- [Home](https://ortopediaevolutiva.com/en) - [Guides & Exercises](https://ortopediaevolutiva.com/en/parents-kids) - Rehabilitation # Rehabilitation Protocols Conservative and postoperative pathways, organised by phase. Guidance for families, progression criteria for physiotherapists and illustrated exercises to select for the visit handout. Printable A4 sheets Evidence-based, referenced ## A handout for the visit Open the relevant sheet, choose the phase where applicable, then print. Condition or procedure Choose a sheet Anterior cruciate ligament (ACL) reconstruction ACL reconstruction with open growth plates ACL reconstruction with meniscal repair Isolated meniscal repair Isolated medial patellofemoral ligament (MPFL) reconstruction Knee osteochondritis dissecans (OCD): non-operative rehabilitation Knee Osteochondral Lesion: fragment fixation or microfracture Tibial Spine (Eminence) Fracture: reduction and fixation with bioabsorbable pins Hemiepiphysiodesis: recovery after guided growth Ankle sprain: conservative protocol Talar OCD: conservative rehabilitation Osteochondral Lesion of the Talus: fragment fixation or microfracture Flatfoot: post-operative pathway after endosinotarsal arthroereisis Flatfoot: post-operative pathway after exosinotarsal arthroereisis Flatfoot: post-operative pathway after arthroereisis with Achilles lengthening Flatfoot: post-operative pathway after arthroereisis with accessory navicular excision Prepare handout A framework to personalise with the orthopaedic clinician and physiotherapist, not a replacement for an individual prescription. Respect protection and clinical criteria, not dates alone. ## Knee Pathways for ligaments, meniscus, osteochondral lesions and guided growth, distinguishing conservative care from recovery after surgery. [Anterior cruciate ligament (ACL) reconstruction Pathway after isolated ACL reconstruction in a skeletally mature patient, guided by symptoms and function. Pivoting sport: often from 9-12 months, only after assessment and sport-specific preparation.](https://ortopediaevolutiva.com/en/rehabilitation/acl-reconstruction)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/acl-reconstruction?pdf=1) [ACL reconstruction with open growth plates Paediatric pathway tailored to maturity, surgical technique and remaining growth. For younger adolescents, pivoting sport generally no sooner than 12 months, with function and growth review.](https://ortopediaevolutiva.com/en/rehabilitation/pediatric-acl-all-epiphyseal)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/pediatric-acl-all-epiphyseal?pdf=1) [ACL reconstruction with meniscal repair Combined pathway protecting the repaired meniscus while restoring ACL strength and function. Sport resumes after timing and criteria for both procedures; meniscal repair does not shorten ACL recovery.](https://ortopediaevolutiva.com/en/rehabilitation/acl-with-meniscal-repair)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/acl-with-meniscal-repair?pdf=1) [Isolated meniscal repair Pathway after meniscal repair without ligament reconstruction, tailored to tear type. At least 4 months for some vertical repairs; often 6-9 months for complex, radial or meniscal root repairs.](https://ortopediaevolutiva.com/en/rehabilitation/isolated-meniscal-repair)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/isolated-meniscal-repair?pdf=1) [Isolated medial patellofemoral ligament (MPFL) reconstruction Recovery after medial patellofemoral ligament reconstruction, guided by symptoms and control. Sport often resumes around 6-9 months after isolated surgery; criteria and associated procedures may change this.](https://ortopediaevolutiva.com/en/rehabilitation/mpfl-reconstruction)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/mpfl-reconstruction?pdf=1) [Knee osteochondritis dissecans (OCD): non-operative rehabilitation Non-operative recovery for a stable lesion: protection, movement, strength and gradual return to sport. Progression follows clinical reviews and lesion healing; recovery takes months.](https://ortopediaevolutiva.com/en/rehabilitation/knee-osteochondritis-dissecans-conservative)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/knee-osteochondritis-dissecans-conservative?pdf=1) [Knee Osteochondral Lesion: fragment fixation or microfracture Recovery after osteochondral fragment fixation or marrow stimulation: a programme matched to the procedure and lesion site. Prescribed protection → loading and strength → cleared impact → sport; recovery takes months.](https://ortopediaevolutiva.com/en/rehabilitation/knee-osteochondral-lesion)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/knee-osteochondral-lesion?pdf=1) [Tibial Spine (Eminence) Fracture: reduction and fixation with bioabsorbable pins Recovery after tibial-spine avulsion fixation, with initial protection and guided restoration of movement. SmartNail: 30 days in extension and non-weight-bearing; then progression after review.](https://ortopediaevolutiva.com/en/rehabilitation/tibial-spine-fracture-fixation)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/tibial-spine-fracture-fixation?pdf=1) [Hemiepiphysiodesis: recovery after guided growth Recovery after guided growth around the knee: motion, walking and return to activity. Functional recovery generally takes weeks; growth monitoring continues throughout treatment.](https://ortopediaevolutiva.com/en/rehabilitation/hemiepiphysiodesis-guided-growth)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/hemiepiphysiodesis-guided-growth?pdf=1) ## Ankle Uncomplicated lateral sprain and talar osteochondral lesions: separate conservative and postoperative pathways. [Ankle sprain: conservative protocol Pathway for an uncomplicated lateral ankle sprain: progressive loading, strength, balance and return to sport. Phases may overlap: progression depends on severity and function, not a single deadline.](https://ortopediaevolutiva.com/en/rehabilitation/ankle-sprain)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/ankle-sprain?pdf=1) [Talar OCD: conservative rehabilitation Non-operative pathway for a stable talar osteochondral lesion, separate from ankle-sprain rehabilitation. Protection and progression follow lesion reassessment, not a sprain timetable.](https://ortopediaevolutiva.com/en/rehabilitation/talar-osteochondritis-dissecans-conservative)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/talar-osteochondritis-dissecans-conservative?pdf=1) [Osteochondral Lesion of the Talus: fragment fixation or microfracture Recovery after surgery for a talar osteochondral lesion, with progression matched to the procedure. Protection, return to weight bearing and impact are separate stages; timing varies by procedure.](https://ortopediaevolutiva.com/en/rehabilitation/talus-osteochondral-lesion)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/talus-osteochondral-lesion?pdf=1) ## Foot Recovery after flatfoot surgery, with loading and motion adapted to the procedure and associated operations. [Flatfoot: post-operative pathway after endosinotarsal arthroereisis Recovery after isolated arthroereisis: walking and motion within discharge instructions, followed by strength and sport. Personal practice: no running or jumping for 45 days; sport around 2 months only if ready.](https://ortopediaevolutiva.com/en/rehabilitation/flatfoot-surgery-endosinotarsal-arthroereisis)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/flatfoot-surgery-endosinotarsal-arthroereisis?pdf=1) [Flatfoot: post-operative pathway after exosinotarsal arthroereisis Recovery after isolated arthroereisis: walking and motion within discharge instructions, followed by strength and sport. Personal practice: no running or jumping for 45 days; sport around 2 months only if ready.](https://ortopediaevolutiva.com/en/rehabilitation/flatfoot-surgery-exosinotarsal-arthroereisis)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/flatfoot-surgery-exosinotarsal-arthroereisis?pdf=1) [Flatfoot: post-operative pathway after arthroereisis with Achilles lengthening Recovery after arthroereisis with Achilles lengthening, protecting the tendon and progressing gradually. Personal practice: cast about 30 days; running no earlier than two months after cast removal, following clinical assessment. Sport follows progression and individual clearance.](https://ortopediaevolutiva.com/en/rehabilitation/flatfoot-surgery-arthroereisis-achilles-lengthening)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/flatfoot-surgery-arthroereisis-achilles-lengthening?pdf=1) [Flatfoot: post-operative pathway after arthroereisis with accessory navicular excision Recovery after arthroereisis and simple accessory navicular excision, without tibialis posterior reattachment. Personal practice: cast about 15 days; impact from day 45 and sport around 2 months only if ready.](https://ortopediaevolutiva.com/en/rehabilitation/flatfoot-surgery-arthroereisis-accessory-navicular)[Download PDF (A4)](https://ortopediaevolutiva.com/en/rehabilitation/flatfoot-surgery-arthroereisis-accessory-navicular?pdf=1) 💬 💙 ![Dott. Daniele Priano - Ortopedico Pediatrico Milano](https://ortopediaevolutiva.com/assets/doctor-avatar-3d-B7t_C744.webp) ## Any questions? For information or questions, email me or view the locations and contact details. [Check availability and book](https://ortopediaevolutiva.com/en/locations)[Ask for information](mailto:daniele.priano@ortopediaevolutiva.com) Email: daniele.priano@ortopediaevolutiva.com --- Canonical: https://ortopediaevolutiva.com/en/rehabilitation Le informazioni cliniche sono divulgative e non sostituiscono una valutazione medica diretta.