i really think the acl is over rated. unless you are playing sports where you change direction fast. i have never had a problem MTB, motorcross, snowboarding, and wakeboarding. just keep you legs really shape. i am not a doctor but that is my personaly experiance.
I'm gonna edit my post cause in reality you are correct about the changing directions part. However, as Wa-loaf pointed out there is a greatly increased risk of arthritis, tendinitis and other issues further down the road. I initially didnt get my left acl repaired, thinking i could just suck it up and deal with it. It popped out constantly on me playing basketball and softball. It even would pop out due to minor things like trying to sit cross legged and such. It was way too painful to deal with when it went out so i went ahead and got it fixed. Skiing? yeah, I managed one day on my leg with no acl. I skied groomers cautiously for an hour or two and then headed for the bumps. That lasted all of 1 and a 1/2 runs before i was in a sled and being taken down.
Overrated? I guess it depends on what you like to do for activity.
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