ACL Reconstruction With Additional Meniscal Repair

Meniscus tears are among the most common knee injuries. Following an acute injury to the knee it is usually the lateral meniscus that is torn. Athetes and those that play contact sports are at the most risk for meniscus tears. However, meniscus injury can happen to anyone at any age. 

During sport players may twist and bend their knee resulting in a tear to the meniscus. This is usually accompanied by a popping sound. Older people are more likely to acquire a degenerative meniscus tear due to cartilage weakening and wearing with age. An awkward twist or bend can result in a meniscus tear. 

Chronic ACL rupture can also lead to medial meniscus injury.?

Meniscal repair surgery is a delicate surgery to the meniscus and should be perfected until healing is achieved. Depending on the individual nature of the injury surgical interventions can involve carefully suturing the tear back together, knee arthroscopy or a partial meniscectomy in conjunction with traditional ACL reconstructive surgery.


Post Operative Precautions after ACL reconstruction with additional meniscal repair:

  • ACL rehabilitation must be adjusted to protect the meniscal repair
  • Mobilising weight bearing as tolerated with crutches for the first six weeks
  • Avoid knee flexion beyond 90 degrees for the first six weeks and ensure the knee is extended during the stance phase of gait
  • No resisted quadriceps exercises until six weeks post-surgery
  • Avoid deep knee squats and leg presses beyond 90 degrees of knee flexion for three months
  • All other instructions are similar to standard ACL protocol and post-surgery recovery


For more information on ACL reconstruction symptoms and surgical interventions please see ACL Reconstruction.