Meniscus Repair / Partial Meniscectomy

Meniscal repair is a surgical procedure performed to treat a torn meniscus in the knee by suturing the torn edges together to promote healing and preserve the meniscus's function and integrity. Unlike partial meniscectomy, which involves removing the damaged portion of the meniscus, meniscal repair aims to preserve as much of the meniscus as possible.

Meniscal tears that are suitable for repair are typically small, stable tears, and they occur in the outer region of the meniscus where there is a richer blood supply (red zone). Tears in the inner region (white zone) of the meniscus, which has a limited blood supply, are less likely to heal and may require a different treatment approach.

The procedure is usually performed arthroscopically, using a specialized instrument called an arthroscope, which allows the surgeon to visualize the inside of the knee joint without the need for large incisions. The surgeon uses small instruments through additional incisions to suture the torn edges of the meniscus together. In some cases, additional techniques or anchors may be used to improve the stability and success of the repair.

Meniscal repair has several advantages over partial meniscectomy:

• Preserving Meniscal Function: The meniscus plays a vital role in cushioning and stabilizing the knee joint. Preserving it through repair can help maintain knee function and reduce the risk of long-term joint problems.
• Lower Risk of Osteoarthritis: Retaining as much of the meniscus as possible may reduce the risk of developing osteoarthritis in the knee compared to removing a portion of it.
• Faster Recovery: Meniscal repair may result in a faster recovery compared to more extensive meniscectomy procedures.

However, not all meniscal tears are amenable to repair. Factors that may affect the suitability of meniscal repair include the type and location of the tear, the size of the tear, the patient's age, activity level, and overall knee health. Some tears are simply not repairable due to their location or other characteristics.

After meniscal repair surgery, patients will undergo a rehabilitation program to protect the healing meniscus while gradually regaining strength and function in the knee. The recovery time varies depending on the type of tear and the success of the repair but can range from several weeks to several months.

Do's for Meniscus Repair

• Follow Pre-operative Instructions: Adhere to your surgeon's pre-operative guidelines, which may include fasting instructions and medication restrictions.
• Prepare Your Home: Make sure your home is safe and accessible for your recovery, with clear pathways and assistive devices like crutches.
• Protect the Operated Knee: Use crutches or other assistive devices as advised by your healthcare team to protect the repaired meniscus during the initial recovery phase.
• Comply with Medications: Take prescribed medications, including pain relievers and antibiotics, as directed to manage pain and prevent infections.
• Keep the Incision Clean: Follow your surgeon's instructions on caring for the surgical incision to prevent infections and promote proper healing.
• Control Swelling and Pain: Use ice packs and elevation to control swelling, and take pain medications as prescribed to manage discomfort.

Don'ts for Meniscus Repair

• Overexert Yourself: Avoid putting excessive stress on the repaired meniscus during the early stages of recovery. Follow your physical therapist's guidelines and gradually increase activity as advised.
• Neglect Physical Therapy: Continue with your physical therapy sessions diligently to ensure a successful recovery and reduce the risk of future knee problems.
• Ignore Signs of Infection: If you experience signs of infection, such as fever, increased redness, swelling, or drainage from the incision, contact your surgeon immediately.
• Engage in High-Impact Activities: Avoid high-impact exercises or activities that may put strain on the repaired meniscus.
• Sit for Prolonged Periods: Avoid sitting or lying in one position for too long to prevent stiffness and discomfort.
• Smoke or Use Tobacco Products: Smoking can hinder the healing process, so it's best to avoid tobacco during your recovery.

Do's for Partial Meniscectomy

• Follow Pre-operative Instructions: Adhere to your surgeon's pre-operative guidelines, which may include fasting instructions and medication restrictions.
• Prepare Your Home: Make sure your home is safe and accessible for your recovery, with clear pathways and assistive devices like crutches.
• Protect the Operated Knee: Use crutches or other assistive devices as advised by your healthcare team during the initial recovery phase.
• Comply with Medications: Take prescribed medications, including pain relievers and antibiotics, as directed to manage pain and prevent infections.
• Keep the Incision Clean: Follow your surgeon's instructions on caring for the surgical incision to prevent infections and promote proper healing.

Don'ts for Partial Meniscectomy

• Overexert Yourself: Avoid putting excessive stress on the knee during the early stages of recovery. Follow your physical therapist's guidelines and gradually increase activity as advised.
• Neglect Physical Therapy: Continue with your physical therapy sessions diligently to ensure a successful recovery and reduce the risk of future knee problems.
• Ignore Signs of Infection: If you experience signs of infection, such as fever, increased redness, swelling, or drainage from the incision, contact your surgeon immediately.
• Engage in High-Impact Activities: Avoid high-impact exercises or activities that may put strain on the knee joint.
• Sit for Prolonged Periods: Avoid sitting or lying in one position for too long to prevent stiffness and discomfort.