ACL CLASS OF 2016

(Not sure if this is worthy of its own thread or not so ill just throw it in here)
Anyone have any experience with partial tears?
MRI showed a partial tear (im in the process of trying to figure out from them how partial). Generally how much needs to be left before its safe to not operate. Im reading conflicting reports about the body's ability to heal a partial acl tear. Does anyone have a definitive answer to that?
Im not really interested in doing a half ass job so would choose surgery over non surgical methods if the outcome meant a stronger knee at the end of the year.

Other than that i got off lightly with a small fracture to my tibial plateau and not much else.

Thanks!

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Originally Posted by Happy Fun Ball

Thankfully my ACL's are intact, but I showed my wife this topic last night while relaxing around the house. If you guys want to feel better about your current condition my wife was skiing Thursday night beer league back in February and got caught up in some loose snow and ruptured BOTH ACL's. Left knee included a nice medial and lateral meniscus tear. Anyway, despite being above the recommended age she opted for a BTB patellar graft. Little more painful, little longer recovery, but given her lifestyle her and her surgeon decided it was the best fit. She's four weeks post op and just started PT last week after 3 weeks of no weight bearing on the left knee. Once that one is stable enough to bare weight fully she'll go in for the same surgery on the right knee. Despite racing at a very high level competitively most of her life she managed to not have a single knee issue until this one! Gonna be a long summer!!

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I feel awful for your wife and I am sick to my reading this. Sending her positive healing vibes.

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Originally Posted by nortonwhis

(Not sure if this is worthy of its own thread or not so ill just throw it in here)
Anyone have any experience with partial tears?
MRI showed a partial tear (im in the process of trying to figure out from them how partial). Generally how much needs to be left before its safe to not operate. Im reading conflicting reports about the body's ability to heal a partial acl tear. Does anyone have a definitive answer to that?
Im not really interested in doing a half ass job so would choose surgery over non surgical methods if the outcome meant a stronger knee at the end of the year.

Other than that i got off lightly with a small fracture to my tibial plateau and not much else.

Thanks!

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I am not a doctor. My knowledge just comes from online research. It's my understanding that a torn or partially torn ACL can't heal itself.

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Originally Posted by dabaier

Get through the first 2-3 weeks and thing start to improve rapidly.

Going on 9 weeks post op. Rehab is going really well, although I have developed a mild case of plantar fasciitis during rehab. I am getting on the stationary bike 3 times a week and the leg is feeling strong the quad is really coming back. Should start jogging on the treadmill in the next week or two.

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Glad you are progress well. Sorry about the plantar fasciitis...I got on the bike this week. It's has helped me in many ways.

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Originally Posted by TeleMiriam

Hope everyone is healing well and continuing to improve.

Looks like I have a torn meniscus as well as a torn ACL. Didn't show up on MRI. When doctor bent my leg or felt like I got shot.

Those who also had a torn meniscus as well as a torn ACL - What's the recovery been like? I'm super bummed because I know it's going to take even longer.

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ACL's a piece of cake. But my bucket handle meniscus tear repair re-tore five months out and a lot of shredding took place. Which is why I started the stem cell thread.

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Originally Posted by TeleMiriam

I am not a doctor. My knowledge just comes from online research. It's my understanding that a torn or partially torn ACL can't heal itself.

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Thanks. Thats kind of what i am seeing, or if it does heal it does it so slowly that it gets damaged quicker than it can heal. Looks like i have lost 50% of my acl which to me seems like pretty much a guaranteed surgery. Hopefully i can get it done asap and be back for next winter!
Will be posting in here a bit and am looking forward to hearing how everyone else is doing.

I passed week 6 post-op this week. Got the all good for weight bearing from the doc today. Had been doing some walking without crutches already in pt and doing some small weight bearing exercises.

The past week and a half has been pretty rough waiting for the go ahead. I started to get some painful tightness in my calf and started to develop some kneecap pain from disuse and quad atrophy. I had a small victory today though as I moved my clutch-equipped car around in the parking lot. Tried pressing the clutch a week ago and couldn't do it.

I'll be trying to ditch the crutches in the next couple days. Stairs are going to be scary. Onto building back quad strength now.

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Originally Posted by HVskier

I passed week 6 post-op this week. Got the all good for weight bearing from the doc today. Had been doing some walking without crutches already in pt and doing some small weight bearing exercises.

The past week and a half has been pretty rough waiting for the go ahead. I started to get some painful tightness in my calf and started to develop some kneecap pain from disuse and quad atrophy. I had a small victory today though as I moved my clutch-equipped car around in the parking lot. Tried pressing the clutch a week ago and couldn't do it.

I'll be trying to ditch the crutches in the next couple days. Stairs are going to be scary. Onto building back quad strength now.

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hope you keep healing up well!
will be great when you can spin on the bike soon

Checkin in for all the new recruits. Have faith and work you ass off in PT. Had surgery for my tear back in May 2014 at 32, and still skiing and sending just as hard as I did before the accident. Heavy PT and a ton of biking had me skiing at 5mo and skiing powder and smaller cliffs at 6mo, back to full strength and skiing like I was before at 9mo. Can't stress the PT enough (and biking)! Post 3 months, per week, it was 3 days in the gym for 90min and ~150mi of road or ~60mi of mtn bike (starting at 4mo). Get after it!

I just got the acl diagnosis from the MRI this morning though I pretty much figured. 40 years of skiing hard summer and winter with no injuries that didn't go away on their own or at least fade into lumps and bumps that I ignore. I guess I was due. Complete ACL tear. I'm walking around with no pain and feel great but have been off work for two weeks because my job requires my knee to work 100 percent so I've had no choice but to go on FMLA and try to collect on my short term disability. Spending much much more time with my sweet little girl than normal since I work 3rd shift normally so that has been nice. I'm still kicking myself in the ass for the mistake I made that led to the fall that led to the injury and I know I need to let that go but it is hard. I guess I enter a new phase in life now and try to get my head around things.

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Originally Posted by nortonwhis

Thanks. Thats kind of what i am seeing, or if it does heal it does it so slowly that it gets damaged quicker than it can heal. Looks like i have lost 50% of my acl which to me seems like pretty much a guaranteed surgery. Hopefully i can get it done asap and be back for next winter!
Will be posting in here a bit and am looking forward to hearing how everyone else is doing.

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I had to wait 6 weeks for surgery. Regardless of how long you have to wait, it is really important to strengthen the quad (bike, swim, gym, etc) and regain full range of motion. Good luck.

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Originally Posted by TeleMiriam

Glad you are progress well. Sorry about the plantar fasciitis...I got on the bike this week. It's has helped me in many ways.

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Stairmaster absolutely best workout for quad and cardio.

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Originally Posted by Lindahl

Checkin in for all the new recruits. Have faith and work you ass off in PT. Had surgery for my tear back in May 2014 at 32, and still skiing and sending just as hard as I did before the accident. Heavy PT and a ton of biking had me skiing at 5mo and skiing powder and smaller cliffs at 6mo, back to full strength and skiing like I was before at 9mo. Can't stress the PT enough (and biking)! Post 3 months, per week, it was 3 days in the gym for 90min and ~150mi of road or ~60mi of mtn bike (starting at 4mo). Get after it!

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You nailed it. I had mine at 47, the PT saved my life and the dude is a life long friend now. I did it playing hoops, still running up and down at 52, full speed. Quads, quads, quads and agility training.

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Originally Posted by uglymoney

I just got the acl diagnosis from the MRI this morning though I pretty much figured. 40 years of skiing hard summer and winter with no injuries that didn't go away on their own or at least fade into lumps and bumps that I ignore. I guess I was due. Complete ACL tear. I'm walking around with no pain and feel great but have been off work for two weeks because my job requires my knee to work 100 percent so I've had no choice but to go on FMLA and try to collect on my short term disability. Spending much much more time with my sweet little girl than normal since I work 3rd shift normally so that has been nice. I'm still kicking myself in the ass for the mistake I made that led to the fall that led to the injury and I know I need to let that go but it is hard. I guess I enter a new phase in life now and try to get my head around things.

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Never let the no pain fool you. Your ACL has attached itself to the wall of the joint, so it is not flapping which is what causes the pain. Biggest mistake people make is thinking it is ok.

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Originally Posted by HVskier

I passed week 6 post-op this week. Got the all good for weight bearing from the doc today. Had been doing some walking without crutches already in pt and doing some small weight bearing exercises.

The past week and a half has been pretty rough waiting for the go ahead. I started to get some painful tightness in my calf and started to develop some kneecap pain from disuse and quad atrophy. I had a small victory today though as I moved my clutch-equipped car around in the parking lot. Tried pressing the clutch a week ago and couldn't do it.

I'll be trying to ditch the crutches in the next couple days. Stairs are going to be scary. Onto building back quad strength now.

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Great news! I am four weeks behind you. I start partial weight bearing this week. I also developed kneecap pain (I had a hamstring graft) My therapist said the same thing you did - quad atrophy and lack of use.

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Originally Posted by fluid164

Never let the no pain fool you. Your ACL has attached itself to the wall of the joint, so it is not flapping which is what causes the pain. Biggest mistake people make is thinking it is ok.

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Yeah he said it is still wedged in there and the mri showed it laying in there and so that is why I don't have pain. I get around really well with this hinged brace but impossible to make the mistake that everthing is okay when my knee feels so unstabil and I have some swelling and fluid.

My wife wanted me to go to Florida with her this weekend but I think I'm going to spend the money instead on a mountain collective pass for next year. I need some motivation right now.

After surgery, give yourself 8 months of strong, dedicated PT. Each month less than that and you double your chances of re-injury.

^^Yeah I'd say at least 8 months...I'm a year out and still don't have my muscle mass back, even though I hardly let a day go by without doing some type of workout, including over 30 days of skiing this year so far. My PT told me that it really takes two years to regain full strength when you have a hamstring graft, and she pointed to numerous professional athletes who had the hamstring graft who came back after a year and were so-so, but it took them two years to return to their previous high level.

At this point I view PT as a lifelong commitment. I'm not getting any younger so it can't hurt to keep those muscles toned with regular workouts, in addition to all the mountain activities.

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Originally Posted by uglymoney

Yeah he said it is still wedged in there and the mri showed it laying in there and so that is why I don't have pain. I get around really well with this hinged brace but impossible to make the mistake that everthing is okay when my knee feels so unstabil and I have some swelling and fluid.

My wife wanted me to go to Florida with her this weekend but I think I'm going to spend the money instead on a mountain collective pass for next year. I need some motivation right now.

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That sucks, uglymonkey. I spent today skiing with axebiker and he & I were talking about the day we met up with you last season. Heal up and come back out to Big Sky ! If you are ever out here solo you have a free sofa to crash on.

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Originally Posted by Harry

That sucks, uglymonkey. I spent today skiing with axebiker and he & I were talking about the day we met up with you last season. Heal up and come back out to Big Sky ! If you are ever out here solo you have a free sofa to crash on.

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Thanks Harry! I'll heal up and be back at it eventually. I just have to keep my head up and that is tough since I can't work or ski right now. It is getting warm here and friends are getting the ski boats ready...tough knowing I am out for the summer months. That was a fun maggot meetup for sure.

Now researching the different types of acl graphs. Sounds like the hamstring or patello autographs have the best long term outcomes for highly athletic people under 45. I am 44 almost 45. The doctor seemed to think a donor acl would be fine in my situation but he said I had till surgery time to make up my mind. The getting back to work thing isn't as important as long term outcome since we can swing things fine on one income and my disability insurance so I am leaning hamstring autograph. I have had a bit of pain on the front of that knee pre injury so patella graph seems out. I feel like I need more guidance.

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Originally Posted by uglymoney

I feel like I need more guidance.

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This has been the toughest thing for me. All the uncertainity. I recently went to the physio for a second opinion. The physio's are great around here (whistler) and are generally more upfront and very realistic.

I had a patellar graft done on my ACL in 2000 it has held up really well but definitely wear a knee leave stabilizer brace for skiing for extra insurance. My problem recently has been with my meniscus. Good luck on the PT. It gets better after 6 months.

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Originally Posted by todobien

I had a patellar graft done on my ACL in 2000 it has held up really well but definitely wear a knee leave stabilizer brace for skiing for extra insurance. My problem recently has been with my meniscus. Good luck on the PT. It gets better after 6 months.

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My surgery was this afternoon. Surgeon also did another mag friend a few years ago and he gave me good report and beta. When I told him I wanted a patella autograph he seemed really stoked and that is what we did after some discussion...having the surgeon on the same page was huge. In recovery at 3 pm and on couch at 5 pm. Pain block still holding so no pain meds yet. Super stoked to have the first step out of the way and ready to start the rehab process. Also FKNA I have the best wife and friends. So much support.

4 weeks post op. I had a hamstring graft. Anyone have patellar pain? On the bike, patellar felt like it "got stuck" and wasn't tracking right.

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Originally Posted by TeleMiriam

4 weeks post op. I had a hamstring graft. Anyone have patellar pain? On the bike, patellar felt like it "got stuck" and wasn't tracking right.

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I had some of what you describe. The patellar wasn't tracking right and, exactly as you say, it was "stuck" with various attachment points holding it in place that weren't supposed to be there. My PT spent about thirty minutes massaging the kneecap, working it back and forth and up and down, then she really started moving it and we heard this audible "pop pop pop" as the attachment points released. After that the kneecap started tracking right and I never had that problem again (my PT also showed me how to move it around myself at home and keep it unstuck). Good luck! (P.S. I posted a video about patellar movement in the Class of 2015 thread...scroll through there and you should be able to find it.)

Day 2 post operation update. I didn't sleep at all the first night. Took a narco before bed that I didn't need and it didn't help me sleep. Yesterday the pain block wore off in my leg and that was wierd because my quad was twitching a lot but I slept great night 2. Took two more narcos that I probably didn't need just in case but now on advil only. All of the pain is now from the Patella area where the autograph is from. PT this morning they took off the wrap....she called my swelling moderate. Partial weight bearing walking with crutches and brace. 58 degrees of flex and I can push my knee down against the table but she told me not to push it today. Came home and did a full set of the pt exercises again which makes me feel like I have a purpose in life again.

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Originally Posted by uglymoney

Day 2 post operation update. I didn't sleep at all the first night. Took a narco before bed that I didn't need and it didn't help me sleep. Yesterday the pain block wore off in my leg and that was wierd because my quad was twitching a lot but I slept great night 2. Took two more narcos that I probably didn't need just in case but now on advil only. All of the pain is now from the Patella area where the autograph is from. PT this morning they took off the wrap....she called my swelling moderate. Partial weight bearing walking with crutches and brace. 58 degrees of flex and I can push my knee down against the table but she told me not to push it today. Came home and did a full set of the pt exercises again which makes me feel like I have a purpose in life again.

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yeah bud! get after it!

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Originally Posted by yeahman

I had some of what you describe. The patellar wasn't tracking right and, exactly as you say, it was "stuck" with various attachment points holding it in place that weren't supposed to be there. My PT spent about thirty minutes massaging the kneecap, working it back and forth and up and down, then she really started moving it and we heard this audible "pop pop pop" as the attachment points released. After that the kneecap started tracking right and I never had that problem again (my PT also showed me how to move it around myself at home and keep it unstuck). Good luck! (P.S. I posted a video about patellar movement in the Class of 2015 thread...scroll through there and you should be able to find it.)

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Thank you for the video and information and thanks for the info on what you did for sciatic pain. I had discectomy at L5/S1 in July and I've had some sciatic pain following ACL surgery too.

Hi Everyone! I am glad to hear everyone is progressing so well.

Hang in there UglyMoney... This first few weeks suck but once you can progress with the PT everything gets better.

I am 15 weeks out on my right knee hamstring autograph. Everything is going well and I am back on the road bike and running up to 3 miles. After the 12 week mark things got a lot better. I won't get on the MTB until later next month once I am more healed. Even though I could mountain bike, a crash could be disastrous so I am playing it safe.

Does anyone have experience riding a snowmobile post surgery? I was thinking of taking my snowmo out tomorrow and riding some easy trails. Deep down, this seems like a bad idea because I could totally fall off and jack my knee.

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Originally Posted by snowgage

Hi Everyone! I am glad to hear everyone is progressing so well.

Hang in there UglyMoney... This first few weeks suck but once you can progress with the PT everything gets better.

I am 15 weeks out on my right knee hamstring autograph. Everything is going well and I am back on the road bike and running up to 3 miles. After the 12 week mark things got a lot better. I won't get on the MTB until later next month once I am more healed. Even though I could mountain bike, a crash could be disastrous so I am playing it safe.

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That's great man and thanks. My wife is a big road biker and she is stoked to have me ride with her this summer since they told me no waterskiing/barefooting this year and I know two people who blew their repaired acls on the water by going back too soon so road biking it will be. Did you just get cleared to ride?

My second PT was this morning (day 5). Had 87 degrees of flex which was a big improvement from Wednesdays 58. I was able to walk slowly at 100 percent weight bearing and no brace. Couldn't quite make it all the way around on bike pedals but I was stoked to get on it. Really need to work on reactivation of my (formerly strong tele) quad...I can't help but think that coming into this with strong late season legs is helping. Knee was pretty sore by the time I made it home so advil and ice and another round of home pt this afternoon.

Guess I am now on Team ACL 2016.... Posted in here back in January after a knee pop at the bird. Ortho pulled on my knee, said acl was intact, prescribed pt and in a few weeks get back after which I did. Knee still felt wonky. Big jumps hurt but any other shredding was ok. Seemed like knee got progressively looser with more pain. Finally scheduled mri. Torn acl and medial meniscus tear. Season ender for me which means it's going to be a great late spring in the wasatch. No pain walking so I am pushing the surgery to late April after a fishing trip to montana. Think I am going cadaver allograft because my other knee came out so well with one. Seems everyone here goes autograph so I guess I won't be one of the cool kids haha. Start my pre pt tommorrow stationary bike, stepper and stabilizer ball here I come.

Good luck everyone! Next season will be here before you know it!

Sorry to hear Fugitive. I had some false hope given from my ortho as well but at least I got the MRI ordered first thing and found out.

Day 10 today and things are improving quickly. PT told me to stop using my crutches since I was only pretending to use them then she opened the brace to 50 degrees so I can walk a little more normal and drive :) I am too tall to even get in the front seat of a car with a straight leg so this is huge. 102 degrees of bend but not quite to zero on the other end. Still can't make it all the way around on bike but very, very close. Horizontal squat machine felt awesome and stepping up onto block with bad knee first no brace. Still a lot of swelling but she told me I am doing very good. Long walks don't seem to increase the swelling but they balloon my spirit so that's my post pt program.

http://uploads.tapatalk-cdn.com/2016...d09fe76591.jpg

Went to PT on Friday expecting to crush but instead they handed me my ass on a platter. Went home a little down. Today though I felt strong enough to walk my dog on a leash (he likes to pull super hard) so I guess that is something to hang my hat on. Lots of ups and downs and patience required. I want to go on a 10 mile walk but know I can't.

Just got the ok from the doc to try and walk around with out my brace that i have had to heal my fractured tibial plateau. First time any kind of weight bearing with a bent leg in 7 weeks. Totally forgot how to walk. Starting PT tomorrow to see how I respond, then make a decision about surgery.
Super stoked to be able to get on a stationery bike, and possibly get into some road riding soon!

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Originally Posted by uglymoney

Went to PT on Friday expecting to crush but instead they handed me my ass on a platter. Went home a little down. Lots of ups and downs and patience required.

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Going through the same thing. Doc has me on a conservative PT protocol. I'm 6 weeks post op. I've only been walking without crutches for a week. Tomorrow I am hoping to discontinue the brace. I can't drive because of excruciating patella pain and tracking issues. If I knew how horrible this was I wouldn't have had surgery. I had a stroke 3 years ago (ski accident - tore an artery in my neck) - that recovery was much easier. I also have no patience.

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Originally Posted by TeleMiriam

Going through the same thing. Doc has me on a conservative PT protocol. I'm 6 weeks post op. I've only been walking without crutches for a week. Tomorrow I am hoping to discontinue the brace. I can't drive because of excruciating patella pain and tracking issues. If I knew how horrible this was I wouldn't have had surgery. I had a stroke 3 years ago (ski accident - tore an artery in my neck) - that recovery was much easier. I also have no patience.

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Damn dude. I hope things turn around for you very soon. That patella pain sounds nasty. I am following some blogs and it seems like recovery time is very different depending on the person/injury/doctor. Keep us updated on your progress and keep your head up.

I hear you guys...I went through many periods of pain and weakness and frustration in my first few months post-op. It's not unusual. Do what you can PT-wise and remember that time is a huge factor...over time things heal and you will feel better and pain will go away. It's hard to believe that sometimes in those first few weeks and months, but it's true. Try to get happiness from the things you can do, like going down to the taproom and having a brew with friends.

Passing week 10 this week. I've been feeling stronger every pt session lately. Today I took my bike out around town. First time really getting outside for real activity since the injury.

Sorry to hear about your knee injury. I had my ACL rebuilt patella tendon graft about 15 years ago. Its been golden until last 4 months started to have some problems with meniscus not ACL. ACL still strong "no giving out feeling". Takes a good six months to heal from ACL but you should feel great. I might recommend an ACL brace for future skiing to prevent over extenstion pop that can happen. Skiing puts a lot of stress on the knee.

http://www.childrenshospital.org/cen...l-repair-trial
This looks promising for the future. No graft, just a sponge soaked in your own blood to rest up against the ligament to allow it to bond