Meniscus Tear / injury

• Longitudinal / Vertical Tears- Commonly Associated With Acl Tear
• Bucket Handle Tear
• Oblique
• Radial
• Horizontal
• Root

• Pain in the knee joint
• Swelling in the knee joint can present for a long time after injury and can occur on and off
• Locking of the knee joint or clicking sound in the knee joint whenever the knee is bent

Meniscal tear is usually diagnosed in MRI.

Meniscal Tears are usually treated conservatively. Most Meniscal Tears can be treated without surgery with

• Rest
• Ice packing
•  Knee Brace support
•  Pain killers
•  In a few cases, protected weight bearing
•  After a few weeks, physiotherapy helps to recover and return to normal activities.

Most cases of Meniscal Tears are treated without surgery. Consult your surgeon and discuss proper treatment.
 

If the tear is present in the outer third of the Meniscus, it can heal on its own, but if present in the inner two-thirds or if there is a severe injury to the Meniscus, it may not recover. But consult your surgeon before discussing the proper Meniscus Tear/ injury treatment.

There are different kinds of surgery for a Meniscus Tear

• Partial meniscectomy
• Meniscal repair

• Even after taking treatment for a long duration, pain and swelling in the joints persists
• Locking of the knee joint is present and prevents you from doing your daily activities.
• Tear of discoid Meniscus
• Tear of the root of the Meniscus
• Large Meniscus Tear with long duration of symptoms.

• Meniscal repair is a new and novel technique.
• With more unique fixation devices, the success rate of Meniscal repair has increased.
• Meniscal repair preserves the original Meniscus, thus preserving natural knee structure.
• Meniscal repair preserves the natural knee kinematics
• Prevents further development of early osteoarthritis.

• Technically more demanding than partial meniscectomy
• Longer duration of rehabilitation in Meniscal repair compares to partial meniscectomy

• Meniscal repair tries to preserve the natural knee structure, so it is advantageous over partial meniscectomy.
• But in a few cases where there is a small tear that too in the inner portion of the Meniscus, partial  meniscectomy should be done.
• We believe in preserving as much Meniscal tissue that can be maintained to prevent further early osteoarthritis.

Recent studies have found that if there is a tear in the Meniscus root, it means there is no Meniscus. Joint loading in the tear of the Meniscus root is like in the knees where there is no Meniscus. Thus, it behaves as an absent Meniscus and leads to early-onset osteoarthritis.

The tear in the Meniscus root is treated with Meniscal repair or repair of the tear in the Meniscus root.

Non-working Meniscus changes knee kinematics and results in early-onset osteoarthritis.
In some cases, chronic knee pain and swelling may be present.

Yes, the patient can walk with Meniscal Tears but pain and swelling in the knee joint can be present with the locking of the knee joint.

With newer studies and improved techniques, there is no defined age for Meniscus repair.

Initially, the repair was indicated for young active individuals. But now, Patients who are old and have an active lifestyle and want to continue their daily activities are also suitable for Meniscal repair.

Meniscal repair should not be delayed for long as chances of early-onset osteoarthritis increase.

The patient usually has to wear a brace for 6 weeks post Meniscal repair, and for 3-4 weeks, he has to use crutches or a walker to walk after that patient can put weight on the leg.

Usually, it takes 3- 6 months for a full recovery and returns to heavy-duty or sporting activities. But we try to tailor-made the rehabilitation protocol for individual patients as we believe every patient is different.

Usually, after 3- 6 weeks, patients with light duty, which does not involve much heavy work, can join the office after Meniscal repair. Patients with a lot of physical activity/engaged in heavy work will have to wait for months and, after proper consultation with the surgeon, can join duty.

Usually, it depends on the patient's medical condition; if the patient is not suffering from any disease before surgery, hospital stay is for 1-2 days.

You can take a shower within 2-3 days after Meniscal surgery. Usually, waterproof dressing is applied to the wound, after which the patient can shower. But to take a bath or swim a patient will require 4-6 weeks. The patient has to keep the wound dry and avoid using hot water as it increases swelling.

It depends on the hospital category chosen by patients and the type of implant which is discussed.

At Simpainortho.com, we have tried to reduce the cost of surgery and hospital expenses and included complete after-surgery services, which patients require after surgery because we know treatment doesn't end at the patient's discharge. To ensure the quick recovery of patients in simpainortho.com, a patient requires expert care within the most comfortable surroundings until he can join routine activities. So, we have made different packages for different patients according to need, and that too at the most affordable prices.

Yes, most of the insurance has included Meniscal repair surgery.