Do I need ACL surgery, or can I manage without it?

Dr. Horner is more likely to recommend ACL reconstruction for younger patients—often those under approximately 35—and for patients who want to return to sports, physically demanding work, or activities involving cutting and pivoting.

Age is a consideration, not a strict cutoff. An active patient in their 40s or beyond may still be a good candidate for reconstruction.

Associated injuries also influence the recommendation. For example, certain unstable meniscus tears may warrant treatment alongside ACL reconstruction.

Physical therapy, sometimes combined with bracing, may be appropriate for patients who do not plan to return to activities that place substantial demands on the ACL. Dr. Horner often considers this approach for patients in their 40s or older with lower activity demands, although treatment remains individualized.

An important factor is whether the knee remains stable during the activities the patient wants to perform. Patients who function comfortably without repeated episodes of the knee giving way may be suitable for continued nonsurgical treatment.

If instability persists or activity goals change, the decision can be revisited.

Dr. Horner reviews your examination, imaging, symptoms, associated injuries, and goals to help you choose between rehabilitation and reconstruction.

For details on graft selection and recovery, see the ACL reconstruction page. Dr. Horner sees patients at clinics in Chicago (Little Village), Oak Brook, and St. Charles.