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Arthroscopic Meniscal Repair Video

 

Meniscal tears are very common and can cause a significant amount of pain and dysfunction. The menisci are C-shaped structures made of collagen.  They cushion the bones and are subject to severe stresses as people twist there knees and move into deep flexion.  The torn tissue can then irritate the inside of the knee.  Menisci naturally degenerate over time making these tears more likely as one gets older.  The result is a painful knee that often has tenderness over the meniscus on the inside or outside of the knee, swelling, catching sensations or locking, and possibly even giving way of the knee.  The tissue has a poor blood supply and has a difficult time healing itself.  Non-surgical treatments include ant-inflammatory medications, rest, and ice.  Arthroscopic surgery is often indicated when non-surgical treatments fail or when a repair may be possible to save the tissue.  Depending upon the quality of the tissue, the pattern of the tear, and the potential to heal, the meniscus can either be repaired or the torn portion can be resected (menisectomy) in order to prevent symptoms from recurring.  The recovery after a menisectomy is usually 6-8 weeks.  Most patients do not need to use crutches and can return to work within a few days.  Meniscus repairs require a longer recovery in order to protect the repair.