Knee MCL Repair and Reconstruction Rehabilitation Protocols

4 Knee MCL Repair and Reconstruction rehabilitation protocols from 3 institutions. 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 — with Internal Brace and…	TTWB brace locked 0° x2 weeks; WBAT brace locked 0° wks 2-6; wean brace/AD at 6 weeks…	PROM 0-90° x2 weeks then progress to full ROM by 6 weeks; no hamstring contraction x6 weeks; avoid valgus…
Mammoth Orthopedic Institute — with Ipsilateral Hamstring…	TTWB brace locked 0° x6 weeks (brace open 0-90° in seated only); WBAT begins at 6 weeks…	Flexion limited to 90° x6 weeks; TTWB x6 weeks (more restrictive than internal brace variant); no hamstring…
Saint Louis University (SLUCare) — MCL Repair / Reconstruction	TTWB wks 1-6; WBAT week 7; DC crutches when stable	Brace locked in extension for ambulation and sleeping wks 1-6; no WB with knee flexed through wk 6; no side…
Sanford Health — MCL Reconstruction	NWB to toe-touch WB per MD preference x 6 wks; crutches x 6 wks	Drop lock brace x 6 wks; avoid knee valgus and rotation stress x 6 wks; CKC limited to 70° x 16 wks; no…