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Physical Therapy Protocol: Distal Femoral Osteotomy The program for physical rehabilitation following distal femoral osteotomy is designed to be protective during the early stages, then advance flexibility and strengthening once the cut bone ends are healed Ultimately, the goal is for the patient to go back to doing what they enjoy
DISTAL FEMORAL OSTEOTOMY POSTOPERATIVE REHABILITATION PROTOCOL DISTAL FEMORAL OSTEOTOMY POSTOPERATIVE REHABILITATION PROTOCOL Phase I (Weeks 0-6): TTWB, PROM Only Weight Bearing and Range of Motion Toe-Touch weight bearing with crutches Passive ROM: As tolerated No AROM
Distal Femoral Osteotomy Procedure Advance bike, add elliptical at 12 weeks as tolerated Swimming okay at 12 weeks Locked straight x 6 weeks when ambulating or sleeping Otherwise open brace once good quad control Double Knee Bends: feet shoulder width apart, bend knees to 30o, keeping knees behind the toes
Post-Operative Instructions Distal Femoral Osteotomy Icing is important for the first 5-7 days post-op While the post-op dressing is in place, icing should be done continuously Once the dressing is removed on the third post-operative day, ice is applied for 20-minute periods 3-4 times per day Care must be taken with icing to avoid frostbite