The Impact of a Concomitant Meniscus Surgery on Hop Performance Symmetry in Patients Rehabilitating After Anterior Cruciate Ligament Reconstruction
# Background Meniscus injuries often accompany anterior cruciate ligament (ACL) tears. However, little is known about how different surgical approaches to treat concomitant meniscus injuries impact hop performance after ACL reconstruction. Purpose: The purpose of this study was to compare hop test...
Saved in:
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
North American Sports Medicine Institute
2025-02-01
|
| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.128153 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832575521209188352 |
|---|---|
| author | Krishna Malliah Adam VanZile Mark Walden Matthew Pennucci Adam Botts Caitlyn Ailor Scott Ruse Michael Taylor Ian Nelson Matthew Snyder Daniel Abreu Emma Yeager Sean McBride Thomas G. Almonroeder |
| author_facet | Krishna Malliah Adam VanZile Mark Walden Matthew Pennucci Adam Botts Caitlyn Ailor Scott Ruse Michael Taylor Ian Nelson Matthew Snyder Daniel Abreu Emma Yeager Sean McBride Thomas G. Almonroeder |
| author_sort | Krishna Malliah |
| collection | DOAJ |
| description | # Background
Meniscus injuries often accompany anterior cruciate ligament (ACL) tears. However, little is known about how different surgical approaches to treat concomitant meniscus injuries impact hop performance after ACL reconstruction.
Purpose: The purpose of this study was to compare hop test inter-limb symmetry for patients who had undergone ACL reconstruction without an associated meniscal surgery, patients who had undergone ACL reconstruction with a meniscus repair, and patients who had undergone ACL reconstruction with a partial meniscectomy.
# Study Design
Cross-sectional study
# Methods
Hop test data collected at the time of return-to-sport testing (average of 6.4 ± 1.4 months after surgery) was extracted from electronic medical records for 192 patients who had undergone ACL reconstruction. Of these patients, 102 had undergone an isolated ACL reconstruction, 60 had undergone an ACL reconstruction along with a meniscus repair, and 30 had undergone an ACL reconstruction along with a partial meniscectomy. Analysis of variance was used to compare limb symmetry indices for the single- and triple-hop tests. These limb symmetry indices reflected the ratio of the hop distance for the involved limb relative to the uninvolved limb, expressed as a percentage.
# Results
The sample was comprised of 100 males and 92 females. Their average age was 20.6 ± 8.2 years. There were significant differences among the groups for the single-hop test (p = 0.031) and triple-hop test (p = 0.024) limb symmetry indices. For both tests, the patients who had undergone ACL reconstruction with a partial meniscectomy tended to exhibit greater deficits in hop performance for their involved limb (relative to their uninvolved limb), compared to those without a meniscal injury and those who had undergone meniscus repair.
# Conclusions
The results of this study suggest that patients who undergo ACL reconstruction along with a partial meniscectomy tend to experience less complete and/or delayed recovery of involved-limb hop performance, which could reflect more persistent deficits in lower body power.
# Level of Evidence
3 |
| format | Article |
| id | doaj-art-6e0f66a202204cd6b09febe176f34ba4 |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-6e0f66a202204cd6b09febe176f34ba42025-02-01T02:57:06ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962025-02-01202The Impact of a Concomitant Meniscus Surgery on Hop Performance Symmetry in Patients Rehabilitating After Anterior Cruciate Ligament ReconstructionKrishna MalliahAdam VanZileMark WaldenMatthew PennucciAdam BottsCaitlyn AilorScott RuseMichael TaylorIan NelsonMatthew SnyderDaniel AbreuEmma YeagerSean McBrideThomas G. Almonroeder# Background Meniscus injuries often accompany anterior cruciate ligament (ACL) tears. However, little is known about how different surgical approaches to treat concomitant meniscus injuries impact hop performance after ACL reconstruction. Purpose: The purpose of this study was to compare hop test inter-limb symmetry for patients who had undergone ACL reconstruction without an associated meniscal surgery, patients who had undergone ACL reconstruction with a meniscus repair, and patients who had undergone ACL reconstruction with a partial meniscectomy. # Study Design Cross-sectional study # Methods Hop test data collected at the time of return-to-sport testing (average of 6.4 ± 1.4 months after surgery) was extracted from electronic medical records for 192 patients who had undergone ACL reconstruction. Of these patients, 102 had undergone an isolated ACL reconstruction, 60 had undergone an ACL reconstruction along with a meniscus repair, and 30 had undergone an ACL reconstruction along with a partial meniscectomy. Analysis of variance was used to compare limb symmetry indices for the single- and triple-hop tests. These limb symmetry indices reflected the ratio of the hop distance for the involved limb relative to the uninvolved limb, expressed as a percentage. # Results The sample was comprised of 100 males and 92 females. Their average age was 20.6 ± 8.2 years. There were significant differences among the groups for the single-hop test (p = 0.031) and triple-hop test (p = 0.024) limb symmetry indices. For both tests, the patients who had undergone ACL reconstruction with a partial meniscectomy tended to exhibit greater deficits in hop performance for their involved limb (relative to their uninvolved limb), compared to those without a meniscal injury and those who had undergone meniscus repair. # Conclusions The results of this study suggest that patients who undergo ACL reconstruction along with a partial meniscectomy tend to experience less complete and/or delayed recovery of involved-limb hop performance, which could reflect more persistent deficits in lower body power. # Level of Evidence 3https://doi.org/10.26603/001c.128153 |
| spellingShingle | Krishna Malliah Adam VanZile Mark Walden Matthew Pennucci Adam Botts Caitlyn Ailor Scott Ruse Michael Taylor Ian Nelson Matthew Snyder Daniel Abreu Emma Yeager Sean McBride Thomas G. Almonroeder The Impact of a Concomitant Meniscus Surgery on Hop Performance Symmetry in Patients Rehabilitating After Anterior Cruciate Ligament Reconstruction International Journal of Sports Physical Therapy |
| title | The Impact of a Concomitant Meniscus Surgery on Hop Performance Symmetry in Patients Rehabilitating After Anterior Cruciate Ligament Reconstruction |
| title_full | The Impact of a Concomitant Meniscus Surgery on Hop Performance Symmetry in Patients Rehabilitating After Anterior Cruciate Ligament Reconstruction |
| title_fullStr | The Impact of a Concomitant Meniscus Surgery on Hop Performance Symmetry in Patients Rehabilitating After Anterior Cruciate Ligament Reconstruction |
| title_full_unstemmed | The Impact of a Concomitant Meniscus Surgery on Hop Performance Symmetry in Patients Rehabilitating After Anterior Cruciate Ligament Reconstruction |
| title_short | The Impact of a Concomitant Meniscus Surgery on Hop Performance Symmetry in Patients Rehabilitating After Anterior Cruciate Ligament Reconstruction |
| title_sort | impact of a concomitant meniscus surgery on hop performance symmetry in patients rehabilitating after anterior cruciate ligament reconstruction |
| url | https://doi.org/10.26603/001c.128153 |
| work_keys_str_mv | AT krishnamalliah theimpactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT adamvanzile theimpactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT markwalden theimpactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT matthewpennucci theimpactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT adambotts theimpactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT caitlynailor theimpactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT scottruse theimpactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT michaeltaylor theimpactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT iannelson theimpactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT matthewsnyder theimpactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT danielabreu theimpactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT emmayeager theimpactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT seanmcbride theimpactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT thomasgalmonroeder theimpactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT krishnamalliah impactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT adamvanzile impactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT markwalden impactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT matthewpennucci impactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT adambotts impactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT caitlynailor impactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT scottruse impactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT michaeltaylor impactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT iannelson impactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT matthewsnyder impactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT danielabreu impactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT emmayeager impactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT seanmcbride impactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction AT thomasgalmonroeder impactofaconcomitantmeniscussurgeryonhopperformancesymmetryinpatientsrehabilitatingafteranteriorcruciateligamentreconstruction |