S/P Tibiofemoral Microfracture

Definition:
Microfracture surgery is an articular cartilage repair surgical technique that works by creating tiny fractures in the underlying bone. This causes new cartilage to develop from a so-called super-clot. The surgery is quick, minimally invasive, and can have a significantly shorter recovery time than an arthroplasty. The surgery is performed by arthroscopy, after the joint is cleaned of calcified cartilage. Through use of an awl, the surgeon creates tiny fractures in the subchondral bone plate. Blood and bone marrow seep out of the fractures, creating a blood clot that releases cartilage-building cells. The microfractures are treated as an injury by the body, which is why the surgery results in new, replacement cartilage. The procedure is less effective in treating older patients, overweight patients, or a cartilage lesion larger than 2.5 cm.
Purchase 3 Phases

Symptoms
  • Pain in the knee
  • Pain with weight bearing
  • Loss of ROM in the knee
  • Locking, catching, grinding
  • Swelling in the knee
Causes
  • Degeneration
  • Direct blow to knee
  • Trauma to knee
Treatment
  • Use of crutches
  • Massage to reduce swelling
  • Passive ROM and active ROM
  • Quadriceps activation
  • Knee stabilization exercises
  • Lower extremity strengthening
  • Gait program
  • Return to running program
S/P Tibiofemoral Microfracture Phase I

Purchase Phase

  • Crutch Walking
  • Patella Mobilization
  • Ankle Pumps
  • Quad Sets
  • Straight Leg Raise
  • Clams
  • Prone Glute Max Knees Bent
  • Heel Slides
  • Passive Knee Extension
  • Vmo Sets 30 60 90
  • SP Tibiofemoral Microfracture
  • Weight Bearing Restrictions
  • DVT Clot Instructions

S/P Tibiofemoral Microfracture Phase II

Purchase Phase

  • Step Overs
  • Single Leg Wall Sit
  • Straight Leg Bridge
  • Lunge Matrix
  • Stationary Bike
  • Single Leg Speed Skater
  • Adductor Straddle
  • Lotus
  • Passive Knee Flexion
  • Passive Knee Extension
  • Gait II

S/P Tibiofemoral Microfracture Phase III

Purchase Phase

  • Step Overs
  • Lunge Matrix
  • Speed Skaters
  • Single Leg Sit Up Squat
  • 3-Dot Squat 2 Hands
  • Single Leg Lateral Box Jump
  • Single Leg Hop On Dina Disc
  • Single Leg Tuck Jump