Non-Weight Bearing Versus Partial Controlled Weightbearing During the First Six Weeks of Rehabilitation After Multiple Knee Ligament Reconstruction: a Randomized Controlled Trial
Twin Cities Orthopedics
Summary
This is a prospective randomized controlled trial with the purpose to determine if patients undergoing isolated posterior cruciate ligament (PCL) reconstruction, or isolated medial collateral ligament (MCL) reconstruction, or combined PCL, anterior cruciate ligament (ACL), fibular collateral ligament (FCL), posterolateral corner (PLC), and MCL reconstructions (or any combination of multiple ligaments) can safely begin partial controlled weightbearing for the first six weeks after surgery.
Description
Patients will be randomly assigned to one of two rehabilitation protocols for the first six weeks post-surgery: 1. non-weightbearing 2. partial weightbearing An immobilizer brace in extension will be used from post-operative day 0 through 4 and a dynamic stabilizing posterior knee brace (Ossur) will be used from 5 days through 6 months post-surgery to protect against increased posterior translation forces due to gravity and while weightbearing for patients with PCL reconstructions. Specific Aims 1. Primary Aim: To determine if there is clinical equivalence in millimeters of posterior tibia…
Eligibility
- Age range
- 14–59 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * ≥ 14 years old, \<60 * Reconstruction of PCL alone * Reconstruction of MCL alone * Reconstruction of combined multiligament injuries (PCL+ (FCL, PLC, ACL, MCL)) * Reconstruction of multiligament injuries (ACL+MCL) * Males or females * Is willing and able to comply with the clinical trial plan and able to understand and sign the Patient Informed Consent Form. Exclusion Criteria: * \< 14 years old * \>60 years old * Pregnant * Revision PCL reconstructions * Previous or concurrent vascular injury (vascular bypass procedure) * Associated fractures requiring concurrent surg…
Interventions
- OtherPhysical Therapy
Patient is randomized to the weightbearing group the day after surgery.
Location
- Twin Cities OrthopedicsEdina, Minnesota