Anterior Cruciate Ligament (ACL) Repair

The ACL is a dense band of connective tissues made up of collagen fibers that run from the distal end of the femur to the proximal end of the tibia.  The ACL helps to prevent anterior movement of the tibia away from the femur. Most injuries to this structure occur from changing directions rapidly, landing from a jump with improper biomechanics, stopping suddenly, or direct contact to the knee while the foot is planted (i.e. getting tackled in football). A significant partial ACL tear, or a full tear is a season ending injury, and can only be fixed with surgical intervention.

Once the surgery has been completed and the surgeon releases you to physical therapy we will begin the rehab process.  The early phases are focused on range of motion, and specific muscle activation.  You will ambulate with crutches, in a locked brace for the first couple weeks, until there is sufficient range of motion and quadriceps control. We will continue to follow the surgical protocol, taking into consideration your personal recovery as we progress.  ACL rehabilitation, especially if returning to sports, will usually last 4-6 months.  We progress from opened-chain exercises, to more functional closed-kinectic-chain exercises, as well as activity and sport specific movement patterns.

Associated Symptoms:     

  • Knee pain
  • Weakness
  • Swelling
  • Decreased range of motion
  • Difficulty Walking

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