Microfracture Protocol Kevin Kaplan MD

By Kevin M. Kaplan, MD

Microfracture Rehabilitation Protocol Phase I (Weeks 0-8) 

This is a microfracture rehab protocol by Dr. Kevin Kaplan of JOI San Marco.

  • Weight bearing: Touchdown weight bearing (20-30% of body weight max) for 6-8 weeks – No Bracing Required
  • Range of Motion – Continuous Passive Motion (CPM) Machine for 6-8 hours per day for 6-8 weeks
    • Set CPM to 1 cycle per minute – starting at level of flexion that is comfortable
    • Advance 10° per day until full flexion is achieved
    • Passive Range of Motion and stretching under guidance of PT
  • Therapeutic Exercises 
    • Quadriceps/Hamstring isometrics
    • Heel slides

Microfracture Protocol Phase II (Weeks 8-12) 

  • Weight bearing: Advance to full weight bearing as tolerated — discontinue crutch use
  • Range of Motion – Advance to full/painless ROM
  • Therapeutic Exercises 
    • Closed chain extension exercises
    • Hamstring curls
    • Toe raises
    • Balance exercises
    • Begin use of the stationary bicycle/elliptical
  • Dr. Kevin Kaplan Microfracture Protocol

    Image of Dr. Kevin Kaplan

Phase III (Months 3-6) 

  • Weight bearing: Full weigh bearing
  • Range of Motion – Full/Painless ROM
  • Therapeutic Exercises 
    • Advance closed chain strengthening exercises, proprioception activities
    • Sport-specific rehabilitation
  • Gradual return to athletic activity as tolerated – including jumping/cutting/pivoting sports
  • Maintenance program for strength and endurance

Related Articles: Concentric vs Eccentric Contractions and VMO Strengthening.

JOI and JOI Rehab

JOI Physicians continue to offer online new patient appointments. This is another option to make it more convenient to make new patient appointments with less phone hold times. Follow the link below to select your JOI MD and schedule online.

You can still call 904-JOI-2000 to make new patient JOI Physician Appointments if that is your preference.

To make appointments with JOI Rehab, please call 904-858-7045.

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Microfracture Rehab Protocol

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