Sorry to hear about your recent injury and ACL/MCL involvement. Ligament instability of the knee starts to become a safety issue in the backcountry as movement limiting incidents can then occur. My time rehabbing our US Ski Team Downhillers has given me some background with this injury. Graft selection is an important consideration, but the main issue is picking the right surgeon and trusting his judgement. I never recommend pushing for a surgery that the surgeon’s experience doesn’t favor. That said, the autograft patellar tendon compromises your quad, not a good outcome for a ski athlete. Dealing with subsequent chronic patellar tendonitis is no fun. The hamstring autograft is a great option, as is the allograft donor tissue. You have been getting some odd advice as the hamstring graft has nice outcomes for all patients. Speed of rehabilitation is individual, all the ACL surgeries need to respect the graft fixation time limitations, then its a matter of gradually progressing without getting into trouble with yanking on the graft with the wrong activities (ie: skiing, early running). I also agree that you need 3 months between surgeries to have a good leg to stand on for the 2nd surgery.
ACL Reconstruction for Skiing
I’m a 37 Male, and reader of TFTNA and veteran of the Free Ride Plan. Typically I am 5000-6000 ft/day backcountry skier, around 30 days a season, with 10 more at the resort. Though the mountains are 3+ hr away from where I live. My other activities are day hikes, and training for skiing. I don’t climb and haven’t played other sports in years. Six weeks ago I got into a ski mountaineering accident tearing my ACL and MCL on my left leg and have a high grade partial ACL tear and MCL tear on the right. I curious about other people’s experience with the various reconstruction options. I had no idea of all these choices before.
I’ve met with two surgeons, both seemed good and were recommended. Both have recommended the patellar graft. They talked about this autograft vs using a donor allograft. They thought I was close to the line on this, but I should go with my own tissue. Neither wanted to use a hamstring tendon and were dismissive of it. From my research this seemed consistent for athletes. I’ve been surprised to see lots of skiers, younger than me, have gone with the hamstring autograft. I am missing something for backcountry skiers vs other athletes? Hamstring seems like the shortest recovery time, but is weaker and more likely for re-injury. I was also told that the hamstring adds knee stability so it was that surgeons last choice for an active person.
On another note – the first surgeon was hopeful I would only need one reconstruction but that was early and he wasn’t able to do all the tests on my ligaments due to soreness. The second (2 weeks later and after prehab started) believes I will need both knees. Only time will tell on that. He recommended 2 months between surgeries to just get it over with.
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