ACL (anterior cruciate ligament) reconstruction is a major knee surgery that requires careful rehabilitation. One of the first questions patients ask after surgery is: “How long will I need crutches?”

The answer depends on your type of graft, overall stability, pain levels, and your surgeon’s specific protocol. In general, most patients use crutches for 1 to 3 weeks after ACL reconstruction.

Typical Timeline for Crutch Use

Week 1–2: Non-Weight Bearing or Partial Weight Bearing

• Crutches are used for balance and to protect the new graft.
• Weight bearing is usually limited to toe-touch only or 25–50% of body weight, depending on your surgeon’s instructions.
• Keeping the knee straight and elevated helps reduce swelling.

Week 2–3: Gradual Weight Bearing

• As swelling decreases and strength improves, you’ll slowly put more weight on the operated leg.
• Your physiotherapist will guide you through gait training and proper walking technique.

Week 3–4 and Beyond: Walking Without Crutches

• Most patients can walk without crutches once they regain control and confidence in the leg.
• If your surgery involved additional procedures (like meniscus repair), crutch use may extend to 4–6 weeks.

Factors That Affect How Long You’ll Need Crutches

1. Type of Surgery

• Standard ACL reconstruction: usually 1–3 weeks with crutches.
• Combined ACL + meniscus repair: 4–6 weeks (to protect the healing meniscus).

2. Graft Type

• Patellar or quadriceps tendon grafts may require slightly longer crutch use due to initial soreness at the harvest site.

3. Pain and Swelling Levels

• Persistent swelling or discomfort can delay the transition to full weight bearing.
• Regular icing, elevation, and gentle exercises help speed this up.

4. Surgeon’s Rehabilitation Protocol

• Some surgeons prefer an accelerated program, allowing early walking.
• Others recommend a slower approach for graft protection.

Always follow your surgeon’s or physiotherapist’s individual advice — recovery is not one-size-fits-all.

Tips for Using Crutches Safely After ACL Reconstruction

• Keep your crutches properly adjusted (elbows slightly bent).
• Avoid leaning forward on the crutches to prevent strain on your arms and shoulders.
• Take small, slow steps — rushing can increase the risk of slips or falls.
• Use handrails on stairs and always move the crutches first when going up.

When to Stop Using Crutches

You may be ready to walk unaided when you can:

• Fully straighten and bend the knee comfortably
• Walk without limping
• Bear full weight without pain
• Control the leg when standing from a seated position

Even after ditching crutches, continue following your physiotherapy program to rebuild strength and balance.

Conclusion

Most patients use crutches for 1–3 weeks after ACL reconstruction, though recovery time varies based on the type of surgery, graft, and your individual healing rate.

The key is to follow your surgeon’s and physiotherapist’s guidance, progress gradually, and prioritise stability over speed. With proper care and rehabilitation, you’ll be walking confidently — and safely — in no time.