- • Phase 1: Recovery from surgery.
- • Phase 2: Strength & neuromuscular control.
- • Phase 3: Running, agility, and landings.
- • Phase 4: Return to sport.
- • Phase 5: Prevention of re-injury.
What are the 4 types of ACL reconstruction options?
- Autograft. Your doctor uses a tendon from somewhere else in your body (like your other knee, hamstring, or thigh).
- Allograft. This type of graft uses tissue from someone else (a deceased donor).
- Synthetic graft. This is when artificial materials replace the tendon.
Why do surgeons normally wait 3 4 weeks before reconstructing an ACL?
For a complete tear of the ACL, reconstruction surgery is generally scheduled for between three and six weeks after the injury occurs. This allows inflammation in the area to subside. If surgery is performed too early, patients may develop a profound scarring response called arthrofibrosis.
What week is the ACL graft the weakest?
The graft complex is actually at its weakest at around the 6 week post operative mark. Kinematic research has shown that open chain exercises cause significantly more anterior tibial displacement and hence more strain on the graft than closed chain exercises.
How far should I be able to bend my knee 4 weeks after ACL surgery?
ROM exercises to facilitate flexion begin immediately after ACLR. ROM flexion goals of 120° should be met 4 weeks following surgery and full symmetrical flexion achieved by 12 weeks.
What happens at 6 weeks after ACL surgery?
Week 6-12: Patients will begin working on more activity-specific strengthening and weight bearing exercises, such as squats, ascending and descending stairs, and balancing. They can also begin biking with resistance. The muscles begin to recover their normal function and gait becomes more normalized.
When is ACL graft strongest?
The bone portion of the graft allows it to incorporate and heal very quickly into the tunnels used for the reconstruction. It is quite strong. Biomechanical studies have shown that it is about 70% stronger than a normal ACL at the time of implantation.
What is the fastest ACL recovery time?
An ACL tear recovery time is generally eight to nine months, though some people may recover in six months.
What is the gold standard for ACL reconstruction?
BPTB has historically been considered the “gold standard” for ACL reconstruction. The BPTB autograft is frequently chosen because of its excellent clinical results and high level of patients satisfaction in long term followup.
How long after ACL reconstruction can I walk?
It’s important to start walking within a day or two after ACL surgery, but only a little. Walking for a minute or two can help reduce swelling, but you shouldn’t walk any more than that. After two weeks, you can start walking around unassisted without crutches for short periods of time.
How painful is ACL reconstruction?
Most people have some surgery-related pain and discomfort for the first week or so. Not surprisingly, pain decreases with time. By the end of a week or two at the most, you should have very little discomfort. Swelling and bruising are also relatively common, and like discomfort, they’re temporary.
Is ACL reconstruction a major surgery?
ACL Reconstruction Is Major Surgery You’re given general anesthesia. This means you’re unconscious for the procedure. You’ll have pain, swelling and stiffness after the surgery. It can be two or three weeks before you walk without crutches.
Is walking good for ACL rehab?
Walking without support too early Walking may help you improve range of motion and gently exercise the knee joint. However, walking without an assistive device such as a crutch or stabilizing brace may place too much weight on a knee that is still recovering, increasing the risk of reinjury.
How can I speed up my ACL recovery?
- Physical therapy. A physical therapy program designed specifically for you will help you recover function, mobility, and strength.
Do you come back stronger after ACL surgery?
“Asymmetries in functional hop tests, lower extremity kinematics, and isokinetic strength persist 6 to 9 months following anterior cruciate ligament reconstruction.” Journal of Orthopaedic & Sports Physical Therapy 43.3 (2013): 154-162.
When can I stop wearing my ACL brace?
Typically, a complex knee brace is worn for the first year. After that, a brace usually isn’t needed for low-level activities. Keep in mind it can take up to two years to return to baseline stability. Once you’re returned to full function, you can stop wearing a brace.
How long does it take to fully bend knee after ACL surgery?
When the patient can control their range of motion progression, their perceived threat is reduced and motion often comes back easier. Knee flexion is restored more gradually, with about 90 degrees achieved at 1 week and full knee flexion gradually advanced and achieved by week 4-6.
When does stiffness go away after ACL surgery?
Timing of surgery also did not appear to influence the onset of stiffness (median delays: 29 months for stiff patients; 14 months for non-stiff patients). The rate of stiffness fell to 5% at 12 months postreconstruction, without operative intervention.
When does the chain open after ACL surgery?
Patients should not perform full range OKC knee extensions with significant force for 6 to 9 months following ACLR, until the graft has incorporated into the osseous tunnels and graft maturation has occurred.
Which ACL graft heals fastest?
Autograft. Let’s begin with Autograft. The main benefit of autograft is that is is your own – – your own connective tissue and your own cells — and therefore the safest with the fastest healing potential.
Will my knee ever be the same after ACL surgery?
In some patients, their knee is not the same. In some patients, ten years later their knee is not the same. Some people do very well with ACL reconstruction surgery, some do very well with second or revision ACL surgery. Some do well with the third ACL reconstruction/revision surgery.
Will my hamstring ever be the same after ACL surgery?
Many patients often wonder about the outcome of a hamstring tendon, if it is used as a graft to replace the ACL. Many studies have shown that the hamstring tendon will regenerate within a year after ACL reconstruction after using the hamstring tendon as an autograft.
How should I sleep after ACL reconstruction?
Sleep with your knee raised, but not bent. Put a pillow under your foot. Keep your leg raised as much as you can for the first few days.
What should I avoid after ACL surgery?
- Do not put too much pressure on your knee and body.
- Don’t over ice your knee.
- Avoid sleeping with your knee bent.
- Do not overcompensate your recovering knee.
- Do not be afraid to tell your doctor if you are worried about something.
How long do I have to keep my leg straight after ACL surgery?
During the first week after surgery, most patients are encouraged to lift their legs without assistance while lying on their backs. These are called straight leg raises. By the end of the second or third week, patients usually walk without crutches.