Day 1 Surgery
Day 2
Home in splint. Can take splint off for exercises.Touch weight-bear with crutches
At week 1
Gentle exercises. Encourage calf movement. Partial weight-bear by end of week
At week 2
Reviewed by Dr Lawrie. Remove splint. Should have 90° bend. Fully weight-bear. Co-contractions, Straight leg raise with no resistance
At week 3
Aim to walk independently
At week 4
Begin with regular physio. Aim for 0-100° bend with full weight-bear. Quads and hamstrings biofeedback/stimulation. Prone hangs if not full extension 10cm step ups, calf raises. Partial squats to 45° bilaterally. Bike (no tension), gentle wobble board
At week 6
Add swimming – gentle only – no flicking
At week 10
Progress exercises and add resistance
ALL QUADS EXERCISES MUST BE CLOSED CHAIN
Aim 0-130°. Add mini-tramp, wobble board, lunges and slide board
At 4 months
Begin dynamic activity .Increase speed and agility. Graduate all exercises to develop strength. Begin light jogging
At 5 months
Progress running and early sport activity. Begin Fig8, direction changes, slopes. Begin sport specific exercises and individual skills. Protect ACL with a knee sleeve or taping
At 6 months
If all parameters are good and confident of ability – return gradually to full activity
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