A meniscal repair will help reduce the effects of osteoarthritis because the damaged cartilage is repaired and saved versus being removed. An ACL may possibly have the least long term effects. Some patients may have decreased strength of the operated side and increased patellar tendinitis.
Meniscus tears generally heal in approximately three months or sooner (with and without surgery), while ACL tears take longer. If you don't need surgery, recover takes about three to six months. Recovering from ACL surgery can take six months to a year.
That being said, meniscus repair is a safe procedure with a complication rate of 1.3%. The most common complications are injuries to skin nerves, the vast majority of which resolve without additional procedures by three months post surgery. Injury to larger nerves or blood vessels is rare, as are blood clots.
ACL reconstruction usually takes less than two hours and patients go home the same day. But it's still considered major surgery.
Most people have some surgery-related pain and discomfort for the first week or so. Not surprisingly, pain from knee surgery decreases with time. By the end of a week or two at the most, you should have very little discomfort. Swelling and bruising are also relatively common, and like discomfort, they're temporary.
Rest: 0 to 2 weeks after ACL surgery
For the first couple of weeks after surgery, you will need to rest and care for the incision site.
Broken Bones Heal Better Than Ligaments and Tendon
The short answer is because the bone has plenty of blood supply to it compared to ligament/tendon, which has very little and ligament/tendons are more complex to rebuild. Wounds generally heal more slowly if blood can't circulate properly.
It may take as long as 6 months before your knee is strong enough for hard physical work or certain sports. You will need to build your strength and the motion of your joint with rehabilitation (rehab) exercises. In time, your knee will likely be stronger and more stable than it was before the surgery.
So unfortunately, having a meniscal tear which requires surgery may raise your risk of getting arthritis later in life. It has also been shown that a knee that has undergone meniscus surgery has weaker thigh muscles and poorer quality of cartilage 4 years after the surgery [3].
Most people can walk with crutches soon after meniscus surgery. Many return to normal activities within six to eight weeks. Your healthcare provider may recommend low-impact activities rather than high-impact (such as walking rather than running). If you have a physical job, you may need extra time off work to recover.
Success rates after meniscal repair range from 60% to 95%, but many reports are based on a small number of patients.
What is the Success Rate of Meniscus Repair? In general, meniscus repair surgery has a high success rate from around 84% to 94%. Success rates tend to decrease if the patient experienced an injury which decreases knee stability, such as an ACL tear.
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.
A torn meniscus usually produces well-localized pain in the knee. The pain often is worse during twisting or squatting motions. Unless the torn meniscus has locked the knee, many people with a torn meniscus can walk, stand, sit, and sleep without pain.
The injury won't heal on its own, which means it may continue getting worse without proper care. For example, a partial tear may continue to worsen until it's a complete tear. Continuing to walk on the affected leg can aggravate your symptoms, making pain and stiffness worse in as little as a few days.
It is possible to go through life without an ACL. Eventually, scar tissue builds and will contribute to some knee stability. However, it is not the same stability that an ACL provides. Whether or not you are a physically active individual or casually active, it is possible to maintain your quality of life successfully.
Following meniscus surgery, a person may develop new knee pain. This can occur for several reasons, including reinjury or problems with postsurgical rehabilitation. It may also develop due to postsurgical complications, such as arthritis. The treatment for new knee pain may vary depending on the underlying cause.
Your knee will be swollen. And you may have numbness around the cuts the doctor made (incisions) on your knee. You can put ice on the knee to reduce swelling. Most of this will go away in a few days.
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.
Knee pain, osteoarthritis, re-injury, inadequate rehabilitation, and spontaneous osteonecrosis are potential long-term problems after meniscus surgery. Talk with your healthcare provider about treatments to help you find relief if you're experiencing pain or other post-surgery problems.
Replacing your meniscus may provide significant pain relief. It may also help prevent arthritis in your joint. This can develop when your cartilage becomes frayed and rough. This surgery is less invasive than knee replacement surgery.
If the meniscus has been removed, even if a small piece has been removed, then the stress on the articular cartilage increase 3-fold. That can cause osteoarthritis, which may go on to require a knee replacement. What is this? Your risk of developing osteoarthritis increases when a meniscus tear occurs.
With an ACL tear, in young people or active older adults, surgical repair is typically necessary after an ACL tear. The biggest issue with a surgical repair is that it takes about 9 months to rehabilitate afterwards. Most people would agree that the ACL ligaments is the worst ligament to tear in the knee.
While not always the case, an ACL tear is in most cases going to be the more severe injury. It is considered worse than tearing the MCL because ACL tears are in general more complex to treat and require a longer recovery time after surgery.
Happily, the answer to the above question is most likely a yes – but with qualifications. Are teams' injury crises down to bad luck or bad management? While most do return, future performance is still hazy. Recovery time and post-surgery performance depends both on sport and position.