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

Combined Anterior Cruciate Ligament (ACL) and Medial Collateral Ligament (MCL) Reconstruction

Phase I (Weeks 0-4)

  • Weightbearing:  Touch-down weightbearing
  • Hinged Knee Brace:  Locked in full extension for ambulation and sleeping
  • Range of Motion – PROM 0-30⁰
  • Therapeutic Exercises
    • Quadriceps Strengthening/ Straight-Leg Raise with brace in full extension until quad strength prevents extension lag
    • Patellar mobilization
    • Non-weightbearing stretch of the Gastroc/Soleus 

Phase II (Weeks 4-6)

  • Weightbearing:  Advance to WBAT using crutches for balance
  • Hinged Knee Brace:  Open between 0 and 30⁰
  • Range of Motion – Maintain full knee extension– work on progressive knee flexion (Goal: 0-60⁰ by week 6)
  • Therapeutic Exercises
    • Continue with phase I exercises

 Phase III (Weeks 6-8)

  • Weightbearing:  Full weightbearing
  • Hinged Knee Brace:  Open between 0 and 60⁰
  • Range of Motion – PROM/AAROM/AROM – Progress to full ROM
  • Therapeutic Exercises
    • Continue with quadriceps strengthening
    • Start open chain calf strengthening with theraband

Phase IV (Weeks 8-12)

  • Weightbearing:  Full weightbearing
  • Hinged Knee Brace:  Unlocked
  • Range of Motion – Full ROM
  • Therapeutic Exercises
    • Half squats/Step downs
    • Proprioception activities
    • Closed chain strengthening
    • Start stationary bike

 Phase V (Months 3-9)

  • Advance closed chain strengthening and proprioception activities
  • Start elliptical/jogging at 6 months
  • Return to athletic activity as tolerated at 9 months post-op

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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