ACL Rehab

Patellar Tendon and Hamstring Grafts

Pre-Operative Phase: GOALS:

1. Patient should have full understanding of the operative procedure and postoperative rehabilitation

2. No effusion, full ROM, good quadriceps/hamstrings strength.

Post-Operative Phase: GOALS:

1. Physiotherapy should begin 3-4 days after surgery.

2. Final - Full range of motion, no effusion, and strength equal to opposite knee.

(This protocol is a guideline for post-operative care, there will be variations among individuals. Any alterations in this program should be made by the surgeon or physiotherapist.)

IMPORTANT

i) No active leg extension in last 30°.
ii) No resisted hamstring exercises until 6-weeks post-op if hamstring repair.

PROTOCOL MAY NEED TO BE MODIFIED IF PATELLOFEMORAL PROBLEMS EXIST, OR THE PATIENT HAS LCL/MCL/PCL OR MENISCAL REPAIR INVOLVEMENT.

TOC

Day l

Day 2 - 14

Week 2 - 6

Week 6 -9

Week 9 -12

Week 12 +

Week 14+

Six Months