Meniscus Repair
Department
Meniscus Repair
Meniscus repair is a surgical procedure designed to treat tears in the meniscus, a crucial piece of cartilage in the knee that provides shock absorption, stability, and load distribution between the femur (thigh bone) and the tibia (shin bone). Meniscal tears are common injuries, particularly among athletes and individuals engaged in activities that involve twisting or pivoting movements. These tears can cause pain, swelling, stiffness, and a locking sensation in the knee.
The decision to repair a torn meniscus, as opposed to removing the damaged part (meniscectomy), depends on the tear’s location, size, and pattern. Tears in the “red zone” (the outer third of the meniscus) have a better blood supply, making them more amenable to repair and healing compared to the “white zone” (the inner two-thirds), which has limited blood supply.
Procedure:
Meniscus repair is typically performed arthroscopically. This minimally invasive technique involves making small incisions around the knee to insert a camera (arthroscope) and specialized instruments. The surgeon visualizes the tear and uses sutures or anchors to sew the torn edges back together, promoting natural healing.
Post-Operative Care:
Recovery from meniscus repair involves a period of immobilization to protect the repaired tissue, followed by a structured physical therapy program to restore knee function. Physical therapy focuses on regaining range of motion, strength, and stability. Initially, weight-bearing may be limited, with gradual progression based on the healing process.
Advantages:
Repairing the meniscus, rather than removing it, helps preserve the knee’s natural structure, which is essential for maintaining joint health and preventing long-term complications such as osteoarthritis.
Considerations:
The success of meniscus repair depends on various factors, including patient age, activity level, and adherence to rehabilitation protocols. Younger, active individuals generally have better outcomes than older adults with degenerative tears.