Post-Operative

In ROM brace at all times, except may remove for therapy.  Ice to knee.

Phase I:  Protective Phase
Weeks 0 - 2

ROM Brace  20-60°

NWB With Crutches

P.T.

• (may remove brace)

• Warm-up x 20 min

• PROM 10-70°

• Patellar mobilization

• Quad & HS isometrics

• E-Stim

• Ice and stretch at completion

Phase II:  Mobilization Phase
Weeks 3 - 4

ROM Brace 10-90°

PWB with crutches (50% BW)

PT (Add to Above)

• Add to above

• PROM 0-100°

• Proprioception Activities

• Modalities as needed

Phase III:  Weight-Bearing Phase
Weeks 5 - 6

ROM Brace

• unrestricted 0-140°

FWB with crutches

PT (Add to above:)

• Shuttle run in brace

• Step-ups

• Isometrics-Isotonics

• Strain-Counterstrain

• Progressive Resistive Exercises (PRE’s)

At 6 weeks may discontinue brace & crutches, continue therapy and develop home program.

ACL With Meniscus Repair

When ACL and meniscus repair done simultaneously, use the ROM-bracing guidelines above, and Weight-bearing status as above, but otherwise follow ACL-Rehab protocol.