Ankle OCD Microfracture Rehabilitation Protocol Christian K. Kikuchi

Ankle OCD Microfracture Rehabilitation Protocol

Christian K. Kikuchi, MD

Phase 1 (weeks 0-2)

 Non weight bearing in post operative splint

 Utilize crutches

 Elevate leg to minimize post operative swelling

Phase 2 (weeks 2-4)

 Sutures removed

 Non weightbearing in removable tall boot

 Begin ankle range of motion exercises

o Home exercises only – dorsiflexion and plantarflexion only

Phase 3 (weeks 4-6)

 Initiate weightbearing in removable boot

 Goal is full weightbearing by week 6

 Initiate outpatient physical therapy

 Begin active and passive range of motion exercises in dorsiflexion / plantar flexion only

 No eversion / inversion exercises

Phase 4 (weeks 6-12)

 Transition to lace up ankle brace after full weightbearing in boot

 Initiate eversion / inversion exercises

 Begin proprioceptive training

 Begin strengthening exercises

 No running / jogging / lateral training

 Cleared for nonimpact exercises – swimming / stationary bicycle

Phase 5 (weeks 12+)

 Begin light jogging / lateral training

 Begin running / sprinting / cutting activities at 4 months post op for small lesions, 6

months post op for large lesions (ask MD)