Multi-Ligament Knee Reconstruction — ACL / PCL / LCL Reconstruction

Saint Louis University (SLUCare)

Weight-Bearing

NWB wks 1-2; TTWB wks 3-9; WBAT week 9; DC crutches when stable

Key Restrictions

Brace locked in extension wks 1-9; TTWB (no WB with knee flexed) through week 8; no active knee flexion or hamstrings wks 1-6; hamstring flexion OK week 7; no knee flexion WB through week 9

Timeline & Phases

Wks 1-2: NWB TTWB, brace locked, PROM 0-40 deg; Wks 3-6: TTWB, ROM 0-90 deg; Wk 7: advance ROM, bike, hamstring activation; Wk 8: AAROM, leg press 0-70 deg; Wk 9: WBAT; Wk 10: mini-squats, step ups, leg press 0-90 deg; 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%)

Notes

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