ACL Repair Rehabilitation Protocols

5 ACL Repair rehabilitation protocols from 5 institutions, published 2016–2025. Weight-bearing progressions vary by institution — compare them in the table below before selecting a protocol.

Compare by institution

Institution	Weight-Bearing	Key Restrictions
Mammoth Orthopedic Institute / Sierra Park PT — (Primary)	WBAT with crutches immediately; DC crutches when quad control returns and full extension…	Brace locked in extension until 1st PT visit; no open chain resistive with weights Phase II (bands OK); no…
NYU Langone Health — Tibial Spine Avulsion Repair	TTWB	TTWB x4 wks; brace locked in full extension 0-4 wks (ambulation and sleep); ROM 0-90 by wk 2, goal 0-125 by…
Orthopaedic Associates of Maine	WBAT with brace; crutches to assist; brace worn while sleeping 4 wks	Brace while sleeping 4 wks; ROM 0-90° x4 wks; discontinue brace at 4-6 wks; ROM goals: 0-110° by wks 4-6…
University Hospitals — (Primary), incl. Bridge-Enhanced ACL…	50% FFWB x3 days then WBAT; crutches used immediately post-op, weaned based on quad…	Brace locked in extension week 1 then unlocked as ROM dictates (goal D/C 4-6wks) - locked in extension x10…
University of New Mexico (UNM) Sports Medicine — (Primary)	WBAT with brace locked in extension; progress to FWB as swelling and quad recruitment…	Brace locked in extension Phase I; ROM 0-45 degrees increasing 15 deg/week to reach 0-90 deg by week 6; brace…