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

Posterior Cruciate Ligament (PCL) Reconstruction with Achilles Allograft

Phase I (Weeks 0-4)

  • Weightbearing:  As tolerated with crutches (may be modified if concomitant posterolateral corner reconstruction, meniscal repair/meniscal transplant or articular cartilage procedure is performed)
  • Hinged Knee Brace: 
    • Locked in full extension for ambulation and sleeping (Weeks 0-1)
    • Locked in full extension for ambulation – removed for therapy sessions (Weeks 1-4)
  • Range of MotionWeeks 0-1: None, Weeks 1-2: PROM 0-30°, Weeks 2-4: PROM 0-90° (MAINTAIN ANTERIOR PRESSURE ON PROXIMAL TIBIA AS KNEE IS FLEXED FROM WEEK 1-4—NEED TO PREVENT POSTERIOR SAGGING AT ALL TIMES)
  • Therapeutic Exercises
    • Quad/Hamstring sets and ankle pumps
    • Straight-Leg Raise with brace in full extension until quad strength prevents extension lag
    • Hip abduction/adduction – for hip pain
    • Hamstring/Calf stretch – Calf press with theraband progressing to standing toe raises with knee in full extension 

Phase II (Weeks 4-12)

  • Weightbearing:  As tolerated with crutches– discontinue crutch use at 6-8 weeks post-op
  • Hinged Knee Brace:  Weeks 4-6: unlocked for gait training/exercise only, Weeks 6-8: unlocked for all activities, Discontinue brace at 8 weeks post-op
  • Range of Motion–Maintain full knee extension–work on progressive knee flexion (Goal of 110° by week 6)
  • Therapeutic Exercises
    • Weeks 4-8:  Gait training, wall slides (0-30°), Mini-squats (0-30°), Leg press (0-60°)
    • Weeks 8-12:  Stationary bicycle (with seat higher than normal), Stairmaster, Closed-chain terminal knee extension, Leg press (0-90°), Balance and proprioception activities

 Phase III (Weeks 12-9 months)

  • Weightbearing:  Full weightbearing with normalized gait pattern
  • Range of Motion – Full/Painless ROM
  • Therapeutic Exercises
    • Advance closed chain strengthening exercises, progress with proprioception/balance activities
    • Maintain flexibility
    • Begin treadmill walking – progress to jogging

 Phase IV (9 months and beyond)

    • Maintain strength, endurance and function – initiate plyometric program
    • Begin cutting exercises and sport-specific drills
    • Return to sports as tolerated

Comments:  AVOID ACTIVE HAMSTRING ACTIVITY AND ACTIVE KNEE EXTENSION FROM 90-70° UNTIL POST-OP WEEK 4

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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