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Meniscal surgery

These arthroscopic surgeries are only performed after particularly serious injuries, or where conservative treatments have been unsuccessful. There are four main categories of procedure here: meniscal suture; selective meniscectomy; implantation of meniscal scaffolding; implantation of meniscus from a donor (allograft).

Meniscal suture: If the size and location of the lesion will allow it, the surgeon will make a meniscal repair using a suture. Rehabilitation here last much longer than in simpler medial meniscectomies.

Selective meniscectomy: Where meniscal suturing is not an option, a surgeon will have to remove the detached meniscal fragments in order to restore the meniscal profile to normal. This type of surgery typically involves a very short period of time in hospital.

Meniscal scaffolding implants: This surgical technique was preceded by a long evaluation period. Currently it is a very popular technique as it results in extremely positive outcomes. A synthetic meniscal prosthesis is introduced arthroscopically, encouraging the growth of new meniscal tissue, thus delaying the onset of osteoarthritis.

Implantation of meniscus from a donor, or allograft: This surgical technique involves the implantation of meniscal tissue obtained from a donor which is then sutured into the knee of the recipient. As in the case with meniscal scaffolding, the time for the biological integration of new tissue requires some cautious monitoring, and recovery times will be much longer than for simple meniscectomies.

Regardless of the type of surgery used, post-operative recovery plans include intense physiotherapy, aquatherapy to allow patients to exercise with little load, and on-field rehab to rebuild specific skills. 

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