Knee

Meniscal repair

Meniscal repair is a surgical procedure performed to treat tears in the meniscus, which are common knee injuries. The meniscus is a wedge-shaped cartilage in the knee that acts as a cushion and stabilizer. Meniscal tears can occur due to sports injuries, degeneration, or traumatic events. Unlike meniscectomy, where a portion of the torn meniscus is removed, meniscal repair aims to preserve the meniscus by stitching the torn edges together. This procedure is often suitable for specific types of tears, particularly those in the vascularized outer rim of the meniscus, where blood supply facilitates healing. Meniscal repair is typically performed arthroscopically, using small incisions and a camera for visualization. Postoperatively, patients undergo rehabilitation to regain knee strength and function. Successful outcomes depend on factors such as tear characteristics, patient age, and adherence to the rehabilitation program, contributing to long-term joint health.

Key things to know before the surgery

Before undergoing meniscal repair surgery, individuals should consider several key factors to ensure informed decision-making. Firstly, a thorough evaluation by an orthopedic surgeon is crucial to determine if the meniscal tear is amenable to repair, considering factors such as tear location, type, and patient age. Understanding the nature of the meniscal injury and the goal of preserving the meniscus is essential. Meniscal repair is generally more suitable for tears located in the vascularized outer rim, allowing for better healing potential. Patients should be aware that not all meniscal tears qualify for repair, and the surgeon may recommend other procedures like meniscectomy based on the tear characteristics. The discussion should include potential risks, expected outcomes, and the postoperative recovery process, including rehabilitation. Realistic expectations regarding the timeline for return to activities and the commitment required for postoperative rehabilitation are crucial. Active participation in the decision-making process, clear communication with the healthcare team, and understanding the limitations of meniscal repair contribute to a well-informed and successful surgical experience.

Surgery Overview

Meniscal repair surgery is a meticulous procedure performed to address tears in the meniscus, the C-shaped cartilage in the knee. Typically conducted arthroscopically, the surgeon uses small incisions and a camera for precise visualization. After evaluating the tear, the surgeon assesses whether the tear is amenable to repair, considering factors such as location and type. If repair is deemed suitable, special instruments are used to stitch the torn edges of the meniscus together. In some cases, the surgeon may use anchors or other fixation devices to secure the repair. The aim is to preserve the meniscus, particularly in the vascularized outer rim where healing potential is higher. Postoperatively, patients undergo a carefully structured rehabilitation program, including exercises to regain strength and function in the knee. Success depends on factors such as tear characteristics, patient age, and adherence to the rehabilitation plan, ensuring optimal healing and long-term joint health.

After Surgery

After undergoing meniscal repair surgery, attentive postoperative care is vital for a successful recovery. Patients should adhere to the surgeon's guidelines regarding wound care, medications, and scheduled follow-up appointments. Initially, managing swelling and pain may involve prescribed medications and the application of ice. Adherence to the prescribed rehabilitation program is crucial, involving a gradual progression of exercises to regain strength, flexibility, and stability in the knee. Physical therapy sessions play a significant role in guiding patients through the recovery process. It's essential to avoid activities that may strain the repaired meniscus and adhere to any weight-bearing restrictions outlined by the healthcare team. Regular monitoring for signs of infection, unusual pain, or complications is important, and any concerns should be promptly communicated to the healthcare provider. Successful recovery after meniscal repair requires active participation in rehabilitation, patience, and clear communication with the healthcare team to address any questions or uncertainties throughout the postoperative period.