Techniques for operating the torn meniscus
Today there are various meniscal repair systems that allow intervention without major incisions. Most of these operations can be done through a simple arthroscopy.
There are 3 types of techniques that those skilled in traumatology used depending on the location and the type of failure:
- Outside inside. Rupture is approached from outside the joint under arthroscopic monitoring. Sutures or devices using cannulated needle thread pitch, which are entered from the skin by small holes are passed.
- In out. Suturing needles are directed from within the joint outwards. This technique requires the realization of a small open approach in the postero-lateral meniscus to the medial and postero-medial meniscus to the region.
- All in. Suturing devices are used with associated threads small plastic parts that serve to cap outside the joint capsule. This way you can perform meniscal repair using only standard without more incisions anterior portals.
Most tears can be repaired with All-in techniques. There are some, however, that require a small tunnels in the tibia to reanclar the meniscus in the bone. An example is the rupture of the posterior root.
For patients who have suffered a mensicectomía and have pain in the affected compartment they may be offered replacement surgery using artificial meniscus replacement or transplant depending on the pathology present.
You need to be around the specific material in the operating room that allows for the various technical, since many of the decisions on the type of suture are performed during surgery, depending on the type and arrangement of the break in the time of surgery. This happens especially in younger patients and in patients undergoing ACL reconstruction.
The removal of meniscus in young patients with repairable cracks is strongly contraindicated.
Postoperative meniscus breaking step
Recovery after surgery of meniscal tear depend on the type of breaking and technical uses. In the case of meniscal repair associated with ACL reconstruction effected, for example, postoperative overlaps practically without adding recovery time.
In most interventions the patient can bear weight on the day of surgery, provided not with the knee flexed. This is why it is often used knee brace with limited range of motion. Only in special cases breakage load is limited for 6 weeks; It is the case of radial tears or reattachment of roots.