No ACL for 17 years of hard skiing (patrolling with 300 pounders in the sled), hiking, running, mountain biking. No problem. A US Ski team doc told me to leave it seven years ago, and it is still going fine. Better than most friends who had surgery
I do wear an off the counter donjoy witha hyper-extension stop for skiing. I actually put it on the wrong knee one day last year.
I started to wear one on each knee and at the beginning of last season and couldn't figure out why the both were so uncomfortable. Actually hurting. Went back to the guy that fitted me for them and as you've probably guessed, I had them on the wrong side! He's probably still laughing at that one.
One of the things to consider is what the OS is good at. Reviews are all over the place no matter the product or procedure, just as what is best for one person or another is so if you discount that for a second and only consider the abilities of the person doing the surgery. If he/she is better at an allograft than using your patella tendon, that might be the wiser choice.
A procedure done correctly is better than one done poorly.
Don't get caught up in playing the numbers like those with re ruptures. There is a very good chance, that the person that had a re rupture, would have torn there acl no matter what was in their knee because they are doing or at least did, the exact same thing that caused it the first time. Doing the Pt as stated is huge. I think it is good to wear a brace for a while too, even if it only gives your brain one less thing to worry about.
I don't have an acl in my left knee and a cadaver's tendon in my right knee (thank you gun shot victim). I ski a lot, race and bumps (not much in the bumps) and set race courses. I started wearing compression under layer with the brace last year and that was great.