MEDIAL PATELLOFEMORAL LIGAMENT REPAIR GUIDELINES
The information below is meant as a guideline only. The professional skills of a therapist must come into play for each individual patient.
Dr. Ben Robinson
PHASE ONE
0-2 WEEKS
WEIGHT BEARING
As tolerated with brace locked in extension.
BRACE
On at all times during day and while sleeping.
Off for hygiene.
RANGE OF MOTION
0°- 30°
EXERCISES
Heel slides, quad and hamstring sets, patellar mobs, gastroc stretch, SLR in brace, hip and core strengthening ex’s. Modalities as appropriate.
PHASE TWO
2-6 WEEKS
WEIGHT BEARING
WBAT
BRACE
6 weeks: Discontinue at six weeks if able to obtain full extension without lag*
RANGE OF MOTION
2-3 weeks: 0°- 60°
3-4 weeks: 0°- 90°
EXERCISES
Begin floor-based core and glutes work, balance exercises, hamstring curls, and heel raises.
PHASE THREE
6-12 WEEKS
WEIGHT BEARING
Full
BRACE
None
RANGE OF MOTION
Maintain full extension and progress flexion
EXERCISES
Begin closed chain activities quads, progress balance, core, pelvic and stability work.
Begin stationary bike and elliptical.
PHASE FOUR
3-5 MONTHS
WEIGHT BEARING
Full
BRACE
None
RANGE OF MOTION
Full
EXERCISES
12 weeks: With physician approval, Initiate running at 12 weeks and progress to sport-specific drills as tolerated.
Return to play after 16 weeks post-op when cleared by MD.
16 weeks: Return to play after 16 weeks post-op when cleared by MD.
