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The Critical First Fortnight: Foundational ACL Post Op Exercises for Early Knee Success

The ultimate success of an ACL reconstruction isn’t just determined by the skill of your orthopedic surgeon—it is heavily driven by what you do during the very first fortnight at home. Initiating safe, early acl post op exercises is vital for preventing long-term joint stiffness and complications.

In the immediate post-operative phase, your focus must be on two primary goals: reducing localized swelling and achieving full knee extension (getting the leg completely straight). Foundational early movements include:

  • Ankle Pumps: Keeping lower limb circulation moving consistently to minimize deep vein thrombosis (DVT) risks.

  • Passive Knee Extension: Resting your heel on a rolled towel while letting gravity gently push the back of the knee flat against the bed.

  • Quad Sets: Re-engaging your quadriceps muscle by contracting your thigh and trying to flatten the space behind your knee.

Restoring terminal knee extension early prevents arthrofibrosis (joint scarring), laying a clean foundation for the harder strength phases ahead.

Call to Action: Recently had knee surgery or planning for an upcoming operation? Don’t leave your early rehab to chance. Schedule a post-op rehabilitation plan with our team so we can guide you every step of the way.

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