Preoperative crutch training with crutches TDWB done with MD visit

Phase I (Weeks 0 – 6)   PROTECTION PHASE

• TDWB with crutches for 6 weeks
• IF prophylactic pinning on the opposite side, that side will be WBAT for transfers
• Ankle, hip and knee ROM as tolerated

Phase II (weeks 6-12) INTERMEDIATE PHASE

• Begin physical therapy following six week follow up with MD
• Encourage hip ROM and normalize gait 
  • Heel slides, standing hip flexion, ab/ext
  • Weightbearing exercises to promote strength (minisquats, step ups, toe raises)
  • Proprioception for balance

Phase III (weeks 12-15) Return to play phase

• Focus on sport specific activities     
• Return to play with physician approval at 3-4 months