ACL Reconstruction — with Meniscus Repair or Microfracture

University of Virginia Orthopaedic Surgery · D. Diduch MD; M. Miller MD; E. Carson MD; S. Brockmeier MD; F. Gwathmey MD

Weight-Bearing

TTWB (25%) x 2 wks; 50% WB wks 2-6; FWB after 6 wks; D/C crutches Phase 2

Key Restrictions

Brace 0-90 deg x 6 wks (unlocked at all times after nerve block resolves); no forced flex x 6 wks; hamstring autograft: delay HS strengthening x 12 wks, heel slides to 90 only; running at 12 wks BPTB, 16 wks hamstring

Timeline & Phases

4 phases: Phase 1 (0-6 wks), Phase 2 (6-10 wks), Phase 3 (10-16 wks), Phase 4 (16+ wks)

Notes

2023 updated version (replaces earlier UVA protocol already in database); differentiates BPTB vs hamstring throughout; STEP test at 4 months; pool running at 8 wks; isokinetic 70% uninvolved for Phase 4; NMES for quad

Surgeon / Author

D. Diduch MD; M. Miller MD; E. Carson MD; S. Brockmeier MD; F. Gwathmey MD

Published

January 2023