Tibial Tubercle Excision (AMZ)
The information below is meant as a guideline only. The professional skills of a therapist must come into play for each individual patient.
Dr. Chris Evensen
PHASE ONE
0-2 WEEKS
WEIGHT BEARING
Heel touch only.
BRACE
On at all times during day and while sleeping*
Off for hygiene and exercises
RANGE OF MOTION
0°-90° at home
EXERCISES
Calf pumps, quad sets.
SLR in brace, modalities.
PHASE TWO
2-6 WEEKS
WEIGHT BEARING
Heel touch only
BRACE
Off at night
Open 0°-90°
RANGE OF MOTION
Maintain full extension and progress flexion
EXERCISES
Progress NWB flexibility.
Begin floor-based core, hip and glutes work.
Advance quad sets, pat mobs, and SLR.
PHASE THREE
6-8 WEEKS
WEIGHT BEARING
Advance 25% weekly and progress to full with normalized gait pattern.
BRACE
None
RANGE OF MOTION
Full
EXERCISES
Advance closed chain quads, progress balance, core/pelvic and stability work.
Begin stationary bike at 6 weeks.
Advance SLR, floor-based exercises, hip/core.
PHASE FOUR
8-16 WEEKS
WEIGHT BEARING
Full
BRACE
None
RANGE OF MOTION
Full
EXERCISES
Progress flexibility and strengthening, progression of functional balance, core, glutes program.
Advance bike after 12 wks.
Outdoor cycling, elliptical, swimming after 12 wks.
PHASE FIVE
16-24 WEEKS
WEIGHT BEARING
Full
BRACE
None
RANGE OF MOTION
Full
EXERCISES
Maximize single leg dynamic and static balance.
Glutes/pelvic stability/core + closed-chain quad program and HEP independent.
Begin training sport-specific drills as tolerated after 16 weeks once cleared by MD.
