Microfracture Rehabilitation Protocol – Kevin Kaplan MD

By Kevin M. Kaplan, MD

Microfracture Rehabilitation Protocol Phase I (Weeks 0-8) 

  • 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

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

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

Where is Telemedicine frequently used?

All JOI Physicians, Physical Therapists and Occupational Therapists now offer Telemedicine services for virtual visits from the convenience of your home. If you feel that it is best to stay in your own home during this time, we can still provide orthopaedic Telehealth services for you. Through the download of the free Zoom app on the your phone, tablet or laptop. Our physicians and Telehealth for Physical Therapy can evaluate you and provide the care you need.

JOI Fracture and Injury Care

JOI Physicians are currently offering ASAP Fracture care. Make an appointment by calling (904)JOI-2000. This is a new option for patients who would like to avoid the emergency room if they have suffered a fracture or soft tissue injury. To learn more about this service, read this article about fracture and injury care.


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