Reconstruction of the medial meniscus

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What is a meniscus?

The meniscus of the knee joint is the cartilage that is located between the articular surfaces and helps the knee withstand constant loads. Normally, this organ is well moistened with an intra-compound fluid and has a holistic structure without cracks and defects.

How can I injure the meniscus of the knee?

Most often this happens in athletes with inadequate exercise. We can say that the bones seem to crush and tear the meniscus when it gives slack. After this, meniscus remains irreversible defects


How is the trauma of the meniscus of the knee?

At first, the injury manifests itself in an acute period: acute pain, significant swelling, redness, and the appearance of hematomas. Inability to lean on the foot due to severe pain. Especially manifested when the legs are extended.
After some time, with conservative treatment, the symptoms disappear and the injury goes into the chronic stage. Which may manifest a slight pain in the joint during exertion. It often proceeds absolutely asymptomatically, which complicates the diagnosis. A diagnosis requires arthroscopy or an MRI scan.

What to do with a knee meniscus injury?

If the symptoms of the acute stage are severe, then a meniscus or ligament defect is possible. Of course, in this case, the speed of the resolution of divnosis plays an important role. Since, for example, it is best to stitch the meniscus up to 2 weeks after the injury. That is why with any suspicion of a serious injury, you need to consult an orthopedic surgeon and conduct a full diagnosis to make a diagnosis.

After that, it will be possible to decide whether arthroscopic surgery is needed or whether conservative therapy can be dispensed with.


What are meniscus surgery?

Depending on the injury, such surgical interventions can be performed:

  • Complete removal of the damaged meniscus (meniscectomy)
  • Partial removal of the damaged part of the meniscus
  • Suturing a torn meniscus
  • Replacing the meniscus with an allo or xenograft

Complete meniscus removal

Complete removal of the meniscus in our time is carried out if the meniscus injury is very large and there is simply no other way out. After such an intervention, the meniscus must be replaced with a transplant, otherwise the process of degeneration of the articular surfaces will start due to the high friction between the joints. No wonder this meniscus was invented by nature there.
Meniscus transplantation can also be done both arthroscopically and in an open way.

Partial meniscus removal

Partial removal of the damaged part of the meniscus is the preferred solution to small tears. The damaged part is cut out and the edges of the meniscus are polished. Thus, most of the organ remains and it continues to fulfill its cushioning function in almost full volume.

Meniscus suture

Suturing can be considered an organ-saving operation in this context. This is arthroscopic manipulation during which a seam is placed on the gap or defect in the meniscus, due to which this defect is leveled and after a while the normal function returns. In this approach to treatment, the time after the injury is very important, since after a while the edges of the defect begin to grow with connective tissue and turn into the scar, and the edges of the scar can no longer grow together normally.

What happens to the knee after arthroscopic meniscus surgery?

After surgery on the meniscus, a long recovery period begins. Here it is important for the first time to have complete calm for the joint until the swelling subsides, and then it is important to regularly conduct exercises with physiotherapy exercises with a rehabilitation physician, to constantly develop the joint until the function is fully restored.


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