Knee

No Gap Meniscus Repair

Meniscus tears of the knee are painful and debilitating injuries. They can be caused by sudden trauma or be the result of degenerative changes over time.

Treatment for a meniscus tear is determined by its size, type, and location inside the cartilage and there are several surgical options available.

No Gap Billing

Dr Rimmer offers no gap orthopaedic surgery to all his patients with private health insurance. This ensures great value and savings to patients who pay a substantial amount to insure themselves and their families.

If you have a meniscus tear but you are continuing to experience pain and instability of your knee, or it is a severe tear, you should consider a surgical meniscus repair.

What is the meniscus?

The meniscus is a crescent-shaped fibrocartilage shock absorber. There are two in every knee:

  • Medial meniscus
  • Lateral meniscus

The main functions of the menisci are to:

  • Reduce wear
  • Protect against joint inflammation
  • Help with stability of the knee joint, and
  • Spread synovial liquid around the knee joint, assisting with lubrication

What can cause a torn meniscus?

Any activity that leads you to forcefully twist or rotate your knee, such as vigourous pivoting or quick stops and turns, can cause a torn meniscus. Kneeling, squatting deeply, or lifting something heavy can all cause a torn meniscus.

Degenerative changes in the knee can also cause a torn meniscus in older people. With degnerative tears, there is often minimal or no trauma involved. Obesity also increases the risk of damage to the knee.

What are the symptoms of a torn meniscus?

Symptoms from a torn meniscus may not appear immediately, espeically if it is from degenerative changes. Patients may experience:

  • A popping sensation
  • Swelling or stiffness
  • Pain, especially when twisting or rotating the knee
  • Difficulty straightening the knee fully
  • Feeling as though the knee is locked in place
  • Feeling of the knee giving way

How is a meniscus tear diagnosed?

The meniscus is made of cartilage and doesn’t show up on x-rays but these are usually still performed to rule out other causes of knee pain, instability and stiffness.

MRI scans are the best method of visualising the meniscus and are used to help plan the best surgical options.

What are the options for meniscus repair?

There are three main options for meniscus repair surgery. Treatment for a meniscus tear is determined by its size, type, and location inside the cartilage.

  • Arthroscopic meniscus repair
  • Arthroscopic partial meniscectomy
  • Arthroscopic total meniscectomy

What happens after a meniscus repair?

To keep your knee stable after surgery, you may need to wear a brace or cast. You’ll also be required to keep weight off your knee and will need crutches for at least a month.

It is important to take part in physiotherapy for optimal rehabilitation. It will assist in strengthening the knee and improving the knee’s range of motion. Physiotherapists might also provide exercises that you can do at home.

If you or someone you know has a meniscal tear and is considering a no gap meniscal repair, book an appointment with Dr Rimmer to have your situation properly assessed and managed.