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The incidence of meniscus tear with anterior cruciate ligament (ACL) injury has been reported as 51.9–63%. Lateral meniscus pathology is more prevalent in acute ACL injuries, whereas medial meniscus pathology is more characteristic of chronic ACL inadequacy. Meniscus preservation, whether through repair or nonremoval, alongside ACL surgery, safeguards the articular cartilage and the ACL graft and mitigates residual laxity. Postoperative weight-bearing and knee flexion range of motion (ROM) place varying biomechanical load (femorotibial contact pressure) across the meniscus repair site, hence are the key parameters dictating customization as per tear characteristics, i.e., size, type of tear pattern, and zone of injury. The postoperative rehabilitation program construct is criteria based, more conservative versus accelerated, considering the meniscal healing process, high risk of re-tear, and subsequent surgery.

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Postoperative Rehabilitation for ACL Reconstruction and Meniscus Repair

  • 章节

  • 发表日期：

    2026年

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  • Tuheena Sharma,
  • Padmanaban Sekaran,
  • Rajkumar S. Amaravati

摘要

The incidence of meniscus tear with anterior cruciate ligament (ACL) injury has been reported as 51.9–63%. Lateral meniscus pathology is more prevalent in acute ACL injuries, whereas medial meniscus pathology is more characteristic of chronic ACL inadequacy. Meniscus preservation, whether through repair or nonremoval, alongside ACL surgery, safeguards the articular cartilage and the ACL graft and mitigates residual laxity. Postoperative weight-bearing and knee flexion range of motion (ROM) place varying biomechanical load (femorotibial contact pressure) across the meniscus repair site, hence are the key parameters dictating customization as per tear characteristics, i.e., size, type of tear pattern, and zone of injury. The postoperative rehabilitation program construct is criteria based, more conservative versus accelerated, considering the meniscal healing process, high risk of re-tear, and subsequent surgery.