In the first weeks after ACL reconstruction, nothing matters more than getting that knee fully straight. People often focus on flexion, strength, or when they’ll run again… but extension is the piece that quietly decides how the rest of your rehab will go. When the knee can’t reach full extension, everything changes. Your gait becomes heavier and more energy-demanding. Every step shifts load to the hip and ankle. The patellofemoral joint takes more pressure than it should, and the quad struggles
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