Rehabilitation guidelines for MPFL (Medial Patello-femoral Ligament Reconstruction)

• The time-lines mentioned are approximate and actual progression depends on individual recovery.
• Patients can weight bear as tolerated from day 1. Please use crutches till good pain control, quadriceps strength and walking mechanics are achieved.
• A hinged knee brace is to be worn when weight bearing and walking for 4 weeks.
• Range of movement(ROM) allowed is 0-60 degrees for 2 weeks and 0-90 degrees only until 4 weeks postoperative period.
• Exercises focus on recruiting VMO (Vastus medialis obliqus) muscle and strengthening quadriceps, hip abductors and core strengthening.
• For the first 2 weeks – Apply icepacks 3-5 times daily for 10 minutes each time.

First 2 weeks

• Weight bearing and mobilise as tolerated.
• Start quadriceps sets, ankle pumps early on.
• ROM 0-60 degrees only.

2-4 weeks

• Progress with walking, functional exercises.
• Progress with single leg stance, balance, proprioception.

4-8 weeks

• Start no-resistance stationary bike.
• Functional exercises – focus on eccentric exercises.
• Pool exercises.
• Progress with ROM and step-ups.
• Remember all exercises are closed-chain and functional.

12 weeks +

• Start resistance training, work or sport specific training after 12 weeks only.