Multi-Ligament Knee Reconstruction — ACL + PCL Combined Reconstruction

Sutter Health / Palo Alto Medical Foundation · Kevin Roth MD

Weight-Bearing

<50% WB wk 1 → 50% by day 7 → 75-80% by day 14 → WBAT 1 crutch wk 4 → FWB wks 5-6; brace locked 0° wks 1-5

Key Restrictions

Brace locked 0° wks 1-5; <50% WB wk 1; ROM goal 0-90° by day 14; MD clearance required for return to sport

Timeline & Phases

Wks 1-3: <50% WB wk 1 → 50% by day 7 → 75-80% by day 14, brace locked 0°, ROM goal 0-90° by day 14, SLR, quad sets, ankle pumps, mini squats 0-45°; Wks 4-6: WBAT with 1 crutch wk 4, d/c crutches wks 5-6, brace unlocked wk 6, AROM 0-115°, leg press, proprioception, pool walking, lateral lunges; Wks 7-12: FWB, d/c brace wk 8, PROM 0-115-125°, step-ups, CKC squats, swimming; Wks 13-16: FWB, AROM >125°, eccentric quad focus, lunges, leg press, bike, stair climber, pool running; Months 4-6: plyometrics, running, agility, sport-specific training; Months 6-9: continued strengthening/plyometrics/agility, MD clearance for RTS

Notes

Combined ACL + PCL reconstruction; more conservative WB progression than isolated ACL; no publication date on PDF

Surgeon / Author

Kevin Roth MD