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Can I ride with no acl and a brace?

post #1 of 4
Thread Starter 

Ive been rehabing and weight training even doing doing squats one legged with no brace both my knees feel more stable than before the injury....  When my acl brace comes in a donjoy defiance would it keep my knee from buckling?

post #2 of 4
All depends on the person and the injury. A lot of people can ski and play other sports without an ACL. I recently had mine reconned. I had other factors at play, so I am not sure if I would have tried to go without the surgery or not. However, I don't think that would have been an option for me. Despite rehab and a brace, mine would occasionally buckle doing everyday things. So I didn't consider NOT having the ACLr. The best you can do is try and see if YOU can ride with no ACL.
post #3 of 4
post #4 of 4

The answer to this question depends on many factors , which I'll list a few of below;


- How stable your knee is without an ACL, some people don't have so much rotatory instability, usually dependent on other structures (MCL< LCL< meniscii) being intact and undamaged, if you don't have a lot of rotatory instability you have half a chance, (often this gets translated to do you have a positive Pivot Shift test or just a positive Lachmans test, Orthopedic tests of ACL/knee stability, if you have a positive Pivot Shift you will likely need a reco)

- What type of skiing you plan on doing, the more aggressive (think of factors like how hard you turn your legs, speed, how regularly you loose contact with the snow, ie jumping, hucking cliffs?) you ski the more likely you will be to need a reco,

- Your motor skills, if you are co-ordinated and have already good technique and control and ski with finesse, you have half a chance, if you are what we sometimes call a motor moron..... we'll....?

- Conditions, the conditions your regularly ski in i.e. if you ski in catchy, lumpy, sticky uneven snow regularly it is probably more risky than if you ski groomers and perfect powder all day.

- Brace, if you have a good fitting brace that controls some of that rotation I talked about then that is a good start. (It has to fit well, if it is loose then it has less chance of controlling that rotation)


There are more factors but those are a starting point to consider making your decision re whether to go with a reco or not.


To qualify my comments, I am a physio who works with a lot of wintersport athletes and ski instructor (L3 Alpine and Tele) and have a ski instructor buddy or two (also L3 or higher) who have ACL deficient knees who have not had a reco and ski to quite a high level, regularly off piste and even through gates on a race course.


My advice is to work closely with your physio (look for a good progressive, experienced one) and your Orthopedist or Sports Medicine Physician and work out what is best for you.


Certainly if you are to have a chance you need to have good muscular strength and reaction times (there is some suggestion that having hamstrings that fire slowly so that there is some latency in their activation, that you are more at risk of re-injury), good balance and agility (laterally and rotatory) are all really important. You need to develop these things sensibly over time and you need to nail these things, and if you do that as I said you have half a chance!


Namaste Nic

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