My two cents,
I have had my ACL reconstructed twice. I'm super protective of my knee and had my cleats adjusted so that I was absolutely not in a position that would stress it. I have no medial or lateral collateral ligaments on that knee so I have to be very conscious of my position. i'm not sure what kind of cleats I have but I do know that I wear sixsixone shoes. I do have duck feet but more than the clipless system, my bike fit hurt me. When I was fit for my bike, the ideal position for me made me knee flex too much at the top of the stroke and put way too much force on my knee cap and knee joint. so I had to have them help me find a position that afforded a little less flexion. you might want to check that. Too much flexion at the top of the pedal stroke and then pushing down puts a lot of pressure on your knee and will stress that joint...especially without an ACL. Good luck.
Gray



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