OSTEOCHONDRAL ALLOGRAFT TRANSPLANT
REHABILITATION PROTOCOL

WEIGHT
BEARING
BRACE ROM THERAPEUTIC
EXERCISES
PHASE I
0 – 6 weeks
Non-weight
bearing
0 -1 week: locked in
full extension (removed
for CPM and exercises)
2 -4 weeks: Gradually
open brace 20° in-
crements as quad control
is gained – discontinue use
of brace when quads can
control SLR without an
extension lag
0 – 6 weeks:
CPM: use for
6-8 hours per
day – begin at
0-40° –
increasing 5-10°
daily per patient
comfort
patient should
gain 100° by
week 6
PROM/AAROM to tolerance, patella and
tibiofibular joint mobs (grades I & II),
quad, hamstring, and gluteal sets
hamstring stretches, hip strengthening,
SRL
PHASE II
6 – 8 weeks
Partial weight
bearing (25%)
None Gradually
increase flexion-
patient should
have 130° of
flexion

Scar and patellar mobs, quad/hamstring
strengthening, stationary bike for ROM,
continue to advance lower extremity
strengthening activities

PHASE III
8 weeks –
12 months
Gradually return to
full weight bearing
None Progress to full
and pain-free
Gait training, begin closed chain activities
(wall sits, shuttle, mini-squats, toe
raises), begin unilateral stance activities
PHASE IV
12 – 6 months
Full with a
normalized
gait pattern
None Full and
pain-free
Advance phas III activities