Goals:

• Build Knee Strength

• Restore normal range of motion

• Restore balance and walking confidence

• Intermediate Postoperative Phase (Weeks 3-5) Milestones

• Knee flexion ROM to within 10° of uninvolved side

• Quadriceps strength greater than 60% of uninvolved side

Treatment

• Tibiofemoral mobilizations with rotation for ROM if joint mobility is limited

• Progress bike duration (10-minute minimum)

• Begin graduated balance and proprioceptive activities

Milestones

• Quadriceps strength greater than 80% of uninvolved side

• Normal gait pattern

• Full knee ROM (compared to uninvolved side)

• Knee effusion of trace or less

Treatment

• Progress exercises in intensity and duration

• Continue exercise programme at fitness facility (if all milestones are met)

• Maintaining or gaining quadriceps strength (greater than 80% of uninvolved side)

• Sports-specific activities- graduate from easy to more challenging over time

• Restore strength to 80% of uninvolved limb

• Restore functional movements - running, jumping, landing, hopping, landing

• Follow-up Functional Testing(4 Months, 5 Months, 6 Months, 1 Year Postoperative)

• Maintaining gains in strength (greater than or equal to 90% to 100%)

• Consider controlled vertical Hopping (on the spot) when movement patterns are appropriate

• Return-to-sport criteria (see below)

• Recommend changes in rehabilitation as needed. Progression may emphasize single-leg activities in gym, explosive types of activities (cutting, jumping, plyometrics, landing training)