Tomulator wrote:Dean,
In hindsight, would you recommend getting the ACL repair vs. simply "rehabbing" it and living with it (e.g., using a knee brace when needed, etc.)? I have a relative with a recent ACL tear and he is trying to decide which way to go...
Thx.

I can answer this for you Tom.
But first I would have to ask these of you:
Is the ACL
completely severed? 100% severed?
How long has it been severed?
How old is the patient?
How active(sports, etc) is the patient?
Does it give out all the time?
I had my ACL repaired. Back in 1996, it was done like this: They cut some of my Patella tendon out, and used it as as the replacement ligament. A tendon over time turns into a ligament. They used two titanium screws ($400 apiece). The doctor did a fine job, and I just saw pictures of it from last month's knee surgery, and it is still intact. The reason I elected to repair it was I play a lot of sports, and without the ACL, you just have a mushy knee, and NO stability. If I didn't play sports, I wouldn't have done it. After awhile, when the irritation has died down, and the swelling has subsided form the ACL inhury, one can walk fine, usually without pain. Sure, someday's will be better and worse than others, but by and large, if you don't play sports, you don't need to have it repaired.
As for knee braces, I am conflicted on them. I wore one in high school for basketball, after I partially tore my medial collateral ligament(inner side of the knee), and it still managed to tear and rip, even with the brace on. I found that the brace did two things however. 1) it provided some structure, but mostly it kept the knee nice and warm, hot. That made it very pliable and it felt good. I seemed to have better range of motion with it on; 2) it provided a psychological crutch. I am a firm believer that psychology is a BIg factor here. I was always "wondering" when the next time would be, when it would go again. I was afraid to jump at all, because in the bacl of my mind, I remembered that frightening feel and sound when the ligament pops. So here I am playing basketball in college, scared shitless and afraid to jump. I still to this day am afraid to jump, for fear of coming down on someone's foot and snapping the knee.
Today's doctors are so good, and the procedure is so much easier now, that it makes for an easier decision. If I was say between 20 and 45, I would do it, no question; because no one can predict the future, I would hate to see your relative really struggle in his laye 70's and 80's with a cane and unstable knee. If he gets it done, it will hold forever.
Any other questions, please feel free to ask Tommy.