Total meniscectomy, which is surgery to remove the entire meniscus. This surgery is not usually done, because it increases the risk of osteoarthritis in the knee.
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.
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.
This is because this area has rich blood supply and blood cells can regenerate meniscus tissue — or help it heal after surgical repair. But if the tear is in the inner two-thirds, which lack blood flow, the tear cannot be repaired and may need to be trimmed or removed surgically.
In most patients, meniscus tear repair is preferred over meniscus removal. That's because studies have shown when the meniscus is repaired and preserved, patients tend to experience better overall healing and better long-term joint function.
Studies have found that knee arthroscopy usually does not relieve pain, and any pain relief a patient does get is short-lived. And while complications from arthroscopy are rare, they can be serious, including blood clots and infections.
Running and jogging is typically allowed after 2-4 weeks and sports shortly after. What are the long term success rates for the surgeries? Overall, the long-term success rates for meniscal repairs vary from 84% to 94%. The success rate decreases when the knee is unstable, such as when there is an ACL tear.
What type of meniscus tear is the worst? Bucket-handle meniscus tears are the most serious type of meniscus injury. They often occur alongside a ligament injury. Bucket-handle tears require prompt surgery in order to have the best possible chance of recovery.
The athlete with a meniscal tear is often treated with meniscectomy or meniscal repair, depending on the size and location of the tear. Potential sequelae of meniscal injuries include the loss of in-season competition days and diminished career longevity.
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.
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.
Excessive pain in the knee following arthroscopic surgery is usually due to overactivity or spending too much time on your feet before the thigh muscles have been adequately strengthened. Excessive swelling can also cause pain in the knee. It is normal for the knee to be sore and swollen following arthroscopy.
Living without a meniscus can increase your risk of osteoarthritis and chronic (long-term) knee pain. A torn or injured meniscus can also lead to osteoarthritis. This condition happens when other cartilage in the knee wears away, causing pain and stiffness.
Without a meniscus, you might gradually develop knee pain and arthritis of your joint. 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.
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]. This is also thought to increase the risk of arthritis.
pain, risk of bleeding, and risk of infection (as with any surgical procedure) cost — while prices and insurance coverage vary, the cost of arthroscopic knee surgery in the US commonly ranges from $5,000 to $10,000. a recovery period that lasts weeks to months.
In the United States, currently, the average age to undergo knee arthroplasty is around 65 years old. Mostly knee replacement surgery is performed in elders with severe arthritis, while those under the age of 50 are considered young and are asked to wait until the age of 65.
Continuing to walk on the affected leg can aggravate your symptoms, making pain and stiffness worse in as little as a few days. Plus, suffering a torn meniscus may also increase your risk of complications, like developing osteoarthritis in that knee.
Answer: Immediately after surgery you will learn to climb stairs safely using crutches. As recovery continues and you work on flexion and extension of the new knee, you will be able to climb without crutches. With the help of physical therapy and building up the quadriceps muscles, stair climbing will be a breeze.
Over 4-6 weeks, the pain and swelling may decrease and activities of daily living may become tolerable. However, athletic activities may reproduce pain and swelling. Sometimes even activities of daily living such as going up and down stairs or getting in and out of cars may produce pain in a knee with a torn meniscus.
A torn meniscus can cause temporary or permanent disability and prevent a person from being able to walk around easily. If you have a job that involves manual labor or movement, your injury is likely to put you out of work until you can heal, which may take weeks or months.