I injured my knee skiing on Feb 6th. MRI showed a complete ACL tear and some bone bruising, everything else is aok. I've been physioing, going to massage and riding the trainer 1-1.5 hrs/day. Felt pretty good and thought that I should be able to get by with no surgery if I used a brace. I went skiing 6 wks after injury, definitely not up to my usual self but no incidents. I then went dirt biking (trail) 2 weeks later and blew my knee out on a basic "push off over the log" movement. Nothing dramatic. Hurt like hell this time and I'm out of action for a few weeks again. I'm not sure if this is just the way it'll keep going? In normal activity, my knee doesn't give out, it's just really stiff still. I did use a CTI OTS brace for skiing (which felt good) and a new CTI custom brace when I was riding (didn't like as much). Not sure if the custom brace just didn't work or if a brace isn't going to be the solution anyway? Question- I've heard my age (48) and gender makes me not an ideal candidate for surgery. Anyone know someone my age or age/gender who is very active (and likes challenging trails) who either could make do without an ACL or had successful surgery? Appreciate hearing your input and, Dr. Sanders too, if you're able to respond.