Posterolateral Corner (PLC) Reconstruction

Mammoth Orthopedic Institute / Sierra Park PT · Brian B. Gilmer MD (US Ski Team Physician); Karly M. Dawson PA-C

Weight-Bearing

TTWB x6 weeks; WB 50%/week from 6 weeks to FWB (~8 weeks); wean crutches with adequate quad control

Key Restrictions

TTWB x6 weeks; brace locked 0 deg x2 weeks (including sleep), then unlocked 0-90 deg wks 2-6; ROM 0-45 deg x2 weeks then 0-90 deg x6 weeks; no hamstring activation x6 weeks; no OKC hamstring contraction x16 weeks; avoid ER and posterior tibial sag throughout; no cutting/pivot x20 weeks; no jumping x16 weeks; RTS at 9 months

Timeline & Phases

4 phases: Phase I (0-6 wks, TTWB, brace locked, ROM 0-45 deg then 0-90 deg, no HS), Phase II (6-12 wks, WB 50%/wk to FWB, bilateral CKC, HS isometrics begin), Phase III (12-16 wks, forward running, single leg strength, no cutting x20 wks, no jumping x16 wks), Phase IV (16-24 wks, jumping from 16 wks, cutting/pivot/agility from 20 wks, RTS test at 9 months)

Notes

No PT name or date listed; OKC hamstring restriction extends to 16 weeks; ER and posterior tibial sag avoidance critical throughout all phases; RTS at 9 months for cutting/pivot sports

Surgeon / Author

Brian B. Gilmer MD (US Ski Team Physician); Karly M. Dawson PA-C