I got the results of my MRI today, and it was basically what I feared but more or less expected. Fully torn ACL, and tibial plateau fracture. Fortunately no MCL tear, and the meniscus is in tact and looks good (which I hear may be a small miracle, given the TP fracture). Surgery is scheduled for 12/17. I am going for a second opinion on Monday, though that is more of a due diligence formality, and maybe a bit of surgeon shopping. I don't create a separate thread for the sake of attention, but more to create an information portal. I feel like I'm a borderline expert on shoulders after a couple surgeries, but knees are new territory for me. I imagine there is a wealth of experience and knowledge on the subject among members here. @DangerDirtyD has already been very helpful (and caring I might add), and I welcome any and all nuggets anyone else wants to share. Next order of business is for me to decide if I want to go with cadaver tissue for the graft, or an auto harvest. My surgeon gave a slight nudge towards harvesting my own tissue, due to a marginally better success/longevity rate at the expense of some increased discomfort in early recovery, but supposedly no increase in recovery time in terms of a return to activities. I'm guessing it might not be quite that cut and dry, but if so that does seem like kind of a no brainer. While surgery does seem like the obvious and prudent choice, the devil on my other shoulder is making some noise. After the injury I did some research, and reflected more on a hyper extension injury I had on my other knee snowboarding about 9 years ago, which I never had checked out. Without going into all the details, based on what I experienced then, and what I continue to experience in that knee (lingering instability and grinding, but no pain if I avoid movements I know to avoid), I would confidently bet that I tore that ACL as well. I do a lot of squats and deadlifts, that might help mask that by stabilizing around it. When mentioning that to my doc today he did some tests and said it does feel loose, and he wouldn't be surprised if it's torn based on what I described. Different injury for a different day, but in it's current state it's completely serviceable. All this said, I do feel like surgery for this new injury is the right call, but I should probably at least call myself out for giving some mental air time to that other voice.