The meniscus, a crucial shock-absorbing cartilage in the knee, plays an essential role in maintaining joint stability and protecting the knee from long-term damage. Meniscal tears are common injuries, especially in active individuals, and their treatment depends on factors such as the patient’s age, activity level, and the type of tear.

Meniscal repair is a specialized procedure aimed at preserving the meniscus and restoring normal knee function. Unlike removing the damaged tissue, repairing the meniscus offers long-term benefits by reducing the risk of arthritis and maintaining joint health. At COSM, we focus on meniscus-preserving procedures like repair whenever possible, because saving the natural meniscus helps protect the knee from early arthritis and long-term damage.

Who is a Candidate for Meniscal Repair?

Meniscal repair is most successful in:

• Young Patients:Large vertical tears, particularly in young adults, are highly repairable.
• Associated ACL Tears:When a meniscal tear occurs alongside an anterior cruciate ligament (ACL) injury, repair is often recommended. The enhanced healing environment created during ACL reconstruction improves the likelihood of successful meniscal repair.
• Specific Tear Types:Vertical, longitudinal, or peripheral tears have better repair potential due to their blood supply and structural characteristics.

In contrast, degenerative tears in older patients are less likely to benefit from repair and may require alternative treatments.

The Meniscal Repair Procedure

Meniscal repair is performed arthroscopically, using a minimally invasive “keyhole” technique:

1. Arthroscopic Access:A small camera (arthroscope) and specialized instruments are inserted into the knee.
2. Suture Placement:Tiny, precise sutures are carefully placed across the tear to stabilize the meniscus.
3. Stabilization:The repaired meniscus is secured to allow natural healing.

This advanced, minimally invasive technique ensures reduced surgical trauma and promotes quicker recovery compared to open surgery.

Post-Surgery Recovery: Protecting the Healing Meniscus

The primary goal after meniscal repair is to protect the healing tissue while gradually restoring knee function. A detailed rehabilitation plan includes:

• Immobilization:A range-of-motion (ROM) brace is typically applied to limit movement and protect the repaired meniscus during the early healing phase.
• Controlled Mobility:Physiotherapy begins with gentle exercises to restore range of motion and build muscle strength.
• Gradual Progression:Weight-bearing and physical activity are gradually increased under expert supervision.

This structured approach ensures optimal healing and minimizes the risk of re-injury.

Benefits of Meniscal Repair

• Joint Preservation:Unlike meniscectomy (removal of the meniscus), repair maintains the knee’s natural structure and function.
• Reduced Arthritis Risk:Preserving the meniscus significantly lowers the chances of developing osteoarthritis later in life.
• Enhanced Stability:Repairing the meniscus improves joint stability, particularly when performed alongside ACL reconstruction.

Challenges and Considerations

While meniscal repair offers long-term benefits, it requires patience and adherence to a post-operative rehabilitation program. A period of limited knee movement and weight-bearing is essential to protect the repair and promote successful healing.

Why Choose COSM for Meniscus Surgery?

• Fellowship-trained orthopedic surgeon with UK sports medicine & arthroscopy experience
• Use of latest arthroscopic repair techniquesand modern implants
• Tailored rehabilitation protocolsfor athletes and active patients
• Focus on long-term joint preservation and mobility

At Care Orthopaedic & Sports Medicine (COSM) Center, our priority is to save the meniscus whenever possible, ensuring better knee health and function for years to come.