The Impact of a Concomitant Meniscus Surgery on Hop Performance Symmetry in Patients Rehabilitating After Anterior Cruciate Ligament Reconstruction.
Krishna Malliah, Adam VanZile, Mark Walden and 11 others
PMID 39906059WHAT IT FOUND
After ACL reconstruction, patients with a partial meniscectomy had worse single-leg hop symmetry than those with isolated ACL reconstruction or meniscus repair.
At six months, a 90% hop score may not mark readiness to return.
Key findings
01The single-hop and triple-hop symmetry scores differed among the groups, with the partial meniscectomy group showing lower symmetry than the meniscus repair group and, for the triple-hop test, lower symmetry than the isolated ACL reconstruction group.
02Only 26.7% of partial meniscectomy patients reached the 90% triple-hop symmetry threshold, compared with 56.9% of isolated ACL reconstruction patients and 61.7% of meniscus repair patients.
03The partial meniscectomy group was older than the meniscus repair group, while time since surgery did not differ among groups.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study looked backward at charts, so it cannot show that partial meniscectomy caused the lower hop symmetry. The partial meniscectomy group was older than the meniscus repair group, and the authors did not adjust for age because they judged the age difference to reflect normal surgical choices. Hop performance was measured only once, at each patient's individual return-to-sport testing visit, not at a fixed post-operative time. Patients came from two clinics and had different ages and sport backgrounds, which may add variability. The study did not analyze the type, location, or extent of the meniscus injury. It did not test why hop symmetry was lower, such as power, movement control, or fear of re-injury. The rehabilitation protocol was similar but patients progressed at different times, so recovery content was not controlled.
Declared interests
The authors report no conflicts of interest.
The easy way to misread this
Do not conclude that partial meniscectomy causes worse hop performance. This was a retrospective chart review, and the groups differed in age and clinical timing of testing, so the finding is an association observed at return-to-sport testing, not proof of a surgical effect.