Post-ACL Surgery: When Can I Stop Using Crutches? - Orthopedics

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What are the issues related to crutches after surgery for a torn posterior cruciate ligament?


I had two metal screws inserted, and my attending physician told me that it was a posterior cruciate ligament (PCL) laxity, but the paperwork states that it is a posterior cruciate ligament tear with a fracture, which is confusing.
However, I feel that my condition regarding the cruciate ligament injury doesn't seem that severe.
My main question is, if I follow my doctor's advice to maintain a 20-degree range for a week, how long will it take before I can walk normally without relying on crutches? During my first follow-up appointment seven days post-surgery, the doctor mentioned that I should use the crutches for about 2 to 3 more weeks.
I'm not sure if that includes the week of my follow-up, and I'm also afraid to stop using the crutches too soon.
Additionally, I found online that many people suggest a recovery period of about 6 weeks, so I'm uncertain and decided to ask here.

Mr. Li, 10~19 year old female. Ask Date: 2020/04/22

Dr. Shi Guozheng reply Orthopedics


Typically, bones or ligaments heal after six weeks.

Reply Date: 2020/04/22

More Info


After undergoing ACL surgery, the timeline for discontinuing the use of crutches can vary significantly based on individual recovery, the extent of the injury, and the specific surgical techniques employed. Generally, most patients are advised to use crutches for a period of 2 to 6 weeks post-surgery, depending on their progress and the surgeon's recommendations.

In your case, since your doctor mentioned using crutches for an additional 2 to 3 weeks after your first follow-up appointment, it suggests that your recovery is being monitored closely. It's essential to follow your surgeon's advice, as they are familiar with your specific situation and can provide guidance tailored to your needs.
Typically, the use of crutches is gradually reduced as you regain strength and stability in your knee. The goal is to ensure that you can bear weight comfortably and walk without pain before fully transitioning away from crutches. If you feel confident and can walk without significant pain or instability, you may be able to start reducing your reliance on crutches sooner. However, it is crucial to listen to your body and not rush the process, as doing so could lead to setbacks in your recovery.

In terms of your concerns about the severity of your injury, it’s important to remember that the perception of pain and function can differ from the actual condition of the knee. Even if you feel that your ACL injury is not severe, the surgical repair and the surrounding structures (like ligaments and tendons) need time to heal properly.
Physical therapy plays a vital role in your recovery. Engaging in a structured rehabilitation program will help you regain strength, improve your range of motion, and enhance your overall function. Your physical therapist can provide exercises that are appropriate for your stage of recovery and help you safely transition away from crutches.

If you experience any unusual pain, swelling, or instability while trying to walk without crutches, it’s essential to consult your healthcare provider. They may recommend imaging studies, such as an MRI, to assess the integrity of the ACL and surrounding structures if there are concerns about your recovery.

In summary, while the general guideline for crutch use post-ACL surgery is around 2 to 6 weeks, your specific timeline should be determined in consultation with your surgeon and physical therapist. They will consider your healing progress, pain levels, and functional abilities to provide the best advice for your situation. Always prioritize your safety and recovery over convenience, and communicate openly with your healthcare team about any concerns you may have.

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