Understanding Meniscal Repair begins with grasping the concept of arthroscopy. Arthroscopy, originating from Greek words árthro (joint) and skopein (to look), is a minimally invasive surgical technique used by orthopedic surgeons to examine and treat joint issues without significant incisions. Meniscal Repair is a surgical procedure performed to repair a torn meniscus in the knee. This intervention becomes necessary when the meniscus is torn and causing symptoms such as pain, swelling, and mechanical symptoms like catching or locking of the knee joint. During Meniscal Repair, surgeons use arthroscopic techniques to access the knee joint. They then repair the torn meniscus using sutures or other fixation devices to reapproximate the torn edges and promote healing.
Meniscal Repair offers several advantages over other treatments like meniscectomy (partial removal of the meniscus). These include preservation of the meniscus, which helps maintain knee joint stability and reduces the risk of long-term complications like osteoarthritis. This approach has transformed the treatment of meniscal tears, significantly enhancing patient outcomes and preserving knee function.
Meniscal Repair is typically recommended for individuals with a symptomatic meniscal tear that is amenable to repair. Common indications for Meniscal Repair include:
Before undergoing Meniscal Repair, patients undergo thorough medical evaluations. They may need to discontinue certain medications and adhere to pre-operative fasting guidelines. Additionally, patients should arrange for assistance during the post-operative recovery period and wear comfortable clothing on the day of surgery.
Meniscal Repair is performed under anesthesia. Surgeons use arthroscopic techniques to access the knee joint and perform the repair. They carefully repair the torn meniscus using sutures or other fixation devices to reapproximate the torn edges and promote healing. The procedure typically lasts several hours, including pre-operative preparations and post-operative care.
After Meniscal Repair, patients undergo a comprehensive rehabilitation program. Physical therapy is crucial for regaining knee strength, range of motion, and stability. Return to activities is gradual and guided by the surgeon's recommendations.
While Meniscal Repair is generally safe, there are potential risks associated with any surgery. These may include infection, blood clots, excessive bleeding, and failure of the repair. However, with proper pre-operative evaluation and post-operative care, the likelihood of complications is minimized.