Office Hours: M-F 8:30 AM - 5:00 PM
Physical Therapy Hours: M-F 7:00 AM - 8:00 PM
Rehab Protocols

Anterior Cruciate Ligament (ACL) Reconstruction with Bone-Patellar Tendon-Bone Autograft

Phase I (Weeks 0-4)

  • Weightbearing:  As tolerated with crutches (may be modified if concomitant meniscal repair/meniscal transplant or articular cartilage procedure is performed)
  • Hinged Knee Brace: 
    • Locked in full extension for ambulation and sleeping (Weeks 0-1)
    • Unlocked for ambulation and removed while sleeping (Weeks 1-4)
  • Range of Motion – AAROM -> AROM as tolerated
  • Therapeutic Exercises
    • Quad/Hamstring sets
    • Heel slides
    • Non-weightbearing stretch of the Gastroc/Soleus
    • Straight-Leg Raise with brace in full extension until quad strength prevents extension lag 

Phase II (Weeks 4-6)

  • Weightbearing:  As tolerated — discontinue crutch use
  • Hinged Knee Brace:  Discontinue brace use when patient has achieved full extension with no evidence of extension lag
  • Range of Motion –  Maintain full knee extension – work on progressive knee flexion
  • Therapeutic Exercises
    • Closed chain extension exercises
    • Hamstring curls
    • Toe raises
    • Balance exercises
    • Progress to weightbearing stretch of the Gastroc/Soleus
    • Begin use of the stationary bicycle

Phase III (Weeks 6-16)

  • Weightbearing:  Full weightbearing
  • Range of Motion – Full/Painless ROM
  • Therapeutic Exercises
    • Advance closed chain strengthening exercises, proprioception activities
    • Begin use of the Stairmaster/Elliptical
    • Can Start Straight Ahead Running at 12 Weeks

Phase IV (Months 4-6)

  • Gradual return to athletic activity as tolerated

Maintenance program for strength and endurance

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, based in Brookfield, CT and Danbury, CT, provides comprehensive orthopaedic care, sports medicine, joint replacements, and interventional pain management to patients of all ages.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, provides orthopedic care including: orthopedic examination, foot surgery, ankle surgery, hand surgery, hip surgery, hip replacement, hip resurfacing, knee surgery, knee replacement, orthopedic oncology, shoulder surgery, elbow surgery, and MAKOplasty.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, also provides sports medicine, physical therapy, pain management, interventional pain management, radiology, x-ray, ultrasound, cortisone injection, and PRP injections.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, treats sprains, fractures, ligament tears, arthritis, musculoskeletal pain, neurological pain, cancer pain, neck pain, and back pain.

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