Meniscus Repair

Meniscus repair is typically recommended for individuals with meniscal tears that meet specific criteria:

1. Tear Location: The location of the meniscal tear is a critical factor in determining whether repair is appropriate. Tears in the peripheral (outer) region of the meniscus, where there is a good blood supply, are more amenable to repair. In contrast, tears in the central (inner) region, which lacks a robust blood supply, may not heal well with repair.
2. Tear Type: Meniscal tears can be classified into various types, including longitudinal, radial, and complex tears. Repair is most effective for tears that are amenable to suturing and can achieve good tissue approximation such as vertical longitudinal tears
3. Patient Age and Activity Level: Younger, more active individuals are often better candidates for meniscus repair. Repair can help preserve knee function and reduce the risk of long-term joint degeneration, making it an attractive option for this demographic.

Various surgical techniques have been developed. Many factors have been identified that influence the success of meniscus repair including joint stability, an associated ACL reconstruction, age, tear shape, and methods of stimulating healing. This is why it is important to have a surgeon with the skills and experience such as those at Hyper Regen Sports Medicine to determine the best repair options for you.

Also, recovery takes longer with meniscus repair than a meniscectomy because the torn pieces must heal back together. Rehabilitation can take 3-6 months.

Recovery and rehabilitation following meniscus repair are essential for achieving a successful outcome. The rehabilitation process typically follows these general stages:

• Immediate Postoperative Period: In the initial days after surgery, the focus is on pain management, swelling reduction, and protecting the repaired meniscus. Weight-bearing restrictions and the use of crutches is necessary for 4-6 weeks.
• Range of Motion and Strengthening: As the knee heals, physical therapy begins to improve range of motion and strength. Gentle flexion and extension exercises are introduced, along with isometric exercises to maintain muscle tone.
• Progressive Strength Training: Over the following weeks, the rehabilitation program progresses to include more intensive strength and stability exercises. These aim to rebuild the muscles around the knee joint and core musculature to provide better support.
• Functional Training: The final stage of rehabilitation involves functional training, including activities that simulate real-life movements. This phase aims to restore normal daily activities and may include agility drills and sports-specific exercises for athletes.
• Return to Activity: The timing for a return to sports or strenuous activities varies depending on individual healing and the extent of meniscectomy but is in the range of 4-6 months.