Arthroscopic Cartilage Repair / Removal

Case Definition


Arthroscopic knee surgery is used to treat meniscal tears, either by repairing and suturing the meniscus to restore it, or by removing only the damaged portion while preserving the healthy tissue.
The decision between repair and removal depends on:

  • The type of tear
  • Its location
  • The patient’s age
  • The degree of blood supply to the meniscus

This procedure is considered minimally invasive and is performed using a camera and precise instruments without opening the knee joint.

Symptoms That Require Surgical Intervention:

  • Persistent pain despite conservative treatment
  • Locking or “catching” of the knee joint during movement
  • Chronic knee swelling
  • A sensation of clicking or instability inside the joint
  • Limited range of motion or inability to bend the knee normally

Diagnostic Steps:

  • Clinical examination to determine the type of tear
  • MRI scan to identify the shape and location of the tear
  • Comprehensive evaluation of the entire knee joint before surgery

Types of Arthroscopic Surgical Intervention:

First: Meniscus Repair

  • Used when the tear is located in the outer (peripheral) part of the meniscus where blood supply is good
  • The tear is sutured using special stitches or fixation devices inside the joint
  • Best suited for younger patients and physically active individuals

Second: Partial Meniscectomy

  • Used when the tear is not repairable or located in an area with poor blood supply
  • Only the damaged portion of the meniscus is removed while preserving its overall shape
  • Allows for faster recovery but may accelerate the development of knee osteoarthritis in the future

Postoperative Care – Instructions and Tips:

  • Rest, elevate the leg, and limit movement during the first week
  • Use ice packs to reduce swelling
  • Commit to a gradual physical therapy program
  • Return to daily activities within 2–4 weeks (depending on the procedure)
  • Return to sports within 6–12 weeks in cases of meniscus repair
  • Avoid deep knee bending or squatting temporarily
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Frequently Asked Questions About Arthroscopic Meniscus Repair / Removal

We fully understand the importance of having all the necessary information to make informed decisions about your health.
Therefore, we have gathered the most frequently asked questions about arthroscopic meniscus surgeries and provided clear and reliable answers.
We hope this section helps you gain a better understanding of the procedure

The procedure is performed under general or spinal anesthesia. With proper postoperative pain management, discomfort is usually mild and well controlled.

Meniscus repair preserves the cartilage and is preferred whenever possible.
Meniscus removal (partial meniscectomy) is used when the damaged portion cannot be repaired.

Partial meniscectomy:
2–4 weeks to return to normal daily activities.

Meniscus repair:
6–12 weeks or longer, depending on the case.

Yes, if physical therapy is not properly followed, or in cases of improper movement or sudden excessive stress on the knee.

 
 
 

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