Medial Patellofemoral Ligament (MPFL) Reconstruction — Rehabilitation Protocol

Dr Jobe Shatrov

MBBS (Hons), BSc. (Physio). Grad. Dip. (Surgical Anatomy), FRACS, FAOrthoA

Orthopaedic Surgeon, Knee Surgery

Important: Some patients have additional procedures. Your plan may differ by brace settings, weight-bearing and range targets.

Phase 1: Weeks 0–2

Goals: Protect reconstruction, control swelling, regain full extension, flexion to 60–90 as advised.
Brace: Usually locked in extension for walking early, unlock for exercises as directed.
Weight-bearing: As tolerated in brace unless otherwise instructed.
Exercises: Quads sets, SLR with brace on if needed, heel slides within range limits, hip and core work.
Avoid: Patella apprehension positions, deep squats, resisted open-chain knee extension early.

Phase 2: Weeks 2–6

Goals: Flexion toward 120, normalise gait in brace, early strength.
Exercises: Mini-squats to chair height, step-ups, gluteal strengthening, bike as comfort allows, balance drills.
Brace wean: As gait and control improve per review.

Phase 3: Weeks 6–12

Goals: Strength and movement control, improve patella tracking through functional range.
Exercises: Leg press within comfort, split squats, lateral control drills, proprioception, gradual stair work.
Criteria to run: Good single-leg control, no apprehension, no swelling flare after sessions.

Phase 4: Months 3–6

Goals: Running progression, light agility, gradual kneeling tolerance if appropriate.
Return to sport: Straight-line running by 3–4 months for many. Cutting and pivoting from 6–9 months after testing.

Red flags: Recurrent dislocation, sudden loss of motion, fever, calf swelling, chest symptoms. Seek urgent review.

Your plan may differ. Follow the instructions you receive from Dr Shatrov.

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(02) 9157 9049

Contact Us

Level 2, The Landmark
500 Pacific Highway
St Leonards, NSW 2065
Mail: admin@drjobeshatrov.com
Tel: 02 9157 9049
Fax: 02 9159 3940

Contact Us

Level 2, The Landmark
500 Pacific Highway
St Leonards, NSW 2065
Mail: admin@drjobeshatrov.com
Tel: 02 9157 9049
Fax: 02 9159 3940

Contact Us

Level 2, The Landmark
500 Pacific Highway
St Leonards, NSW 2065
Mail: admin@drjobeshatrov.com
Tel: 02 9157 9049
Fax: 02 9159 3940

Contact Us

Level 2, The Landmark
500 Pacific Highway
St Leonards, NSW 2065
Mail: admin@drjobeshatrov.com
Tel: 02 9157 9049
Fax: 02 9159 3940