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MENISCUS SURGERY (MENISCUS REPAIR & MENISCECTOMY)

Meniscus repair is an effective treatment option for people with lower-grade meniscus tears. During this procedure, the surgeon stitches the torn cartilage so it can heal back into one complete piece.

Meniscus surgery is performed to treat a torn meniscus, which is damage to the cartilage inside the knee joint. Depending on the type and severity of the tear, an orthopedic surgeon may either repair the meniscus or remove the damaged portion.

A doctor may recommend meniscus surgery if:

  • You have a high-grade meniscus tear

  • Non-surgical treatments like rest, medication, or physiotherapy have not relieved symptoms

  • The knee feels unstable, painful, swollen, or gets “locked” or “stuck”

WHAT IS A MENISCUS TEAR?

The meniscus is a C-shaped piece of cartilage that cushions the knee joint. A tear can cause:

  • Knee pain and swelling

  • Instability or buckling

  • Difficulty walking or bending

  • Locking or catching sensation in the knee

PREPARATION FOR MENISCUS SURGERY

Before surgery, your doctor may recommend the following tests:

  • Physical examination

  • Blood tests

  • ECG (EKG)

  • Chest X-ray

  • Knee X-ray

  • MRI scan of the knee

Pre-Surgery Instructions

  • Inform your doctor about all medications, supplements, or herbal products you are taking

  • Some medications may need to be stopped before surgery

  • Fast for at least 12 hours before surgery

  • Arrange for transportation, as you will not be able to drive after the procedure

MENISCUS SURGERY PROCEDURE

On the day of surgery, anesthesia is given to ensure comfort:

  • General anesthesia (you are asleep), or

  • Regional anesthesia (numbness from the waist down with sedation)

Meniscus surgery is usually done using knee arthroscopy, a minimally invasive technique involving small incisions and a tiny camera.

TYPES OF MENISCUS SURGERY

1. Meniscus Repair
  • The torn meniscus is stitched back together

  • Best for lower-grade tears with good healing potential

  • Sutures dissolve naturally as healing occurs

2. Partial Meniscectomy
  • The damaged portion of the meniscus is removed

  • Healthy cartilage is preserved

  • Often recommended for severe or complex tears that cannot be repaired

3. Meniscus Replacement
  • Rare procedure

  • Typically for patients under 50 with severe damage or arthritis

  • The damaged meniscus is replaced with a donor meniscus (allograft)

DURATION OF MENISCUS SURGERY
  • The procedure usually takes about 1 hour

  • Time may vary depending on tear severity or associated knee injuries

RISKS AND COMPLICATIONS

Meniscus surgery is generally safe, but potential risks include:

  • Infection

  • Bleeding inside the knee

  • Blood clots

  • Nerve or blood vessel injury

  • Knee stiffness after recovery

⚠️ Long-term consideration:
Partial meniscectomy may slightly increase the risk of knee arthritis later in life due to increased joint stress.

Your surgeon will help weigh the risks versus benefits based on your condition.

AFTER MENISCUS SURGERY

Meniscus surgery is usually an outpatient procedure, meaning:

  • You can go home the same day

  • You’ll be monitored until anesthesia wears off

  • Someone must drive you home

BENEFITS OF MENISCUS SURGERY

Meniscus surgery can:

  • Relieve knee pain and swelling

  • Improve knee stability

  • Restore mobility and function

  • Help you return to sports and daily activities

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