The patient will be strict non weight-bearing on the lower extremity for 6 weeks and then weight-bearing as tolerated.
Will limit the range of motion of 0 to 30 degrees for 3 weeks and then limit to 0 to 90 degrees from week 3 to 6. Following that, progress to getting full range of motion. The range of motion is limited due to the bone grafting. Start quadriceps activation immediately.
Patient can change their dressing in 3 days and then can shower. Patient should wear T.E.D. hose stockings for 2 weeks.
Patient will wear the knee immobilizer for now and then should be changed to a postoperative knee range of motion brace.
The next stage of the ACL reconstruction will be in 4 months. Patient will obtain x-rays on each postoperative visit to make sure bone graft is healing appropriately.
Second stage of the revision ACL reconstruction – plan for a bone patellar tendon bone autograft.