Multi-Ligament Knee Reconstruction — ACL and PLC (Posterolateral Corner) Reconstruction

NYU Langone Health · Dr. Daniel J. Kaplan, MD

Weight-Bearing

TTWB

Key Restrictions

TTWB w/ crutches 0-6 wks; hinged brace locked in full extension except exercises/hygiene; avoid tibial rotation, hyperextension, and varus force to knee; no resisted hip abduction below the knee; no carpet drags if PCL involved; plyometrics at 4 months; running at 6 months; RTS typically 10-12 months

Timeline & Phases

Phase 1: 0-6 wks (TTWB, brace locked, ROM 0-90); Phase 2: 6-12 wks (gradual WB 25% to 100%, brace wean, pool therapy, treadmill walking at 8 wks); Phase 3: 3-6 months (FWB, strengthening, plyometrics at 4 months); Phase 4: 6-10 months (running at 6 months, sport-specific agility, RTS typically 10-12 months)

Surgeon / Author

Dr. Daniel J. Kaplan, MD

Published

2025-01