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The meniscus is a crescent-shaped cartilage in the knee that acts as a shock absorber between the femur (thigh bone) and tibia (shin bone). Each knee has two menisci: medial (inner) and lateral (outer). A torn meniscus is a common knee injury, often caused by twisting or turning quickly during sports or other activities. Meniscus repair surgery aims to restore the normal function of the knee by suturing the torn cartilage rather than removing it.
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Meniscus Repair Surgery: Overview, Procedure, and Recovery The meniscus is a crescent-shaped cartilage in the knee that acts as a shock absorber between the femur (thigh bone) and tibia (shin bone). Each knee has two menisci: medial (inner) and lateral (outer). A torn meniscus is a common knee injury, often caused by twisting or turning quickly during sports or other activities. Meniscus repair surgery aims to restore the normal function of the knee by suturing the torn cartilage rather than removing it. Indications for Meniscus Repair Meniscus repair is recommended when: The tear is located in the outer third of the meniscus (the "red zone") where there is a good blood supply. The tear is large, complex, or unstable. The patient is young and physically active. The goal is to preserve knee function and prevent early-onset arthritis. Not all tears can be repaired. In some cases, partial meniscectomy (removal of the damaged part) is performed instead. Preoperative Preparation Before surgery, patients typically undergo: Physical examination and medical history review. Imaging studies such as MRI or X-ray to assess the tear. Discussion of risks, benefits, and alternatives with the orthopedic surgeon. Patients may need to stop certain medications and follow specific fasting instructions before surgery.
The Surgical Procedure Meniscus repair is commonly done arthroscopically using small incisions and a camera (arthroscope). The steps include: 1.Insertion of the arthroscope to visualize the knee joint. 2.Cleaning of the torn area. 3.Suturing the torn meniscus using specialized instruments. 4.In some cases, absorbable implants or anchors may be used. The procedure typically lasts 1 to 2 hours and is often performed on an outpatient basis. Postoperative Care and Recovery Immediate Post-Surgery: Crutches are usually needed for 4 to 6 weeks to avoid bearing weight on the knee. A knee brace may be used to restrict movement and protect the repair. Pain management with medications and icing. Rehabilitation: Physical therapy begins within days of surgery to restore range of motion. Strengthening exercises are gradually introduced. Full recovery may take 3 to 6 months depending on the tear and patient compliance. Risks and Complications While generally safe, potential risks include: Infection Blood clots Stiffness or loss of motion Re-tearing of the meniscus Failure of the repair, requiring further surgery Long-Term Outlook Successful meniscus repair can restore full function and delay or prevent the development of arthritis. Long-term outcomes are generally better with repair compared to meniscectomy, especially in young, active individuals.
Conclusion Meniscus repair surgery is a valuable option for treating certain types of knee cartilage injuries, with the goal of preserving knee integrity and function. Proper diagnosis, surgical technique, and rehabilitation are critical for optimal outcomes. Contact us :- Dr. Ishan Shevate - Balewadi orthopedic doctor | Orthopedic surgeon in Balewadi Contact -9850971254 E-mail - shevatedrishanbalewadi@gmail.com Website -https://drishanshevateortho.com Address -Samruddi Apartments, Srushti Elegance, Baner - Balewadi Rd, opp. Kalmadi School, Balewadi Phata, Baner, Pune, Maharashtra 411045