ACL Reconstruction — Allograft

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

Weight-Bearing

TDWB x 2 wks; PWB wks 2-4; WBAT wks 4-6; crutches and brace x 6 wks

Key Restrictions

Allograft revascularization slower than autograft; crutches and brace continued x 6 wks; brace locked ext x 1 wk, remove for rehab/sleep after wk 1, worn in vulnerable situations wks 6-12, optional after 12 wks; for meniscus repair avoid OKC hamstring x 6 wks

Timeline & Phases

5 phases: Phase I (0-6 wks, 1-2 visits/wk), Phase II (6-8 wks, 2-3 visits/wk), Phase III (2-6 months, 2-3 visits/wk), Phase IV-V (6+ months, D/C after functional progression); supervised PT 3-9 months

Notes

Allograft-specific; most conservative WB progression of BWH ACL protocols; Phase I extends to 6 wks (vs 4 wks for autografts). [Archived copy — original Brigham and Women's Hospital URL retired in the Mass General Brigham site migration; Wayback snapshot 2021-09-21.]

Surgeon / Author

Dept. of Rehabilitation Services

Published

2008