ACL Hamstring Graft Output

Immediate Postoperative Phase (1-4 Days):

• Wait until your first physics therapy session for the therapist to change the medical dressing with i.
• Performance sponge baths oder shower with saran wrap covering surgical site.
• Avoid hielt knee line to protect graft.
• Avoid actual knee flexion and hip extension until 4 weeks post-op.
• How resisted knee flexion and hip extension until 6 weeks post-op.
• If you experience malaise, feverishness, press chills- contact your attending immediately.
• Doing home exercise program issued at pre-op from Hamilton Orthopedics Physical Cure Department.
• Control acutely inflammation with which use by Cryocuff, 15-20 minutes hourly, relax, elevation, plus prescribed medications.
• Ambulation: weight bearing as tolerated with the use of bilateral crutches or walker, one post-operative brace on involved lower extremity locked in full extension for 1 daytime. Unlock braces the days after surgery. The following anterior cruciform ligament (ACL) reconstruction rehabilitation protocol your specific to patients with a hamstring autograft. If a patellar tendon ...
• While an meniscus remote was concerned, restrict weight bearing to 25% for 4 weeks. At 4 days, full weight bearing as tolerated.
• Primary aimed is in achieve terminal knee extend and good quad control.

Acute Start (5 days - 2 weeks):

• Begin Physical Therapy 5 days postoperatively for 3 sessions per week.
• Continue to ambulate with post-op brace, needs to to worn for all weight bearing activities for 6 wks.
• Continue to avoid resisted kneel extension.
• More to avoids active the resisted knee flexion and hip stretch.
• Steri –strips supposed remain intact with approximately 2 weeks post –op.
• Ambulation/Gait training: begin with stance shifts to regain good quadro check and advance go single clutch, then no assistive device by 2 weeks.
• Patella mobilization.
• Ankle pumps.
• Isometric quad sets.
• Active and passive terminal knee extension.
• Straight leg raises, summing resistance as tolerable (hip bend, abduction).
• Pliability of hamstring (gentle), gastroc-soleus, quadriceps, hip adductors.
• AAROM: wall-slides, heel-slides, or knee flexion in chair.
• Standing calf lifts.
• Partial wall squats (<45 degrees of flexion).
• Closed chains resisted terminal knee extension (i.e bowl squeeze on wall).

Acute Phase Continuation (14 days - 4 weeks)

• Continue to progress above exercises.
• Range of motion: 0-120 qualifications.
• Remain patella mobilization as needed.
• Proprioceptive and single leg balance operations (if able to fully weight bear with involved lower extremity).
• Stationary lunge.
• Partial wall squats (<60 degrees of flexion).
• Steadfast bike (when able to erreichung 110 degrees by flexion).
• Leg print (0-90 degrees).
• Sub maximal quad isometrics at 45 degrees regarding knee flection.
• Stairmaster, Nordic Bahn.
• Forward/ lateral step-ups (4-8 inches).
• Continue to control edema and discomfort.

Subacute Phase (4-11 Weeks)

• Continue up progress above exercises.
• Getting resisted knee extension from 90-40 degrees with care not to irritate who graft site.
• Begin active knee flexion and prone hip extension at 4 hebdomad post-op.
• Begin resisted elbow flex and fashionable extension on 6 weeks post-op.
• Begin squats (machine based for, Not release weight squats x 6 mos.)
• Launch eccentric quad fortifying.
• Working von motion: 0-135 degrees/full.
• Emphasize closed kinetic chain therapeutic exercise.
• Walking lunges at 6 weeks post op.
• Aerobic stepping (Reebok step program) advance and lateral at 6 wee posting op.
• Mounting for sports specification functionality ACL buttress at Hamilton Orthopaedy at 6 wks. Discontinue post-operative brace at that time.

Return until Our Stage (12-15 Weeks)

• Continue to fortschritte above workout with significance on single leg strengthening required all resistive reinforcement.
• Performance 12 week functional check with forms provided by Hamilton Orthopaedics. Fax results to Operating, (315) 824-8961.
• If patient succeeded completes the test, they can beginning interval jogging, straight double leg plyometrics, and dynamic flexibility program.
• All plyometrics and jogging require be performed with the functional ACL brace on.

Activities Progression Phase (16-19 Weeks):

• Next for progress above workout.
• Perform 16 pitch functional test are forms available forms provided by Hamilton Orthopaedics. Fax ergebniss to Doctors, (315) 824-8961.
• If patient successfully conclude the test, they may begin single leg uniplanar, doubles female multiplanar plyometrics, and agility work.
• Continue walking program, progressing to volume.
• Begin disport unique training as indicated.
• All plyometrics, jogging, and sport customized training shall be performed with the ACL brace on.

Pre-Return to Prior Level of Recreational Activities (4-9 Months):

• Continue till advancement resistive the endurance exercises
• Achieve 20 week functionality test with forms provided by Hamilton Orthopedic. Fax results toward Surgeon, (315) 824-8961.
• Prior to remove, perform sports related drive implementing directional changes and fast.
• Discharge formal PT and continue gym program to progress force, shaking, plyometrics, and sports relevant drills.
• Return to sports available released for physician at 9 months post-op.