ACL Reconstruction

Orthopaedic Associates of Maine

Weight-Bearing

WBAT; crutch-assisted until minimal limp; brace 1-2 wks

Key Restrictions

No resisted leg extension machine at any point; if hamstring graft: no isolated hamstring until 3 wks, no open chain resisted hamstring curls until at least 6 wks; ROM 0-90° by 2 wks, 0-115° by 4 wks

Timeline & Phases

Wks 0-2 (ROM 0-90°), 2-4 (ROM 0-115°), 4-6, 6-8, 8-12, 12-16 (jog 12-14 wks), 16-24 (sport-specific)

Notes

Preoperative PT visit; functional assessment at 14 weeks (ground clock, unilateral squat, lateral shuffle, jump mechanics); jogging at 12-14 weeks with good quad control