Ligament Repair/Reconstruction — MPFL Reconstruction

University Orthopedics (Brown University) · University Orthopedics Sports Medicine Division

Weight-Bearing

WBAT in full extension with crutches if needed; wean crutches/brace when gait normalized

Key Restrictions

Criterion-based progression; avoid lateral patellar mobilization; brace until gait normalized; Tampa Kinesiophobia Scale administered at entry/exit of phases

Timeline & Phases

Early Stage Phase 1 (0-2 wks): WBAT in full extension; Phase 2 (2-4 wks): AROM 0-90°; Mid Stage Phase 1 (6-10 wks): progressive CKC strengthening; Phase 2 (10-16 wks): moderate load OKC/CKC; Late Stage: return-to-sport criteria including quad symmetry ≥90%, hop tests

Notes

Criterion-based protocol; supplemental exercise videos at universityorthopedics.com/therapy/videos.html; NMES and BFR recommended

Surgeon / Author

University Orthopedics Sports Medicine Division