ACL Reconstruction — with Simple Meniscus Repair

Orthopaedic Associates of Maine

Weight-Bearing

TDWB 3-5 days, then FWB in extension; knee immobilizer 3 wks

Key Restrictions

Knee immobilizer 3 wks; TDWB 3-5 days; CKC 20-70° or full extension only; avoid submaximal CKC 6 wks; active hamstring at 4 wks, resistive at 6 wks; no lateral exercises 6-8 wks; no pivoting/ballistic ≥4 months; no resisted leg extension at any point

Timeline & Phases

Wk 1, Wks 2-4, 4-6, 6-12, 12-16, 16-24

Notes

Watch for lower leg rotation or heel whip with ambulation; functional assessments at 14 weeks and 5-6 months