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.

General Guidelines for Crutches and TROM Brace

  • Bilateral axillary crutches to be used immediately post-op, TROM brace locked in extension. TDWB for first 8 weeks. TROM brace to be worn for all ADL’s including sleeping and bathing. May remove for physical therapy.

  • At Week 8: Advance to FWB with knee locked in extension WBAT, then gradually wean off crutches. Unlock knee hinge on TROM for everyday use when patient can perform SLR without quad lag and maintains full knee extension at rest. Discharge TROM once patient has a normal gait pattern. May remove TROM for Sleeping.


  • SLR’s are not to be done until 6 weeks in TROM brace locked in extension.