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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