Multi-Ligament Knee Reconstruction — Knee Multi-Ligament Repair/Reconstruction

UW Health Sports Medicine · UW Health Sports Rehabilitation & Sports Medicine Physician Group

Weight-Bearing

NWB x 6 wks; 25-50% BW wk 7; 50-100% BW wk 8; brace locked for all WB

Key Restrictions

NWB x 6 wks; brace locked for all WB activities; no open chain hamstring strengthening (through Phase III); no hamstring stretching; no bike (Phase II); PROM only with posterior support for PCL; no forced hyperextension; impact requires >=80% strength (SL press or Biodex)

Timeline & Phases

Phase I (0-8 wks: NWB to PWB, locked brace, PROM, quad activation) -> Phase II (8+ wks: normalize gait, unlock brace wks 8-12, CKC <=60°) -> Phase III (~16 wks: SL control, quad OKC/CKC, no hamstring OKC) -> Phase IV (24-28 wks: impact >=80% strength, multi-planar, RTS)

Notes

Updated 2/2018; surgery best within 3 weeks post-injury after swelling reduction; covers ACL/PCL/MCL/LCL combinations (autograft or allograft); Biodex testing at 6 and 9 months; impact initiation at >=80% SL press or Biodex; no hamstring OKC through Phase III to protect PCL repair; 4-phase protocol; UW Health Sports Medicine, Madison WI

Surgeon / Author

UW Health Sports Rehabilitation & Sports Medicine Physician Group

Published

2018-02-01