Meniscal transplant surgery is a procedure aimed at restoring function and reducing pain in patients with damaged or missing meniscus in the knee joint. The meniscus is a crucial shock-absorbing cartilage that cushions the knee and provides stability during movement. When the meniscus is damaged or removed due to injury or degeneration, it can lead to pain, swelling, and decreased mobility. Meniscal transplant surgery offers a solution to restore the function of the knee and improve quality of life for eligible patients.
During meniscal transplant surgery, the damaged or missing meniscus is replaced with a donor meniscus graft. The surgery is typically performed under general anaesthetic and involves the following steps:
1. Arthroscopic Evaluation: Dr Shales makes small incisions around the knee joint and inserts a tiny camera called an arthroscope to assess the extent of damage and prepare the joint for the transplant.
2. Donor Graft Preparation: A donor meniscus graft, carefully matched in size and shape to fit the patient's knee, is prepared and sterilised.
3. Graft Implantation: The damaged meniscus is removed, and the donor graft is secured in place using specialised surgical instruments and techniques.
4. Closure: The incisions are closed with sutures or adhesive strips, and a sterile dressing is applied.
Before undergoing meniscal transplant surgery, patients may need to:
- Undergo pre-operative evaluations, including physical examinations and imaging tests.
- Discontinue certain medications or supplements that may interfere with surgery or recovery.
- Arrange for transportation to and from the hospital on the day of surgery.
- Follow fasting instructions provided by the surgical team.
Following meniscal transplant surgery, patients can expect:
- Pain management with medications prescribed by the surgeon.
- Physical therapy to regain strength, flexibility, and range of motion in the knee.
- Limited weight-bearing and activity restrictions for a specified period as advised by the surgeon.
- Regular follow-up appointments to monitor progress and address any concerns.
Rehabilitation plays a crucial role in the success of meniscal transplant surgery and typically involves:
- Gradual progression of exercises to strengthen the muscles surrounding the knee.
- Range of motion exercises to improve flexibility and mobility.
- Functional training to facilitate a safe return to daily activities and sports.
While meniscal transplant surgery is generally safe, potential risks and complications may include:
- Infection at the surgical site.
- Blood clots in the leg (deep vein thrombosis).
- Graft failure or rejection.
- Persistent pain or stiffness in the knee.
- Nerve or blood vessel injury during surgery.
The success of meniscal transplant surgery depends on various factors, including patient age, activity level, and the extent of knee damage. Overall, many patients experience significant improvements in pain relief, function, and quality of life following surgery. However, full recovery and return to pre-injury activities may take several months.
Meniscal transplant surgery is a valuable option for patients with persistent knee pain and dysfunction due to meniscal injury or deficiency. By restoring the natural cushioning and stability of the knee joint, this procedure can help patients regain mobility and improve their overall quality of life.
If you wish to discuss meniscal transplant surgery please make an appointment to see Dr Shales
Here are a number of the questions we often get asked.
The duration of surgery can vary depending on the complexity of the procedure, but it typically takes two hours.
With proper rehabilitation and clearance from your surgeon, many patients are able to return to sports and other physical activities within six to twelve months after surgery.
While most patients can resume normal activities after recovery, some may need to avoid high-impact or repetitive stress activities to protect the transplanted meniscus and reduce the risk of reinjury. Your surgeon will provide personalised recommendations based on your specific circumstances.
