The anterior cruciate ligament (ACL) and meniscus are key components of the knee joint, frequently injured during sports. When significantly damaged, surgical intervention is often necessary to restore stability and function. This aims to repair or reconstruct injured tissues, setting the stage for regaining movement and strength.
Your Walking Timeline
Immediately following combined ACL and meniscus surgery, patients typically begin a period of non-weight-bearing or limited weight-bearing. Crutches are used during this initial phase to protect the healing knee and prevent stress on the surgical repairs. While some individuals may start walking with crutches within the first few days, the progression to full weight-bearing is gradual and depends on the specific surgical procedures performed.
Generally, crutches are needed for several weeks, often two to six, particularly if a meniscus repair was part of the surgery. During this time, patients gradually increase the amount of weight placed on the operated leg. The transition to full weight-bearing, walking without assistive devices, can take several months. Most patients can expect to walk unaided between two to three weeks post-surgery, but full unassisted walking might take longer.
Factors Affecting Recovery
The timeline for walking after combined ACL and meniscus surgery varies significantly due to several factors. A primary element is the type of meniscus procedure. If repaired, weight-bearing restrictions are often stricter and longer, sometimes six to eight weeks, to allow the tissue to heal. Conversely, if a meniscectomy (partial removal) was performed, patients may be able to bear weight as tolerated and progress off crutches sooner, potentially within days to a couple of weeks.
Other considerations include ACL reconstruction complexity, patient health, and age, which affect healing rates. Adherence to post-operative instructions, including rehabilitation protocols, also plays a significant role in recovery speed and success. Complications, such as infection or excessive swelling, can delay weight-bearing progression and overall recovery.
Rehabilitation and Safe Progression
A structured rehabilitation program is fundamental for a safe and effective return to walking after ACL and meniscus surgery. Physical therapy typically begins soon after the operation, focusing on managing pain, reducing swelling, and restoring knee extension. Early, gentle movements prevent joint stiffness and promote healing.
The rehabilitation program incorporates exercises to improve range of motion, strengthen knee muscles, and enhance gait mechanics. These exercises progress incrementally, guided by the physical therapist and surgeon, to protect the knee during healing. Pushing recovery too quickly can lead to complications, such as re-injury or delayed healing. Following medical guidance is essential for a successful and lasting recovery.