Meniscus Repair

What is a torn meniscus?

There are three bones in the knee, the femur, tibia and patella. The ends of those bones are covered with cartilage (a smooth material that cushions the bone and allows the joint to move easily without pain). The cartilage acts as a shock absorber. Between the bones of the knees are two crescent-shaped discs of connective tissue, called menisci. These also act as shock absorbers to cushion the lower part of the leg from the weight of the rest of the body.

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What causes a torn meniscus?

Meniscus tears can happen during a rotating movement while bearing weight, such as when twisting the upper leg while the foot stays in one place during sports and other activities. Tears can be minor, with the meniscus staying connected to the knee, or major, with the meniscus barely attached to the knee by a cartilage thread.

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What are the symptoms of a torn meniscus?

The following are the most common symptoms of a torn meniscus. However, each individual may experience symptoms differently. Symptoms may include:

  • Pain, especially when holding the knee straight
  • Swelling and stiffness
  • Knee may catch, click, or lock
  • Knee may feel weak

The symptoms of a torn meniscus may resemble other medical conditions or problems. Always talk with your healthcare provider for a diagnosis.

How is a torn meniscus diagnosed?

In addition to a complete medical history and physical exam, diagnostic procedures for a torn meniscus may include the following:

  • X-ray. A diagnostic test that uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.
  • Magnetic resonance imaging (MRI). A diagnostic procedure that uses a combination of large magnets, radiofrequencies, and a computer to produce detailed images of organs and structures within the body. It can often determine damage or disease in a surrounding ligament or muscle.
  • Arthroscopy. A minimally-invasive diagnostic and treatment procedure used for conditions of a joint. This procedure uses a small, lighted, optic tube (arthroscope) that is inserted into the joint through a small incision in the joint. Images of the inside of the joint are projected onto a screen. They are used to evaluate any degenerative and/or arthritic changes in the joint. The procedure also may detect bone diseases and tumors as well as determine the cause of bone pain and inflammation.

How is a torn meniscus treated?

Specific treatment for a torn meniscus will be discussed with you by your healthcare provider based on:

  • Your age, overall health, and medical history
  • Extent of the injury
  • Your tolerance for specific medicines, procedures, and therapies
  • Expectation for the course of the injury
  • Your opinion or preference

Treatment may include:

  • Icing
  • Medicine to relieve pain and reduce inflammation, such as ibuprofen
  • Muscle-strengthening exercises
  • Arthroscopic surgery

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What are the complications of a torn meniscus?

An untreated torn meniscus can result in instability of the knee, persistent pain, and increase your risk of osteoarthritis.

When should I call my healthcare provider?

Call your healthcare provider if your knee:

  • Locks or catches or makes a clicking, popping, or grinding sound
  • Is painful and/or swollen
  • Feels weak or buckles

Key points about a torn meniscus

  • Torn meniscus is caused by a twisting movement of the knee while bearing weight.
  • A torn meniscus causes pain, locking or clicking, and weakness of the knee.
  • Exercises, medicine and arthroscopy may be used to treat a torn meniscus.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

  • Know the reason for your visit and what you want to happen.
  • Before your visit, write down questions you want answered.
  • Bring someone with you to help you ask questions and remember what your provider tells you.
  • At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
  • Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
  • Ask if your condition can be treated in other ways.
  • Know why a test or procedure is recommended and what the results could mean.
  • Know what to expect if you do not take the medicine or have the test or procedure.
  • If you have a follow-up appointment, write down the date, time, and purpose for that visit.
  • Know how you can contact your provider if you have questions.

Understanding Meniscal Transplant Surgery

Understanding Meniscal Transplant Surgery

Meniscal transplant surgery is done to replace a small piece of missing or damaged cartilage in the knee. The meniscus is replaced with one from a cadaver donor.

What is the meniscus?

Your knee has two wedge-shaped pieces of cartilage, one on each side of your knee. Each of these pieces is called a meniscus. These rubbery menisci act as shock absorbers between your thigh bone (femur) and your shin bone (tibia). The menisci help protect the ends of your femur and tibia as they move together.

A twisting injury may badly damage your meniscus. If the damage is bad enough, your meniscus may need to be removed. Without this meniscus cushion, the ends of your tibia and femur may start to rub together. Over time this can cause knee pain and arthritis.

Why meniscal transplant surgery is done

Meniscal transplant surgery may be done if your meniscus was taken out in a previous surgery. With no meniscus, you may develop knee pain and arthritis of the knee joint. Replacing the meniscus may give you pain relief. It may also help prevent arthritis. This surgery is less invasive than knee replacement surgery. Meniscal transplant surgery may not be a choice if you already have arthritis of your knee.

Meniscal transplant surgery may be a choice if you:

  • Are age 55 or younger

  • Are missing more than half your meniscus, or have a large meniscus tear that can’t be repaired

  • Have severe or ongoing knee pain with activity

  • Have an unstable knee

  • Have no or only a small amount of arthritis

  • Have a knee with normal alignment and stable ligaments

  • Are not obese

How meniscal transplant surgery is done

Your surgery will be done by orthopedic surgeon. The surgery can be done in several ways. The surgeon will make a small cut (incision) through the skin and muscle of your knee. He or she will put a very small camera through this incision. This is used to help guide the surgery. Any remaining meniscus is removed with very small tools put through the incision. The surgeon will sew the donated meniscus into the joint space with stitches (sutures). Screws or other devices may be used to hold the meniscus in place.

Risks of meniscal transplant surgery

All surgery has some risks. The risks of this surgery include:

  • Stiffness of the joint after surgery (more common)

  • Incomplete healing and need for another surgery

  • Too much bleeding

  • Infection

  • Damage to nearby nerves

  • Problems from anesthesia

  • An infection from the donated tissue (extremely rare)

Your own risks may be different based on your age, overall health, and other factors. Ask your healthcare provider about the risks that most apply to you.