What To Expect From Meniscus Repair
Recovery afterward meniscus repair: what to look
Written by:Published: nineteen/06/2019
Edited by: Nicholas HowleyIf yous are planning to get the meniscus in your knee repaired you might exist worried about the recovery period after. We interviewed leading consultant orthopaedic surgeon Professor Paul Lee about how long it takes to get back to work or sport, what symptoms are normal in the recovery period, and to what extent yous can regain your mobility later on meniscus repair.
How long does it take before you tin can go dorsum to work?
Meniscus repair is a very intricate surgery, it is not suitable for everybody, and information technology depends on the claret supply to the meniscus. Therefore, how long it takes to heal depends onhow the meniscus is repaired – and more importantly, where the meniscus was torn.
If the torn function of the meniscus was nigh the blood supply, the healing process is usually very successful. However, if the meniscus tear is away from the claret supply and has been longstanding, it may take a long time to recover.
Typically, post-obit a simple repair, the patient can return to piece of work to after approximately six – 8 weeks following surgery. However, for a more than complex meniscus repair, it will have a lot longer.
What about getting back into sport?
I would not recommend returning to sport for at least six-9 months. Again, this depends on the patient'south biology, and also the fashion the meniscus was repaired.
For a low-impact sport such as cycling, the patient tin return commonly at effectually vi months. However for complex sport that involves cut and turning such every bit rugby, football or Aussie rules football, it may accept a bit longer, typically nearly a year.
Each meniscus tear is very different. The position of a meniscus tear has a huge influence on how before long a patient tin render to sport. For example, if the tear of the meniscus is towards the dorsum of the genu, we would suggest the patient to avert deep flexion of the human knee, merely at the same time, extending the leg and walking on it can help to push the meniscus to heal better.
With the cognition of how and where the meniscus was torn we can specifically tailor movements or create a programme which can exist prescribed to assistance recovery.
What symptoms are normal in the recovery flow?
Recovery depends on the amount of work which has been done within the genu, only usually meniscus repair is done via keyhole surgery. In terms of symptoms:
- Pain is unremarkably managed by uncomplicated painkillers such as paracetamol.
- Swelling in the articulatio genus is to be expected for approximately 3 – 6 months. The firsthand swelling will reduce afterwards 2 weeks, but the general swelling on the whole leg can last a while longer, which is completely normal.
- The knee may become stiff during the recovery process, which is completely normal and can be dealt with after the healing process has happened.
- A clicking and crunching sensation could exist normal during the recovery process.
- A feeling of 'fluid' within the knee upwardly to a sure extent could besides be normal.
Some of these symptoms depend on the rehabilitation program prescribed by the surgeon and whatever subsequent physiotherapy.
Following meniscus repair surgery, I would strongly recommend avoiding non-steroid anti-inflammatory medications such as Ibuprofen, Diclofenac and Naproxen. These are very powerful painkillers and their effect can delay the wound from healing and potentially filibuster the meniscus repair. Of class, if the pain is unbearable, these type of painkillers can be used to care for breakthrough pain.
What symptoms should I be worried about?
During the recovery process, if y'all feel that there is a sudden give style of the knee, or any clunking or locking within the genu that does not settle downward inside 24 hours, it is of import to seek medical attention. If your knee is locked in a certain position do not try to force it straight. This could indicate that the repair of the meniscus has failed, and I would advise the patient to seek medical advice every bit soon as possible.
Although it is common for the keyhole wound to leak blood-stained fluid, if you have a temperature or fever associated with this, I would advise for you to seek medical advice immediately. Although information technology is very rare, a patient tin can develop deep vein thrombosis post-obit this type of surgery. This can depend on your surgeon, since a tourniquet may or may not have been used, and this will also take an influence on your recovery.
What proportion of patients will demand revision surgery?
Generally speaking, a meniscus repair is a very successful surgery. If the indication is correct with the right candidate, the success rates of meniscus repair would be over 80%. However, if the repair is more than circuitous or there is less of a biological response, the success rate could be down to 50%.
During surgery, we can stabilise the meniscus, reduce information technology back to place and potentially augment it with some biological stimulation. Whether the meniscus continues to repair itself is down to the patient's biology, their nutrition, and the style they load the knee joint post-obit surgery. Therefore it is very important to work with your surgeon and have a full agreement to maximise your chance of success.
Will I completely regain my previous mobility – or will there exist a permanent alter?
If your meniscus repair is successful and there is no other associated damage, information technology is highly likely that y'all will be able to return to your previous state of strength, range of movement, as well as your performance.
However, information technology is of import to understand that each meniscus repair is very unlike and information technology requires some specialist knowledge. By and large speaking, it is not advisable to repair a meniscus for a patient aged over fifty without any biological supplementation. It is important to talk to your surgeon, and based on your MRI scan, discuss and understand your prognosis.
Recently at MSK Doctors we accept employed a needle arthroscopy technique. This will help ameliorate the accuracy of our diagnosis to give a more precise prognosis of the meniscus' status in terms of within, and what the general status is within the cartilage inside the knee. This volition give a much better indication and prognosis of how any surgery will answer. Nosotros are proud to say that MSK Doctors is the first clinic to adopt this technique in the United Kingdom.
If you would like a consultation with Professor Lee to hash out meniscus repair, click here .
By Professor Paul Lee
Orthopaedic surgery
Professor Paul Lee is a consultant orthopaedic surgeon based in London and Grantham, Lincolnshire, specialising in hip replacement, knee surgery and genu cartilage replacement alongside revision hip replacement, meniscus surgery and anterior cruciate ligament (ACL) surgery. He privately practises at 108 Harley Street medical centre and as the managing director at MSK Doctors in Ancaster, Lincolnshire. His NHS base is United Lincolnshire Hospitals NHS Trust where he is a consultant sports and arthroplasty surgeon and the Managing director of Research.
Professor Lee is highly qualified, and received his MBBCh in Medicine from Cardiff Academy in 2005 and went on to receive an MSc in Sports Medicine - Muscle Performance and Recovery, from Cardiff Metropolitan Academy three years later. He and then returned to Cardiff Academy to complete a PhD entitled 'Treatment of Muscle Injuries' in 2013.
He regularly treats elite sports people, including treatment of musculus injuries in Uk Premier League footballers, significantly reducing their recovery fourth dimension, assuasive them to render to playing sooner.
Professor Lee, who is held in high esteem past his patients, offers various non-surgical orthopaedic techniques including micro artho-glycan articulatio genus, actovegin musculus injury and stem cell injection treatments alongside the Unloader One® knee brace. He also prides himself in his surgical skills in the South.P.A.I.R.East tendon-sparing total hip replacement, FT-MPFL Patella re-alignment and All-Inside ACL reconstruction surgeries.
He has also combined surgery, engineering, engineering to develop theUnmarried Treatment Autologous Chondrocyte implantation (STACi) process.
Further to his qualifications, Professor Lee also has various fellowships from respected institutions including the Royal College of Surgeons of Edinburgh (Tr & Orth), the European Board of Orthopaedics and Traumatology (FEBOT) and Orthopaedics Hospital in Oswestry.
He is too a certified practiced in the use of the Exeter hip system, which was developed later training on the Robin Ling Exeter Hip Replacement Fellowship in the Princess Elizabeth Orthopaedic Hospital in Exeter. He also did international fellowships in Germany and Australia. Other higher training saw Professor Lee go a certified member of the Faculty of Sports and Exercise Medicine (MFSEM).
Professor Lee is widely published in various peer-reviewed journals and is an active member of the British Hip Society (BHS), British Orthopaedic Sports Trauma and Arthroscopy Association (BOSTAA) and the British Orthopaedic Association (BOA) aslope the Biological Knee Lodge (BKS). He is internationally recognised at the ICRS teaching center of excellence for his pedagogy in cartilage and articulation preservation surgery.
Source: https://www.topdoctors.co.uk/medical-articles/recovery-after-meniscus-repair-what-to-expect
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