Meniscal Repair Surgery In Pune
What is Meniscal Repair Surgery?
Meniscal repair surgery is a specialised orthopaedic procedure aimed at restoring the health and functionality of the knee joint by addressing torn or damaged meniscus cartilage. The meniscus, a crucial shock-absorbing structure in the knee, can sustain injuries during sports activities, accidents, or the natural ageing process. Meniscal repair surgery involves the meticulous rejoining or suturing of torn meniscal tissue, enabling it to heal naturally. This procedure is designed to alleviate pain, enhance knee stability, and preserve the long-term integrity of the joint, ultimately allowing individuals to regain their active lifestyles and enjoy pain-free movement.
When to Go For Surgery
The decision to undergo meniscal surgery is typically based on several factors, including the type, size, and location of the meniscus tear, the patient's age, activity level, and the presence of significant symptoms. Surgery may be recommended when nonsurgical treatments such as rest, ice, physical therapy, and medication fail to alleviate pain, swelling, or functional limitations associated with the meniscus injury. Additionally, individuals who have meniscus tears in conjunction with other knee injuries, like an ACL tear, are also candidates for surgical intervention. Ultimately, the decision to go to surgery should be made in consultation with a qualified healthcare provider who can assess the specific circumstances and tailor the treatment plan to the patient's unique needs and goals.
The procedure for meniscal repair surgery, commonly performed through knee arthroscopy, is a meticulous and minimally invasive approach. After administering the appropriate anaesthesia ( regional, or general), the surgeon makes small incisions in the knee and inserts an arthroscope equipped with a camera to visualise the torn meniscus. Depending on the tear's characteristics, the surgeon will choose between two primary techniques: meniscus repair, where torn segments are carefully stitched together to facilitate natural healing, or partial meniscectomy, involving the removal of damaged cartilage while preserving healthy tissue. This decision is based upon the location of tear , the extent of tear , and complexity of tear . The procedure is typically brief, lasting under an hour, and is followed by the closure of incisions.
Post Surgery Care
Patients gradually progress toward bearing weight at times starting from non weight bearing to partial weight bearing to full weight bearing depending upon the surgeon decision based upon the surgery performed , expanding their range of motion, and eventually discarding the knee brace during the healing process. The pace of this recovery may vary depending on the surgeon but typically spans 4 to 8 weeks. Within two to three months, patients become brace-free and regain independent walking. The recommended post-surgery care includes:
1. Utilising crutches to alleviate knee pressure during the recovery period.
2. Employing a knee brace for stability during the recuperation phase.
3. Administering pain medications as prescribed.
4. Engaging in home-based rehabilitation exercises to restore mobility, strength, and range of motion.
5. Adhering to the RICE protocol, which involves rest, ice application, compression, and elevation.
1. What is knee arthroscopy, and when is it recommended?
Knee arthroscopy is a minimally invasive surgical procedure used to diagnose and treat various knee conditions. It's recommended when conservative treatments like rest, physical therapy, or medication fail to provide relief from knee pain or when there's a need for a precise diagnosis of unexplained knee symptoms.
2. What are the common knee issues treated with arthroscopy?
Knee arthroscopy can address a range of knee problems, including torn meniscus, ligament injuries like ACL or PCL tears, inflammation of the synovium, cartilage damage, loose fragments in the joint, and patella-related issues.
3. What can I expect during the recovery period after knee arthroscopy?
Recovery from knee arthroscopy involves rest, keeping weight off the knee, and possibly using crutches or a walker. Elevating the leg to reduce swelling is crucial. Patients are typically advised to follow a physiotherapy program to regain full mobility and function gradually.
4. How long does knee arthroscopy surgery typically take?
The duration of knee arthroscopy can vary depending on the complexity of the issue being addressed. On average, the procedure takes about 30 minutes to an hour. However, your orthopaedic surgeon will provide you with a more accurate estimate based on your specific case and number of ligament repaired or reconstructed .
5. Is knee arthroscopy an outpatient procedure?
Yes, knee arthroscopy is often performed as an outpatient procedure, meaning you can typically go home on the same day as your surgery. However, the exact discharge plan may vary based on your surgeon's recommendation and your overall health.