Trochlea Lesion

Rehabilitation Guidelines for an Autologous Chondrocyte Implantation – Trochlea Lesion

Weight Bearing (WB)

Week 0-2: Immediate toe-touch WB with crutches
Week 3-4: ¼ body weight partial WB
Week 5-6: ½ body weight partial WB
Week 7-8: ¾ body weight partial WB
Week 8-9: Full WB, discontinue crutches
*Postoperative brace used until voluntary quad control

Range of Motion (ROM)

Initiate CPM day 1 from 0-40°
Progress 5-10°/day
Use for 8-12 hours per day (blocks of 2-3 hours) Use at least 2-3 weeks, up to 8 weeks

Week 1: 0-90° – full extension immediately
Week 3: 0-105°
Week 5: 0-125°
Week 7: 0-135°

Rehabilitation Principles

Week 0-6:

Week 6-12:

Month 3+: