ACI Rehabilitation Protocols
3 ACI rehabilitation protocols from 2 institutions, published 2014–2024. Weight-bearing progressions vary by institution — compare them in the table below before selecting a protocol.
Compare by institution
| Institution | Weight-Bearing | Key Restrictions |
|---|---|---|
| iOrtho — Femoral Condyle | TDWB (20-30%) in locked brace x4 wks; WBAT with crutches in unlocked brace wks 5-6… | No closed chain knee flexion; no open chain extension; brace locked at 0° for WB x2 wks; CPM 6-8 hrs/day |
| iOrtho — Trochlea / Patella | No osteotomy: 25% WB → 50% → 75% → WBAT by wks 5-6 in unlocked brace; with osteotomy… | PROM only wks 0-2 (0-40°); no active knee extension 40-70°; no repetitive closed chain knee flexion 40-70°… |
| Lahey Hospital & Medical Center — Microfracture and… | NWB → TTWB → Partial → FWB | NWB + brace locked 0-2 wks; TTWB 3-4 wks; partial 25% 5-6 wks; partial 50-75% 7-8 wks; FWB when pain/effusion… |