ACL Reconstruction — All Graft Types

Brigham and Women's Hospital · Dept. of Rehabilitation Services

Weight-Bearing

Per graft type: BPTB WBAT; Hamstring PWB initially; Allograft more conservative; meniscal recon: avoid WB >45 deg flex x 4 wks, limit to 90 deg wks 4-8

Key Restrictions

BPTB: increased anterior knee pain with kneeling; Hamstring: no resisted hamstring x 12 wks; Allograft: slightly increased graft failure risk; locked hinged brace post-op; meniscal recon specific WB/ROM restrictions

Timeline & Phases

Criterion-based phases adopted from Adams et al (2012) JOSPT and Delaware PT Clinic Guidelines; includes hop testing and functional assessment

Notes

Comprehensive protocol covering all graft types; 2015; based on Adams et al JOSPT 2012; hop test criteria: >=80% strength and >=85% functional testing for return to sport; separate from BWH's graft-specific protocols. [Archived copy — original Brigham and Women's Hospital URL retired in the Mass General Brigham site migration; Wayback snapshot 2026-02-28.]

Surgeon / Author

Dept. of Rehabilitation Services

Published

2015