Multi-Ligament Knee Reconstruction — ACL with MCL or Posterolateral Corner (PLC) Reconstruction

University of New Mexico (UNM) Sports Medicine · Will Curtis MD, Dustin Richter MD, Christopher Shultz MD, Gehron Treme MD…

Weight-Bearing

TDWB x 6 weeks with crutches; D/C brace and advance to WBAT at week 6

Key Restrictions

TDWB x 6 weeks; brace full ROM, sleep locked in extension; 0-120 degrees AROM first 4 weeks

Timeline & Phases

Phase I (1-6 wks): TDWB in brace, quad sets/SLR, CKC, stationary bike; Phase II (6-12 wks): D/C brace, WBAT, stair climbing, elliptical, proprioception; Phase III (3-6 months): running, isokinetics, plyometrics, agility (quad/HS 85% symmetry criteria); Phase IV (6 months): return to practice; Phase V (8-9 months): full return to activity

Notes

PT starts 3-10 days post-op, 1-2x/week for 12+ weeks; covers ACL+MCL or ACL+PLC; revised 2025

Surgeon / Author

Will Curtis MD, Dustin Richter MD, Christopher Shultz MD, Gehron Treme MD, Andrew Veitch MD

Published

2025