{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T23:49:02Z","timestamp":1791503342668,"version":"4.3.4"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Concomitant meniscal injuries accompany 40%\u201360% of anterior cruciate ligament (ACL) ruptures. Surgeons often face a clinical choice between meniscal repair, which prioritizes long\u2010term joint preservation, and partial meniscectomy, which is traditionally perceived to facilitate earlier functional recovery. Despite the biological advantages of repair, persistent concerns remain that its restrictive postoperative protocols might impede mid\u2010term functional performance compared to meniscectomy. This study aims to compare quadriceps\/hamstring strength, dynamic balance, functional hop performance, and patient\u2010reported outcomes (PROMs) at 2\u20135\u2009years post\u2010ACLR between patients undergoing concomitant meniscal repair versus partial meniscectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective cohort study evaluated highly active patients who underwent ACLR between 2019 and 2023. Of 68 patients who underwent ACLR with a\u2009concomitant meniscal injury and a pre\u2010injury Tegner score \u2265\u20096,16 were excluded: 5 due to revision ACLR or secondary meniscal procedures during the follow\u2010up period, 8 due to concurrent multi\u2010ligament injuries or full\u2010thickness articular cartilage defects requiring surgery, and 3 due to knee joint deformities (varus or valgus malalignment &gt;\u20095\u00b0)The remaining 52 patients were stratified into meniscal repair (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920) or partial meniscectomy (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200932) groups. Outcomes included isokinetic strength (60\u00b0\/s, 180\u00b0\/s; Limb Symmetry Index, LSI), Y\u2010balance test, single\u2010leg hop (SLH), and PROMs (IKDC, Lysholm, and ACL\u2010RSI).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At mid\u2010term follow\u2010up (mean 4.1\u2009\u00b1\u20091.2\u2009years for repair, 4.2\u2009\u00b1\u20091.2\u2009years for meniscectomy;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.59), no significant differences existed in strength (quadriceps\/hamstring LSI 60\u00b0\/s and 180\u00b0\/s), dynamic balance (Y\u2010balance), hop tests (SLH, SLCH, and SLTH), or PROMs (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>At mid\u2010term follow\u2010up (2\u20135\u2009years), concomitant meniscal repair yielded objective functional performance and patient\u2010reported outcomes equivalent to partial meniscectomy in highly active patients undergoing ACLR, despite more restrictive early rehabilitation. These findings indicate that the initial postoperative restrictions associated with repair do not result in persistent functional deficits. Although meniscal preservation confers established long\u2010term chondroprotective advantages, the present analysis addresses functional parity only; the surgical strategy should weigh both mid\u2010term function and long\u2010term joint health on an individual basis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.70419","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:49:58Z","timestamp":1791499798000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Meniscal Repair Achieves Comparable Mid\u2010Term Functional Performance to Partial Meniscectomy Following Anterior Cruciate Ligament Reconstruction in Highly Active Patients"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2920-2594","authenticated-orcid":false,"given":"Hao","family":"Duan","sequence":"first","affiliation":[{"name":"Sports Medicine and Rehabilitation Department Beijing Chaoyang Hospital of Capital Medical University  Beijing China"},{"name":"Key Laboratory\u2009of\u2009Sports Trauma and Rehabilitation of the General Administration of Sport of China  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiyang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Sports Medicine and Rehabilitation Department Beijing Chaoyang Hospital of Capital Medical University  Beijing China"},{"name":"Key Laboratory\u2009of\u2009Sports Trauma and Rehabilitation of the General Administration of Sport of China  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5000-1092","authenticated-orcid":false,"given":"Jingyi","family":"Sun","sequence":"additional","affiliation":[{"name":"Sports Medicine and Rehabilitation Department Beijing Chaoyang Hospital of Capital Medical University  Beijing China"},{"name":"Key Laboratory\u2009of\u2009Sports Trauma and Rehabilitation of the General Administration of Sport of China  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7964-3938","authenticated-orcid":false,"given":"Xiaohan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Sports Medicine and Rehabilitation Department Beijing Chaoyang Hospital of Capital Medical University  Beijing China"},{"name":"Key Laboratory\u2009of\u2009Sports Trauma and Rehabilitation of the General Administration of Sport of China  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Li","sequence":"additional","affiliation":[{"name":"Sports Medicine and Rehabilitation Department Beijing Chaoyang Hospital of Capital Medical University  Beijing China"},{"name":"Key Laboratory\u2009of\u2009Sports Trauma and Rehabilitation of the General Administration of Sport of China  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4075-2448","authenticated-orcid":false,"given":"Jingbin","family":"Zhou","sequence":"additional","affiliation":[{"name":"Sports Medicine and Rehabilitation Department Beijing Chaoyang Hospital of Capital Medical University  Beijing China"},{"name":"Key Laboratory\u2009of\u2009Sports Trauma and Rehabilitation of the General Administration of Sport of China  Beijing 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