeks 2-6, Weeks 6-12, Weeks 12-16, Months 4-6, Months 6+) with specific goals, restrictions, and therapeutic exercises for each phase.
- **Restrictions:** Each phase lists restrictions, such as weight-bearing status (touch-down, partial, or full), brace usage (T-Scope), and range of motion limitations.
- **Therapeutic Exercises:** Prescribed exercises for each phase, including range of motion exercises, strengthening programs, gait training, balance exercises, and functional progressions.
- **Goals:** Objectives for each phase, including reducing swelling and pain, restoring range of motion, increasing strength, normalizing gait, and returning to functional activities.
- **Criteria for Progression and Discharge:** Each phase outlines criteria for progressing to the next phase, and specific criteria for discharge are mentioned in the final phase, including strength indices, Y-Balance test results, and surgeon clearance.
The phases progress from initial post-operative care with touch-down weight-bearing to full return to activity, including sport-specific drills and plyometric exercises, with increasing levels of exercise intensity and functional demands.