Recovery After ACL and Tibial Plateau Fracture: When Can You Ride a Motorcycle?

Diagnosis: Tear of the anterior and posterior cruciate ligaments with associated fracture?

I had a car accident on January 3rd this year, resulting in a tibial plateau fracture and tears of both the anterior and posterior cruciate ligaments.
I underwent surgery where plates and screws were used for fixation.
Unless there are special circumstances, I do not need another surgery to remove them.
On March 15th, I had a follow-up appointment and an X-ray was taken.
The doctor mentioned that the bone has healed, and I can bend my knee to an angle greater than 90 degrees.
Therefore, on the day of my follow-up, the doctor said I no longer need to use the knee brace and allowed me to try walking without crutches in the clinic.
The doctor also said I walked very well, but I still need to continue using the crutches and should avoid deep squats.
I would like to ask if I can ride a motorcycle now, or how much longer I need to wait before I can do so?

JJ, 20~29 year old female. Ask Date: 2024/04/03

Dr. Chen Yongxue reply Orthopedics

Hello, riding a motorcycle is generally fine, but in case of an emergency situation, your affected limb may not be able to react in time.
It is advisable not to attempt it before you are able to exercise properly.
Thank you.

Reply Date: 2024/04/03

More Info

Recovery from an ACL (anterior cruciate ligament) injury and a tibial plateau fracture can be a complex process, and it is crucial to follow your orthopedic surgeon's advice closely. Given your situation, where you had surgery to repair both the tibial plateau fracture and the ACL tear, and considering that you have already had a follow-up appointment where your doctor indicated that the bone has healed well and that you have regained a good range of motion, it seems like you are on the right track.

However, riding a motorcycle involves several factors that need to be considered before making a decision. Here are some key points to think about:
1. Strength and Stability: Even though your doctor has indicated that your knee has healed and you can walk without crutches, riding a motorcycle requires not only strength but also stability in your legs. You need to ensure that your quadriceps and hamstrings are strong enough to support your knee during the dynamic movements involved in riding. If you feel any instability or weakness, it may be wise to wait before riding.

2. Balance and Coordination: Riding a motorcycle requires good balance and coordination, especially when maneuvering and stopping. If you are still relying on crutches for support or if you feel unsteady, it may not be safe to ride yet. You should practice walking without crutches and ensure that you can maintain your balance effectively.

3. Pain and Discomfort: Pay attention to any pain or discomfort in your knee when performing daily activities. If you experience pain while walking or during other movements, it may indicate that your knee is not yet ready for the additional stress of riding a motorcycle.

4. Doctor's Advice: Always prioritize the advice of your orthopedic surgeon. They have the best understanding of your specific injury and recovery progress. If you have any doubts, it’s best to consult them directly about when it would be safe for you to start riding a motorcycle.

5. Gradual Return to Activities: If your doctor gives you the green light to ride, consider starting with short rides in a safe environment to gauge your comfort and ability. Avoid busy roads or high-speed situations until you are confident in your recovery.

6. Rehabilitation: Continue with your rehabilitation exercises as prescribed. Strengthening your leg muscles, improving flexibility, and enhancing your overall fitness will contribute significantly to your recovery and readiness to ride.

In summary, while you may be feeling better and have made significant progress in your recovery, the decision to ride a motorcycle should be made cautiously. Ensure that you have regained sufficient strength, stability, and balance, and always consult with your healthcare provider before resuming any high-risk activities. They can provide personalized advice based on your recovery status and help you determine the safest timeline for getting back on a motorcycle.

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