0-2 Weeks:
- TDWB (Touch Down Weight Bearing) in brace in extension with crutches
- Brace in extension for sleeping 0-2 wks
- Active/Passive ROM 0-90 degrees
- Quad sets, SLR, Heel Slides
- Patellar Mobilizaton
2-4 Weeks:
- Advance to FWBAT (Full Weight Bearing As Tolerated)
- May unlock brace
- Progress with ROM until full
- No weight bearing with knee flexion past 90 degrees
4-8 Weeks:
- WBAT (Weight Bearing As Tolerated) with brace unlocked
- D/C brace when quad strength adequate (typically around 4 weeks)
- D/C crutches when gait normalized
- Wall sits to 90 degrees
8-12 Weeks:
- WBAT without brace
- Full ROM
- Progress with closed chain exercises
- Lunges from 0-90 degrees
- Leg press 0-90 degrees
- Proprioception exercises
- Begin Stationary Bike
12-16 Weeks:
- Progress Strengthening exercises
- Single leg strengthening
- Begin jogging and progress to running
- Sports specific exercise
Please note that these instructions are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Nwachukwu supersede the instructions below and should be followed.