ACL Reconstruction with Chondral Surgery — ACL Reconstruction with Microfracture or Chondral Surgery (Femoral Condyle or Tibial Plateau)

Mammoth Orthopedic Institute / Sierra Park PT · Brian B. Gilmer MD (US Ski Team Physician); Karly M. Dawson PA-C; Andrea Dillon…

Weight-Bearing

NWB x6 weeks with crutches (chondral protection); DC crutches at 6 weeks if adequate quad control; stationary bike uses non-operative leg only x6 weeks

Key Restrictions

NWB x6 weeks (key restriction vs standard ACL); brace unlocked full ROM allowed x6 weeks; no open chain resistive with weights; no downhill activity; no cutting/jumping/pivoting until Phase V; earliest RTS 9 months

Timeline & Phases

5 phases: Phase I (0-3 wks, NWB brace unlocked full ROM), Phase II (3-6 wks, NWB continues, advance strengthening no OKC weights), Phase III (6 wks-3 months, DC crutches/brace, CKC, neuromuscular retraining), Phase IV (3-5 months, running from wk 12, agility), Phase V (5-8 months, plyometrics, RTS testing at 9 months)

Notes

NWB x6 weeks differentiates this from standard ACL (chondral cartilage protection); Cartiform/BioCartilage included; stationary bike non-operative leg only x6 wks; Andrea Dillon PT 6/24/2016; Gilmer MD 6/24/2016; earliest RTS 9 months

Surgeon / Author

Brian B. Gilmer MD (US Ski Team Physician); Karly M. Dawson PA-C; Andrea Dillon PT

Published

June 2016