Rakesh Malik
Well-known member
Went for an MRI recently and it came back "no visible ACL" :angry::scared:.
When my orthopedist showed me my MRI, he had to show me the image of my PCL in order to explain what I was seeing in the image of my ACL, because all that remained of that was a cloud of debris.
These days they replace it with a cadaver tendon - drill some holes and screws - and I guess new ligament grows over it - but it's at least 5-6 months before can even think about climbing on and off a dive boat in dive gear.
Whenever possible, an orthopedist today will take a part of your patellar ligament instead of using a cadaver ligament. It doesn't grow over; ligaments don't heal on their own, so whatever they put in there is your new ligament, and that's basically that.
Cadaver based reconstruction has a far higher chance of complication due to rejection than using your own ligaments, so...
I had my ACL reconstructed in 2000, and I'm still hiking, though I slowed down on mountaineering during covid.
If you get an ACL reconstruction from a good orthopedist AND you have a good physical therapist, you can be back on your feet in 5-6 months. It does also help to let your physical therapist know your background... mine knew that I was athletic, so she pushed me almost as hard as I pushed myself, while taking it easy on less hardy patients. They'll likely default to easy if you don't ask them to push you though.