What is Meniscus?
Meniscus tears are the most common diseases requiring knee surgery. The meniscus is a structure that can resemble the C shape inside the knee joint. They are two in each knee, one inside and the other outside. Of these, the Media meniscus tears three times more than lateral. Traumatic meniscus tears are common in young people due to sports injuries. Degenerative tears are seen in elderly patients and we can interpret the onset as insidious. Meniscus tears can be classified according to their distance from the vascular structures (according to the healing potential), according to their location (anterior, posterior, middle) or according to the appearance and orientation of the tear.
Treatment Options for Meniscus Tears
Partial Meniscectomy –
Partial meniscectomy is preferred for tears that cannot be repaired except for meniscus tears that do not require any treatment (tears that are not full thickness, tears less than 5 mm in length and tears that cannot be displaced by more than 1-2 mm). This removes the torn part and tries to protect the remaining undamaged part. The use of laser and other similar devices for this purpose is currently under investigation.
Meniscus Repair –
All peripheral longitudinal tears should be performed, especially if the patient is young and ACL repair is performed. The reinforcing techniques increased the indications for repair. There are four major techniques for repair: open, from outside to inside, from inside to outside, all inside. Newer methods are preferred more frequently for all-inside repairs. The gold standard in the treatment of meniscus is sutures thrown from inside to outside. Due to the vascularity of meniscus, most are not suitable for healing. Therefore, very small tears are suitable for repair.
After Meniscus Treatment Process
80-90% success rates have been reported in different studies. However, the result depends on the location, type, and chronicity of the tear. The best results in meniscus repair can be achieved with ACL repair in young patients in the acute period.
Very serious rehabilitation is not required after the treatment unless stated otherwise. Usually, with individual exercises, the patient can quickly adapt to sports or daily life within a few weeks.