Meniscal procedures

Meniscal tears and meniscal surgery

The meniscus is a C-shaped piece of cartilage that cushions and stabilises the knee. Each knee has a medial (inner) and lateral (outer) meniscus. Tears can occur suddenly due to twisting injuries or gradually due to age-related degeneration.

Symptoms of a meniscal tear

• Knee pain along the joint line
• Swelling or stiffness
• Catching or locking of the knee
• Pain with twisting or squatting

Types of meniscal surgery

The goal of meniscal surgery is to relieve symptoms while preserving as much healthy meniscus as possible.

Partial meniscectomy

A partial meniscectomy involves removing only the torn and unstable portion of the meniscus while smoothing the remaining edges.

This procedure is commonly performed when:

• The tear is degenerative or complex
• The tissue has poor blood supply
• Repair is unlikely to heal successfully

Recovery highlights:

• Weight bearing usually allowed immediately
• Physical therapy focuses on motion and strength
• Return to normal activities often within a few weeks

Meniscal repair

A meniscal repair involves stitching the torn meniscus back together to allow it to heal naturally. This approach preserves the meniscus and helps protect long-term knee health.

Meniscal repair is typically recommended when:

• The tear is in a well-vascularised area
• The tear pattern is suitable for repair
• The patient is active or younger

Recovery highlights:

• Longer rehabilitation period
• Temporary limits on weight bearing and knee bending
• Emphasis on protecting the repair during healing