Knee — LCL / Posterolateral Corner Repair and Reconstruction

Saint Louis University (SLUCare)

Weight-Bearing

TTWB wks 1-8; WBAT week 9; DC crutches when stable

Key Restrictions

Brace locked in extension for ambulation wks 1-8; no active knee flexion wks 1-6; hamstring curls OK week 7; unlock brace for ambulation when quad control adequate (wk 11); DC brace wk 11 if quad control adequate

Timeline & Phases

Wks 1-2: TTWB brace locked, PROM 0-90 deg, no active flexion; Wks 3-6: TTWB, SLR, patellar mob; Wk 7: advance ROM no limits, bike, hamstring activation; Wk 8: AAROM, leg press 0-70 deg; Wk 9: WBAT, D/C crutches; Wk 10: mini-squats 0-60, step ups, leg press 0-90; Wk 11: DC brace, retro treadmill, 8-in step ups; Wk 12: running if LSI>70%/hop>70%; Wks 12-22: sport-specific progression; 6-12 months: return to sport (quad >90%, hop >90%); 1-year MD visit

Notes

SLU Sports Medicine; diagnosis: LCL, PLC tears; 4-month protocol 2-3 visits/week