General anesthesia is typically used for this type of surgery, though in some cases a spinal or epidural anesthetic is used. The anesthesiologist will administer the anesthesia once you are in the operating room.
During the Surgery
You may be given medications to relax you, but you'll be awake throughout the procedure. With regional anesthesia, pain medicine is injected into a space in your spine. You'll be numb below the waist but awake during the surgery. 7
Arthroscopic surgery for a torn meniscus (meniscectomy)
It may take 4-5 months for full healing. The patient should be able to bear weight on the knee while standing or walking, immediately after surgery. Crutches will be necessary for 2-7 days after surgery.
Meniscus surgery is a common operation to remove or repair a torn meniscus, a piece of cartilage in the knee. The surgery requires a few small incisions and takes about an hour. Recovery and rehabilitation take a few weeks.
Arthroscopic meniscus repair is moderately painful. Because more soft tissue surgery is performed, it is more painful than a standard arthroscopy, but less painful than a ligament reconstruction or another procedure that requires drilling holes through the bone.
That's where – because a portion of the meniscus has been removed, the bones around the knee joint “see” more stress when you walk and they react by becoming very inflamed and can actually at it's worse, cause a stress fracture which is quite painful.
Arthroscopic meniscus repair typically takes about 40 minutes to perform, and usually you will be able to leave the hospital the same day.
If your torn meniscus was repaired with suture, you will be wearing a knee immobilizer to keep your knee straight. You should keep the knee straight in the immobilizer anytime Page 3 you are putting your weight on your leg, but may bend your knee up to 90 degrees when you are not putting any weight on your leg.
Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. It is vital that meniscus repair patients do not squat for at least four months after the repair.
Most people can get back to desk work, school or sedentary activity 3 to 5 days after surgery. If your right knee was operated on, it may be up to 2 weeks before the knee is strong enough to hit the brakes to drive safely. For heavy work, it may take 4 to 6 weeks before the leg is strong enough to allow for working.
Walking, standing, stair climbing, etc… are not good for the knee for the first week after surgery so don't walk or stand anymore than is necessary until the discomfort and swelling from the procedure are gone.
In many cases the knee will feel better within a few days. Most people are off crutches in a day, and stop taking pain medicine within a day or two. In contrast, if you are a older, heavier and have arthritis as well as a meniscus tear, then you may take much longer to recover.
Back up until you feel the chair or toilet seat touch the back of your legs. Slide your operated leg forward slightly. Bend both knees and gently lower yourself onto the chair or toilet, using the armrests, countertop, or sink for support.
For instance, if the meniscus tear is mild, which would be a Grade 1 or 2, you will most likely not need surgery. However, if your injury is more severe at a Grade 3 rating, then your doctor might discuss your surgery options.
Avoid long periods of sitting (without leg elevated) or long distance traveling for 2 weeks. The first two days after surgery you can expect a small amount of red-tinged drainage on your dressings. This is normal.
What are the benefits? Surgery to repair tears in the meniscus relieves symptoms 85% of the time. That means that of 100 people who have this surgery, 85 have relief from pain and can use their knee normally, while 15 do not. Surgery to repair tears may reduce the risk of long-term joint problems.
Unless otherwise instructed by your doctor, use crutches when walking and bear weight as tolerated on the operated leg. That is, you can bear as much weight as you can, even full weight, as long as there is no knee pain when you put your weight on the limb. Wear the post-operative brace for walking.
You should soon start seeing improvement in your knee. You may be able to return to most of your regular activities within a few weeks. But it will be several months before you have complete use of your knee. It may take as long as 6 months before your knee is strong enough for hard physical work or certain sports.
Doctors understand that knee pain can be worse after meniscus surgery. In the last decade there have been many papers and studies demonstrating that there is a very real probability that many people will have more pain after knee arthroscopic meniscus surgery.
You may shower 24 to 48 hours after surgery, if your doctor okays it. When you shower, keep your bandage and incisions dry by taping a sheet of plastic to cover them. If you have a brace, take it off if your doctor says it is okay. It might help to sit on a shower stool.
Meniscus repair recovery
If your job mostly involves sitting at a desk, you may be able to get back to work in a week or two. If your job requires being on your feet, you could be off work four to six weeks. For a very physically active job or a return to sports, plan on a three- to six-month recovery period.
Most of the patients do not require a knee brace after a meniscectomy, but if the patient undergoes a meniscus repair done, a knee brace or a knee immobilizer is provided to prevent the bending of the knee while bearing weight which can cause retearing of the repair of the meniscus.
It would be most helpful to have someone living with or near you for the first 3-5 days. This is very important for your safety and health that you have around-the-clock care. If you have pets, especially dogs, consider boarding them for a few days.