The rehabilitation after an ACL reconstruction is vitally important. It is important to follow the instructions of your surgeon and physiotherapist and not try and do things too quickly - even if your knee feels good. Your graft is actually at its weakest around 3 months after your surgery and it is possible to reinjure it at this time.
What is the normal recovery after an ACL reconstruction
- You will normally be discharged on the morning after your surgery
- Physiotherapy is restricted to Closed chain exercises for 1st 4 months
- Return to full sporting activity normally after 9-12 months.
If there is an associated meniscal repair than a hinged knee brace is worn for 6/52 with a range of 0 - 90 degrees followed by a further 6 weeks of no deep squats or lunges.
Post Operative ACL Rehabilitation protocol.
| Goals | Exercises |
|
Phase 1: First 2 weeks Aim for 0-90 degrees Protect graft fixation Alleviate pain and inflammation Wt bearing as tolerated with crutches |
Ice and compression bandaging Heal slides Patella mobilisation Prone knee flexion Electrical stimulation as needed. |
|
Phase 2: 2-6 weeks post op Aim for 0-125 degrees Increase quads/hamstring strength increase hip strength |
Continue phase 1 exercises Calf raises Pool therapy starts at 3/52 Wall slides 0 - 45 degrees Calf stretches |
|
Phase 3: 6 weeks to 4 months Full symmetric ROM Independant ambulation Improve strength, endurance and proprioception |
Continue phase 2 exercises Flexibility and strengthening program Step ups minisquats One leg squats Start cycling at 6 weeks Light jogging at 3 months |
|
Phase 4: 4 months till full activity Preparation for return to sport Sport specific training Working on power, proprioception and strength |
Continue strengthening exercises. Start sprinting, backwards running and cutting Sport specific training drills |
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