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Rehabilitation After Anterior Cruciate Ligament Reconstruction

Phased rehabilitation protocol after ACL surgery.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Rehabilitation After Anterior Cruciate Ligament Reconstruction?

Rehabilitation after ACL reconstruction is one of the most important determinants of functional outcome. A phased program (phases 1-5) is applied, with specific goals to be reached in each phase.

Modern accelerated protocols favor early loading, early range of motion and closed-kinetic-chain exercises. Goals are return to daily activity in 4-6 weeks and return to sport in 4-6 months.

Return-to-sport criteria include full range of motion, quadriceps strength reaching 90%, symmetry on functional tests (hop tests) and psychological readiness. Early return increases the risk of re-rupture.

Symptoms

Postoperative knee pain
Restricted flexion
Loss of extension
Quadriceps atrophy
Sense of knee instability
Swelling
Gait asymmetry

Risk Factors

Early return to sport
Poor neuromuscular control
Suboptimal graft placement
Non-adherence to rehabilitation
Concurrent meniscal injury
Female athletes (higher re-rupture rate)
Inadequate strength gains

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Sudden increase in pain
  • Loss of joint motion
  • Fever and wound discharge
  • Sense of instability
  • Lack of progress

Treatment Methods

01
Phase 1: Range of motion and full extension
02
Phase 2: Closed-kinetic-chain strengthening
03
Phase 3: Functional and plyometric exercises
04
Phase 4: Running and agility
05
Phase 5: Sport-specific movements
06
Neuromuscular control and proprioceptive training

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.