Medial Patellofemoral Ligament Repair
The information below is meant as a guideline only. The professional skills of a therapist must come into play for each individual patient.
Dr. Chris Evensen
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
Discontinue at 6 weeks if able to obtain full extension w/o 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, 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
With physician approval, Initiate running at 12 wks and progress to sport-specific drills as tolerated.
Return to play after 16 weeks post-op when cleared by MD.
