Chondroplasty/Microfracture
Protective Phase: 0-6 weeks post operative weight bearing restrictions
- Weight bearing limited to toe touch with crutches for 6 weeks
- Passive range of motion in all planes with limitation base on patient comfort, Grade 1 mobilizations of the hip joint
- Active range of motion to patient’s tolerance
- Core muscle stabilization exercise; should be initiated on the mat table
- Isometric strength work within pain free limits, should be initiated around the hip without weight bearing
- Week 0-3 Exercises
- Week 3-6 Exercises
Restorative Phase: 6-12 weeks post operative
- Gradual progression to full weight bearing
- Active range of motion progression to normal limits, mobilization and passive stretching should not encourage hypermobility of the hip joint, excessive rotation should be limited
- Piriformis, illiopsoas and gluteal flexibility normalized
- Progressive close chain strength work starting in the sagittal plane and moving to multiplanar activities
- Normalization of gait
- Proprioceptive deficits are progressively addressed
- Highly compressive or high load activities (i.e. running) are avoided
- Week 6-9 Exercises
- Week 9-12 Exercises
Functional Phase: greater than 3 months post operative
- Begin running
- Begin sport specific or work specialized conditioning