Abstract
Summary The above rehabilitation protocol is based on theprinciples of relatively isometric, stable cruciate reconstruction and fixation. It is conceded that certain histologic changes are inevitable, prolonged and difficult to influence or control. The knee is protected from undesirable stresses by weight-bearing, closed kinematic chain exercises and cocontraction. Hamstring strength and endurance and retraining of balance and proprioception are key features. The rehabilitation is not a race. At all times progression is based on pain reduction, minimal effusion, adequate range of motion, strength, stability and confidence. Thus there are no rigid timelines. Each surgeon must modify the protocol, in consultation with the therapist, in order to tailor the events to fit the specific surgical approach, special patient considerations and overall philosophies. Appropriate incorporation of outcome measures will be judgement of both surgical procedure and rehabilitation protocols.
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