What is rehab like after ACL surgery?

There are 3 pillars of movement that need to be present for our athletes to perform and reduce their risk of injury: Mobility, stability, and strength. If these are not followed exactly, there is non-compliance, the risk of failure greatly increases after any knee ligamentous surgery.
We use a time and criteria-based progression.
The jumping portion is the point that scares us surgeons most when we watch it. A good rehab program ensures once they get to the time and criteria portion to jump the risk of injury is significantly diminished.
Our progressive loading portion of the protocol incorporates strength and conditioning principles and begins the process of plyometrics. In order to get to the progressive loading portion of our protocol the individual must demonstrate the following:
· 20 weeks out of surgery.
· 80% of unaffected leg Y-Balance
· Single leg squat 3x15 with good form
· 3x15 single leg eccentric heel raise off floor
· Demonstrate good tolerance to compressive forces (pogo jumps, single leg pogo jumps, tempo squats)
· 1.25x body mass single leg press
· Snap down without shift
The single hop, triple hop, cross over hop test, and vertical hop testing are performed only after the individual has demonstrated proficiency in double limp jumping and progressed to single leg hopping with good control. This stresses the importance of working with and communicating with the physical therapists/rehab professionals who are rehabbing our patients. I thank Dr. Andrews and Kevin Wilk, DPT for teaching me and demonstrating how important that communication and teamwork are in order to have next level great long term outcomes. Even with this, rare/freak injuries can and will occur, but then it is easier to sleep at night if you know that everything has been done to lessen that risk.

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