The Different Types Of Meniscus Surgery – Brandon Orthopedics (2023)

The meniscus is a C-shaped piece of cartilage that provides cushioning between your thighbone and shinbone at the knee. The meniscus can tear due to injury or degeneration. Meniscus surgery is a common knee procedure to repair or remove a damaged meniscus. Knee replacement surgery is usually only recommended when all other treatment options have failed and the knee is severely damaged. In some cases, meniscus surgery may lead to knee replacement surgery if the knee is not able to heal properly or if the meniscus tear is extensive.

In the short run, a surgical procedure can relieve pain from a tear in the knee, but this can raise the risk of osteoarthritis in the long run. Part of the knee’s cartilage is removed in the arrastial procedure, resulting in less support and absorption. As time passes, osteoarthritis in the knee worsens, and only total knee replacement can be effective. Non-surgical procedures can help to alleviate the pain of a torn anterior knee joint. It is critical to consult with your orthopedic surgeon at the earliest possible opportunity about your specific case.

Will I Need Knee Replacement After Meniscus Surgery?

The Different Types Of Meniscus Surgery – Brandon Orthopedics (1)Credit: YouTube

The answer to this question depends on the individual case. Some people may need knee replacement surgery after meniscus surgery, while others may not. It really depends on the severity of the damage to the knee and the individual’s response to treatment.

If you have meniscus surgery, you are more likely to need a knee replacement. In fact, severe cartilage tears are common in the sports industry. Most of these complex tears do not require surgery to repair. When a meniscis tear is present, it is more likely that you will develop osteoarthritis. When a maniscus is surgically repaired, he may not require a knee replacement. We’ll go over it in greater detail later, but it increases the risk of arthritis development. Adults usually experience tears of the complex degenerative meniscus. To listen to the audio, click the orange circle in the image.

The Benefits Of Knee Replacement Surgery

Despite the fact that the meniscus may not heal completely, most people recover their normal function and range of motion within six to twelve months of their operation. If the knee’s meniscus does not heal properly, you may require additional surgery.
In fact, it is possible for people who have a knee injury to have a knee replacement. In fact, for a few people who are not particularly well suited for knee replacement surgery, surgery can be avoided. Among those who are not candidates for knee replacement surgery are those who have inflammatory arthritis in the knee.
People who have a knee injury should consider surgery to replace the damaged joint. The procedure can assist them in regaining their normal range of motion and function. People with inflammatory arthritis of the knee, on the other hand, may still be a good candidate for knee replacement surgery if they are not considered good candidates. In most cases, the meniscus will heal without major problems, though it is possible that it will not completely heal; however, it is usually possible that people will regain their range of motion and normal function within six to twelve months.

What Are The Long-term Effects Of A Torn Meniscus After Surgery?

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(Video) Knee Arthroscopy - Meniscal Surgery

If left untreated, it can lead to knee problems such as arthritis in the long run. It is also possible that moving around with a torn meniscus will cause fragments of the cartilage to be lodged into the joint, causing larger knee issues in the future.

A torn knee is a common source of knee pain. Your knee’s cartilage begins to wear down, causing it to tear easily. A knee twist occurs primarily as a result of a sudden motion. The majority of those suffering from the injury are older and have arthritis in their knees. A torn kneecap is a common cause of knee pain. It can happen while you are on a daily basis, whether you are playing sports, exercising, or simply doing some other activity. Some tears can heal on their own, whereas others require arthroscopic surgery. It is common for people to recover and resume their hobbies after an injury.

Healing Your Knee: Patience And Rest Are Key

Taking it easy during the healing process is critical. It is also critical that you refrain from strenuous activity until the knee is completely healed.

Who Is Not A Candidate For Knee Replacement?

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It is not possible to replace a knee in patients who have inflammatory arthritis of the knee because their joint damage is usually throughout the three compartments. Despite this, inflammatory arthritis patients who decide to have total knee replacement have a high success rate.

It can be possible to live without pain in some cases if the pain in your knees is severe enough to necessitate a total knee replacement. Approximately 750,000 knee replacements are carried out each year, according to the American Academy of Orthopaedic Surgeons. Depending on the type of surgery, a total knee replacement can be performed as a minimally invasive operation or as an open procedure. You should be in good health as well as be able to undergo surgery. During the pre-op exam, your body is checked to see if it will tolerate surgery. If there are any of the following conditions, you may need to consider a different treatment. If knee replacement isn’t the right option for you, our team can provide you with alternative options, such as physical therapy.

Does Meniscus Surgery Lead To Arthritis

Meniscal surgery is one of the most common orthopedic procedures. A study found that after undergoing surgery, 100% of knees developed arthritis, compared to 59% of knees that had no meniscal damage and did not undergo surgery.

(Video) Arthroscopic Knee Surgery | Meniscus Surgery Performed by Dr. Millstein

In the United States, knee surgery is the most common type of knee procedure. It is widely accepted that it can cause or at least facilitate the development of knee arthritis. An MRI scan is not the same as a surgical procedure, especially if you are a middle-aged or elderly patient. Approximately 63% of patients who had knee surgery to remove meniscectomy knee cartilage developed knee arthritis eight years after the operation. A 28% increase in arthritis was recorded in those two years. Men had 9% of knee arthritis prior to surgery, but it went up to nearly 60% after. Despite the fact that orthopedic surgeons continue to perform meniscus surgery, they have a slew of problems to contend with. It is likely that this surgery will be forgotten in medical textbooks. Chris Centeno, MD, is a specialist in regenerative medicine and a pioneer in the new field of Interventional orthopedics.

The Importance Of Maintaining Strength And Flexibility After Knee Surgery

Many patients’ strength improves as a result of surgery, which can help improve their cartilage. Excluding those who develop arthritis after surgery, arthritis can occur in up to 28% of cases. As a result of the study’s findings, the authors recommend that patients maintain their knee strength and flexibility, which may lower their arthritis risk.

Can You Have Meniscus Surgery Twice On The Same Knee

Yes, you can have meniscus surgery twice on the same knee. The meniscus is a tough and fibrous tissue that cushions the joint. It can be damaged by injury or overuse. Surgery is often required to repair the meniscus. In some cases, the meniscus may be removed entirely. This is called a meniscectomy.

Long-term Side Effects Of Meniscus Surgery

One of the most common long-term side effects of meniscus surgery is osteoarthritis. This is because the meniscus acts as a shock absorber between the bones in the knee joint, and when it is removed, the bones are no longer protected. This can lead to the development of osteoarthritis, which is a degenerative joint disease. Other long-term side effects of meniscus surgery include joint stiffness, joint pain, and decreased range of motion.

A systematic literature search was performed based on studies that showed long-term results after knee repopulating with at least a seven-year follow-up. There was no statistical difference in failure rates between open repair, arthroscopic inside-out with anterior incision, and all-in repair with flexible non-resorbable implants. Meniscal repair, in general, seeks to preserve as much tissue as possible. Despite the fact that some studies have already examined long-term outcomes following meniscal suturing, a systematic review of these studies is lacking. Flexible sutures have fewer nerve irritations than their traditional inside-out counterparts. The hypothesis was that conventional suture methods would fail more frequently than flexible implants. The primary search was conducted by two reviewers (KK and WP).

In order to select articles, criteria for inclusion and exclusion were used. It was a quality assessment that WP andKK completed. The most recent reports indicate that radiological signs of osteoarthritis were the most common secondary outcome measures. A formal meta-analysis was carried out for the primary outcome measure (failure rate). For the 15 articles published over the last 30 years about knee replacement, the three articles missing a failure rate or duplicate publications were not included. The majority of the studies examined were retrospective cases that had not been controlled. There were no studies that looked into the failure rate of outside-in sutures.

The failure rate of the different types of meniscus repairs is not expected to differ significantly. The risk of bias for calculating overall failure rate in the study was the reason for its omission from the calculation. Fastfix and Rapidloc are two implants that differ greatly in the treatment of arthroscopic knee injuries. There is no difference in the reported long-term failure rates of the repaired knee joint between the use of traditional internal sutures and flexible all-in anchors. One study discovered that the subjective IKDC score increased significantly preoperatively and after surgery. Almost none of the rigid anchoring systems are used in clinical practice today. Flexible all-in-the-middle meniscus suture anchors are being used more frequently in meniprocs due to their anterior horn location.

(Video) When Surgery is Necessary for Meniscus Tears

Flexible implants have a number of drawbacks, including their high cost and lack of scientific evidence for their effectiveness in cost-effectiveness. It is well known that the age of the patient is a significant factor in determining his/her meniscal sutures. It is critical to expose the intraarticular space so that stem cells and growth factors can be stimulated, which may aid in healing. According to Zimmerer et al., there was no significant difference in the meniscal repair failure rate when comparing groups of simultaneous (11/32) and delayed ACL reconstruction. The majority of the evidence obtained from case series is regarded as poor. Surgical procedures are commonly used in orthopedics to prevent long-term degeneration.

Distraction is one of the most reliable ways to determine whether the knee is healed properly. Outside-in sutures are not included in this systematic review. This long-term data supports the practice of repairing menisci whenever possible. There was no difference in the manner in which the all-in-manipulation eloquents were repaired, regardless of whether the repairs were made with traditional inside-out sutures or flexible all-in-manipulation eloquents. The use of both methods appears to be justified depending on the location of the tear. An examination of the meniscus tear management: indications, techniques, and outcomes. In this article, we will look at knee SurgRelat Res 31, 11–11.

Laprell H. Stein V. Petersen W (2001) Repair of an all-in-tear meniscus with a new refixation device is performed. Kang, D.G., Park, Y.J., Yu J.H., Oh J.B., Lee, D.Y. (2019). In young patients, systematic reviews of the literature and meta-analyses of arthroscopy interventions were carried out. In comparison to an isolated ACL repair, the clinical outcome of a meniscus repair with simultaneous ACL reconstruction was identical: a result that is uncommon with other types of knee surgery. In the knee Surg Sport TraumatolArthrosc, 23:21–227 millimeters. The RapidLoc system has long-term success in all cases of inside meniscal repair. Martin Hner Orthopdische GemeinschaftsPraxis Neuss (OPN) is a research center in Neuss, Germany.

It is run by Wolf Petersen, Katrin Karpinski, Sebastian Bierke, and Martin Hner. A German philosopher named Ralf Mller Rath. When all inside meniscal repairs are completed using the FasT-Fix system, there is a long-term result. In J Orthop Reed 15: 606-605, there is a description of how to effectively apply an Orthop.

How Long Will A Repaired Meniscus Last?

If you have a partial or total meniscectomy, it is estimated that you will need about a month to fully recover. The length of time it takes for your knee to heal after repair depends on the extent of the injury.

The Benefits And Risks Of Meniscus Surgery

It’s back to work after the operation. Most patients report significant improvements in their knee function after undergoing knee replacement surgery. Almost all patients are back to their normal routines within a few weeks of surgery. Although patients are encouraged to remain patient, they should be aware that there is a chance of mild to moderate pain, swelling, and stiffness in the days following surgery.
Pain, stiffness, and a limited range of motion are three of the most common post-op risks. Postoperative care can help to minimize these risks.
The surgical procedure for meniscus repair can result in dramatic improvement in knee function and can be a relatively minor operation. The chances of complications are low, and most patients are able to return to their daily activities within a few weeks of surgery.

How To Treat Knee Meniscus Tear With Arthritis

If you have a knee meniscus tear with arthritis, you may need to see a doctor to get it treated. There are many options for treating a knee meniscus tear, but the best option for you will depend on the severity of your injury and the extent of your arthritis. You may need to have surgery to repair the tear, or you may be able to treat it with physical therapy, steroid injections, or other non-surgical methods.

(Video) Watch a Knee Surgeon Treat a Meniscal Tear

Meniscus tears are common in contact sports such as football, as well as noncontact sports such as volleyball and soccer. A knee injury can be caused by a sudden change of direction during a run, which can occur alongside other knee injuries. Meniscal tears are treated with a variety of medications, depending on their size and location. Meniscus tears are difficult to avoid, but they may be avoided with certain precautions. Your knee’s recovery time is determined by a number of factors, including the severity of the tear. Physical therapy is frequently used to speed up recovery and reduce complications after surgery.

Meniscus Repair Surgery

When broken pieces of cartilage are repaired, their repair is completed by sewing them back together. In fact, because of the tear type and blood supply, only 10% of tears are actually repaired. The partial meniscectomy is a procedure for removing a portion of the penis. The surgeon takes the damaged cartilage and trims it back in, leaving healthy cartilage behind.

The Dallas knee doctors who specialize in these injuries perform meniscal repair surgery on a regular basis. If the torn meniscus is not properly cared for, it may loosen and slip into the joint. If this happens to you, you may need to have surgery to regain your full range of motion. Meniscus repair surgery can be performed in a variety of ways to reduce the risk of complications. It is critical to manage pain during surgery. The length of time it takes to walk after surgery will be determined by whether your procedure was performed openly or surgically. The surgery for repairing the meniscus has a high success rate, with a rate of 84% to 94%. When a patient has an injury that causes knee instability, such as an ACL tear, the likelihood of successful surgery decreases. Depending on both the severity of the injury and the type of procedure carried out, the recovery time for each patient varies.

After Torn Meniscus Surgery: What To Expect

After having arthroscopic surgery for a torn meniscus, a patient should be able to stand or walk with weight on their knee while standing or walking. Following surgery, the patient will require crutches for approximately 2-7 days. It usually takes three to five days for most people to return to normal desk work, school, or sedentary activities after surgery. Heavy work can take up to 6 weeks to fully recover from the injury, which may cause the leg to be weak.

Arthroscopic Partial Meniscectomy

The most common orthopedic procedure in the United States is thearthroscopic partial meniscectomy. The goal of the procedure is to relieve symptoms caused by torn meniscal fragments by removing torn fragments and trimming the meniscus back to a stable position.

The act of removing a portion of the knee’s tibio-femoral joint is known as an arthroscopic meniscectomy. This minimally invasive procedure can be performed at a one-day clinic as an outpatient. It has been linked to an increased risk of acute meniscal injuries in football and rugby. You are more likely to develop a tear of the medial meniscus if you wait more than 12 months after an ACL injury to have surgery. Joint line tenderness may provide a false positive, in addition to osteoarthritis, osteochondral defects, collateral ligament damage, or fractures of the joint. It is commonly recommended that meniscal tears with small, degenerative joints be conservatively treated with rest, NSAIDS, and physical therapy in order to reduce load bearing on the joint. If a tear is large, in a low vascularised area, or if conservative management fails to alleviate the associated pain and joint dysfunction, surgery may be necessary.

To begin, we want to alleviate pain and swelling, maintain the maximum range of motion, and walk fully. In the third week, intensive muscle strengthening, proprioceptive exercises, and balance exercises are performed. When the quadriceps’ muscles are at least 80% of the contralateral limb, they should return to sport/activities. In phase 1, more concentric and eccentric exercises for the hip and knee should be added to the open chain exercises. During phase 2, resistance can be used to prevent terminal knee extension, partial squats (not fully completed), step up and down progressions, functional and agility training, and even resistance training. Phase 3 emphasizes the progression from a dynamic single-leg stance to running and sport-specific training.

(Video) The Biggest Mistake People Make After Knee Meniscus Surgery

Recovery From Arthroscopic Meniscectomy

A general anesthetic is usually used for the surgery, which typically takes about an hour. The same day you’ll be able to return to work, and the next day you’ll be able to do the same things again.
The most serious side effects of arthroscopic meniscectomy include infection and bleeding. Following surgery, an implant may be required in a few cases.
A typical patient will be able to resume normal activities in a week. One of the most common side effects is pain, swelling, and stiffness. For a short period of time, you may experience difficulty with your balance and movement as a result of the surgery.
If you have any questions about your recovery, you should consult with your doctor.


The Different Types Of Meniscus Surgery – Brandon Orthopedics? ›

In arthroscopic meniscus repair the torn meniscus will be pinned or sutured depending on the extent of tear. Meniscus replacement or transplantation involves replacement of a torn cartilage with the cartilage obtained from a donor or a cultured patch obtained from laboratory.

What is the new meniscus procedure? ›

A meniscus transplant places a new meniscus in the knee where the meniscus is missing. This procedure is only done when meniscus tears are so severe that all or nearly all of the meniscus cartilage is torn or has to be removed. The new meniscus can help with knee pain and possibly prevent future arthritis.

What is the best surgery for a torn meniscus? ›

For most people who have a symptomatic meniscus tear, arthroscopic surgery is selected to remove or repair the torn tissue. However, if you have arthritis, you may benefit from injection and physical therapy without surgery. Arthroscopy has revolutionized how knee surgery is performed.

What are the different types of meniscal repair techniques? ›

Currently, there are three main methods of modern surgical management of meniscus tears: arthroscopic partial meniscectomy; meniscal repair with or without augmentation techniques; and meniscal reconstruction.

What is the gold standard for meniscus repair? ›

Video 1. Arthroscopic repair of the medial meniscus is performed through an inside-out technique (right knee). This technique represents the gold standard for meniscal repair but can be improved by placing a retractor proximal to the semimembranosus.

Which is better meniscus repair or meniscectomy? ›

In most patients, meniscus tear repair is preferred over meniscus removal. That's because studies have shown when the meniscus is repaired and preserved, patients tend to experience better overall healing and better long-term joint function.

What are the two types of meniscus surgery? ›

Meniscus repair: The surgeon sews torn pieces of cartilage back together so they can heal on their own. However, because of tear type and blood supply, less than 10%of tears are actually repairable. Partial meniscectomy: The surgeon trims and removes the damaged cartilage and leaves healthy meniscus tissue in place.

Will my knee ever be the same after meniscus surgery? ›

So unfortunately, having a meniscal tear which requires surgery may raise your risk of getting arthritis later in life. It has also been shown that a knee that has undergone meniscus surgery has weaker thigh muscles and poorer quality of cartilage 4 years after the surgery [3].

Can you walk immediately after meniscus surgery? ›

Arthroscopic surgery for a torn meniscus (meniscectomy)

It may take 4-5 months for full healing. The patient should be able to bear weight on the knee while standing or walking, immediately after surgery. Crutches will be necessary for 2-7 days after surgery.

Is it worth fixing a torn meniscus? ›

Surgery to repair a tear may help you reduce the risk of other joint problems, such as osteoarthritis. Non-surgical treatment for a tear includes rest, ice, compression, and propping up your leg on a pillow when you sit or lie down. You may take over-the-counter medicines to relieve pain and swelling.

How bad does a meniscus tear have to be for surgery? ›

If your doctor's exam shows your meniscus tear is mild (Grade 1 or 2), you may not need surgery. If it's Grade 3, you probably will. Your doctor might choose to do any of the following: Arthroscopic repair.

How long are you down after torn meniscus surgery? ›

You may be able to return to most of your regular activities within a few weeks. But it will be several months before you have complete use of your knee. It may take as long as 6 months before your knee is strong enough for hard physical work or certain sports.

What type of meniscus tear Cannot be repaired? ›

The vascular portion is called the “red zone” due to the presence of capillaries in the meniscal tissue. The avascular portion is called the “white zone” due to its absence of blood supply. Red zone tears have the potential to heal and white zone tears will likely never heal.

What type of meniscus tear would be considered the preferred type? ›

Intrasubstance/Incomplete Tear

Incomplete and intrasubstance meniscus tears are considered "stable" injuries. That means they generally do not require surgical treatment.

Is a partial meniscectomy worth it? ›

Arthroscopic partial meniscectomy (APM) is one the most common orthopedic surgical procedures. The most common indication for APM is a degenerative meniscal tear (DMT). High-quality evidence suggests that APM does not provide meaningful benefits in patients with DMTs and may even be harmful in the longer term.

What is the difference between a scope and a meniscus repair? ›

Knee Arthroscopy

This is a commonly performed procedure to repair a tear, trim and remove the torn and loose pieces in the joint, or remove the entire meniscus. Meniscus repair is a delicate surgery that sutures the tear and anchors the meniscus in place.

What is the most severe type of meniscus tear? ›

What type of meniscus tear is the worst? Bucket-handle meniscus tears are the most serious type of meniscus injury. They often occur alongside a ligament injury. Bucket-handle tears require prompt surgery in order to have the best possible chance of recovery.

What is the recovery time for a meniscus repair? ›

If you have a partial or total meniscectomy, you can expect your recovery to take about a month. If your meniscus was repaired, it may take as long as 3 months.


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