ACL Reconstruction — Multiple Graft Types

University of Virginia Orthopaedic Surgery

Weight-Bearing

WBAT with crutches; wean as tolerated; no brace needed

Key Restrictions

Hamstring autograft: delay hamstring strengthening x 12 wks, heel slides to 90 deg; BPTB: hamstring curls adding weight as tolerated, CKC quad strengthening OK; knee flex 0-120 as tolerated

Timeline & Phases

4 phases: Phase 1 (0-4 wks), Phase 2 (4-8 wks), Phase 3 (8-16 wks), Phase 4 (16+ wks)

Notes

Differentiates BPTB vs hamstring autograft in strengthening guidelines; no brace needed; no immobilizer after nerve block wears off