ACL Reconstruction — Hamstring Autograft

Ohio State University Wexner Medical Center · C. Brunst PT DPT SCS AT; K. Martin PT DPT SCS; Reviewers: E. Luse PT DPT; S. Di…

Weight-Bearing

Criterion-based AD discharge (same criteria as OSU quad tendon protocol)

Key Restrictions

No isotonic resisted hamstring exercises x 8 wks; no loaded OKC ext beyond 45 deg x 8 wks; no forced flex past 90 for meniscus repairs; meniscus repair: PWB x 4 wks, no WB exercise >90 x 8 wks

Timeline & Phases

Criterion-based phases: Protection/Early Loading, Strengthening, Return to Function (12 wks+); 1-2 visits/wk with HEP emphasis 2-3 days/wk

Notes

Hamstring-specific; 2023 update; MOON group recommendations; no resisted hamstring x 8 wks (vs BWH's 12 wks — clinically notable difference); isokinetic testing no earlier than 12 wks

Surgeon / Author

C. Brunst PT DPT SCS AT; K. Martin PT DPT SCS; Reviewers: E. Luse PT DPT; S. Di Stasi PT PhD; L. Schmitt PT PhD; R. Magnussen MD

Published

2023