Meniscal repair surgery is a procedure performed to treat tears in the meniscus, which is a rubbery, C-shaped disc that cushions and stabilises the knee joint. The meniscus can tear due to sudden twisting or direct trauma to the knee, leading to pain, swelling, and limited mobility. Meniscal repair surgery aims to restore the integrity of the meniscus and alleviate symptoms, promoting long-term joint health and function.
Meniscal debridement surgery is a common Orthopaedic procedure used to treat meniscal tears that are not amenable to repair. Debridement involves the removal of damaged or torn portions of the meniscus to relieve symptoms and restore function to the knee.
During meniscal repair surgery, Dr Shales will make small incisions around the knee joint to access the torn meniscus. Depending on the location and severity of the tear, he may use arthroscopic instruments to trim or remove damaged tissue and then suture the torn edges of the meniscus together. In some cases, techniques such as suturing anchors or meniscal fixation devices may be used to secure the repair and facilitate healing.
Before undergoing meniscal surgery, patients will typically undergo a thorough evaluation, including physical examination, imaging studies (such as MRI), and medical history review. Preparing for surgery may involve:
- Consulting with the surgeon to discuss the procedure, risks, and expected outcomes.
- Following any preoperative instructions regarding medications, fasting, and hygiene.
- Planning for postoperative care and rehabilitation.
Dr Shales will go through to planned surgery and anticipated recovery so that you may organise work, transport and living situation prior to the surgery day.
Following meniscal repair surgery, patients will need to rest and elevate the affected leg to reduce swelling and promote healing. Physiotherapy may be initiated soon after surgery to restore knee strength, flexibility, and function. Recovery timelines vary depending on the extent of the injury and the type of repair performed, but most patients can expect gradual improvement over several weeks to months.
Rehabilitation plays a crucial role in the success of meniscal repair surgery. Patients will work closely with a physiotherapist to progress through a structured rehabilitation program tailored to their specific needs and goals.
While meniscal surgery is generally safe and effective, it carries certain risks and potential complications, including:
- Infection
- Blood clots
- Nerve or blood vessel damage
- Persistent pain or stiffness
- Failure of the repair to heal
- Further meniscal tearing
- Progression to osteoarthritis
Patients should discuss these risks with Dr Shales and seek prompt medical attention if they experience any concerning symptoms after surgery.
The success rate of meniscal repair surgery depends on various factors, including the type and location of the tear, the patient's age and overall health, and adherence to rehabilitation protocols. With proper treatment and rehabilitation, many patients experience significant pain relief, improved knee function, and a return to their normal activities and sports
Meniscal surgery is a valuable treatment option for individuals with symptomatic meniscal tears, aiming to preserve joint function and prevent long-term complications. By understanding the surgical process, preparing adequately, and actively participating in rehabilitation, patients can optimise their outcomes and regain confidence in their knee health.
Here are a number of the questions we often get asked.
If you have a meniscal repair then you will be required to wear crutches for a period of time. If you had a debridement then you are not required to use crutches but may find them helpful in the short terms for comfort.
Not all meniscal tears require surgical intervention. In some cases, conservative treatments such as rest, physiotherapy, and anti-inflammatory medications may be sufficient. Dr Shales will recommend the most appropriate treatment based on your individual circumstances.
