Evidence map›Paper›PMID 40353298›Full record

GuidelineKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2025

The formal EU-US Meniscus Rehabilitation 2024 Consensus: An ESSKA-AOSSM-AASPT initiative. Part I-Rehabilitation management after meniscus surgery (meniscectomy, repair and reconstruction).

Nicolas Pujol, Airelle O Giordano, Stephanie E Wong, Philippe Beaufils, Juan Carlos Monllau, Elanna K Arhos, Roland Becker, Francesco Della Villa, J Brett Goodloe, James J Irrgang and 20 more

Abstract readConsensus StatementPractice Guideline
PubMed Full text at PMC Publisher
In one paragraph

Guideline in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. [2024 American Academy of Orthopaedic Surgeons (AAOS) Clinical Practice Guideline: An interpretation of the diagnosis and management of acute isolated meniscal injury].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Guideline
  3. Guideline
  4. Guideline
  5. Trial
  6. Step-by-step insight into gait analysis: A narrative review unlocking knee biomechanics.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Review
  7. Article
  8. Increased contralateral dynamic valgus in female athletes following ACL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Nicolas PujolDepartment of Orthopedic and Trauma Surgery, Centre Hospitalier de Versailles, Le Chesnay-Rocquencourt, France.ORCID http://orcid.org/0000-0002-2013-8926
Airelle O GiordanoDepartment of Physical Therapy, University of Delaware, Newark, Delaware, USA.
Stephanie E WongDepartment of Orthopaedic Surgery, University of California, San Francisco, California, USA.
Philippe BeaufilsESSKA Office, Centre Médical, Fondation Norbert Metz, Luxembourg, Luxembourg.
Juan Carlos MonllauDepartment of Orthopedics and Traumatology, Hospital del Mar, Barcelona, Spain.
Elanna K ArhosDepartment of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, Illinois, USA.
Roland BeckerDepartment of Orthopedics and Traumatology, Brandenburg Medical School Theodor Fontane, University Hospital Brandenburg/Havel, Brandenburg, Germany.
Francesco Della VillaEducation & Research Department, Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy.
J Brett GoodloeDepartment of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia, USA.
James J IrrgangDepartment of Physical Therapy, University of Pittsburgh School of Health and Rehabilitation Sciences, Pittsburgh, Pennsylvania, USA.
Jitka KlugarovaCochrane Czech Republic, Czech CEBHC: JBI Centre of Excellence, Czech GRADE Network, Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic.
Emma L KlostermanMichigan Medicine Department of Orthopaedic Surgery, Ann Arbor, Michigan, USA.
Aleksandra KrólikowskaPhysiotherapy Research Laboratory, University Centre of Physiotherapy and Rehabilitation, Faculty of Physiotherapy, Wroclaw Medical University, Wroclaw, Poland.
Aaron J KrychMayo Clinic Department of Orthopedic Surgery, Rochester, Minnesota, USA.
Robert F LaPradeTwin Cities Orthopedics, Edina, Minnesota, USA.
Robert ManskeWichita State University, Ascension Via Christi, Wichita, Kansas, USA.
Nicky van MelickSports & Orthopedics Research Center, Anna TopSupport, Eindhoven, the Netherlands.
Jill K MonsonTwin Cities Orthopedics, Eagan, Minnesota, USA.
Marko OstojicOsteon Orthopedics and Sports Medicine Clinic, Mostar, Bosnia and Herzegovina.
Mark V PaternoDivision of Occupational Therapy and Physical Therapy, Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Tomasz PiontekRehasport Clinic and Sport Medicine Lab, Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences, Poznań, Poland.
Simone PerelliKnee and Arthroscopy Unit, Institut Català de Traumatologia i Medicina del'Esport (ICATME) - Hospital Universitari Dexeus, Universitat Autònoma de Barcelona, Barcelona, Spain.
Alexandre RambaudInstitute of Physiotherapy of Saint-Etienne - Saint-Michel Campus, Saint-Etienne, France.
James RobinsonMS Knee Specialists, Bristol, UK.
Laura C SchmittDivision of Physical Therapy, School of Health and Rehabilitation Sciences and OSU Sports Medicine Research Institute, Ohio State University, Columbus, Ohio, USA.
Eric Hamrin SenorskiDepartment of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Thorkell SnaebjornssonLandspitali, University Hospital of Iceland, Reykjavik, Iceland.
Adam J TaglieroMayo Clinic Department of Orthopedic Surgery, Rochester, Minnesota, USA.
C Benjamin MaDepartment of Orthopaedic Surgery, University of California, San Francisco, California, USA.
Robert PrillDepartment of Orthopedics and Traumatology, Brandenburg Medical School Theodor Fontane, University Hospital Brandenburg/Havel, Brandenburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of part one of this EU-US consensus was to combine literature research and expertise to provide recommendations for the usage of rehabilitation (including physical therapy) of patients undergoing surgical treatment for degenerative meniscus lesions or acute meniscus tears (including meniscectomy, repair, or reconstruction). Prevention programmes, non-operative treatment of acute tears and degenerative lesions, return to sports and patient-reported outcome measures will be presented in a part II article.

methodsThis consensus followed the European Society for Sports Traumatology and Arthroscopy (ESSKA)'s 'formal consensus' methodology. For this combined ESSKA, American Orthopedic Society for Sports Medicine and American Academy of Sports Physical Therapy initiative, 67 experts (26 in the steering group and 41 in the rating group) from 14 countries (US and 13 European countries), including orthopaedic surgeons, sports medicine doctors and physiotherapists were involved. Steering group members established guiding questions, searched the literature and proposed statements. Rating group members assessed the statements according to a Likert scale and provided grades of recommendations, reaching a final agreement about rehabilitation of the knee after meniscus surgery. Final documents were then assessed by a peer review group to address the geographical adaptability.

resultsThe overall level of evidence in the literature was low. Of the 19 questions (leading to 29 statements), 1 received a Grade A of recommendation, 2 a Grade B, 9 a Grade C and 17 a Grade D. Nevertheless, the mean median rating of all questions was 8.2/9 (9 being the highest rating on a scale of 1-9). The global mean rating was 8.4 ± 0.2, indicating a high agreement. Rehabilitation depends on the type of lesion, the treatment performed and is the same after medial or lateral meniscus surgery. Rehabilitation after meniscectomy should follow a criterion-based rehabilitation protocol, based on milestones rather than a time-based protocol. After meniscus repair and reconstruction, rehabilitation should be progressed according to both time and criterion-based milestones.

conclusionRehabilitation after meniscus surgery is a debated topic that may influence surgical outcomes if not optimally performed. This international formal consensus established clear, updated and structured recommendations for both surgeons and physiotherapists treating patients after meniscus surgery. LEVEL OF EVIDENCE: Level I, consensus.

Indexed as

MeniscectomyMenisci, TibialTibial Meniscus InjuriesArthroscopyConsensusEuropeHumansPlastic Surgery ProceduresReturn to SportSocieties, MedicalUnited Statesconsensuskneemeniscusphysical therapyrehabilitationrepair

Identifiers

PMID40353298
PMCPMC12310086

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.