This protocol is intended to be a general outline only. The physician reserves the right to either advance or delay this protocol as deemed necessary. If so, this should be done by direct communication with the therapist, or in writing on the therapy referral form given to the patient on the day of surgery.

Guidelines for Crutches and TROM Brace

  • Bilateral axillary crutches to be used immediately post-op.
  • Meniscal Repairs:
    • SMALL AND STABLE:
    • Maintain NWB with brace locked in extension for 4 weeks
    • After Week 4, WBAT with TROM locked in extension weaning from crutches.
    • Once crutches have been discontinued, advance to unlocking TROM, then removing brace.  Patient must demonstrate excellent quadriceps control.
    • LARGE OR UNSTABLE:
    • Maintain NWB with brace locked in extension for 6-8 weeks
    • After Week 6-8, WBAT with TROM locked in extension, wean from crutches.
    • Once crutches have been discontinued, advance to unlocking TROM then removing brace.  Patient must demonstrate excellent quadriceps control.
  • TROM brace to be worn and locked in 0o extension with all ADL’s for time frame as specified above.
  • TROM may be removed for bathing and exercises.
  • TROM brace may be unlocked for slight flexion in sitting for short periods of time and for driving.

Initial goals/preca