Our Bursitis Injury Specialists are Friendly and Helpful.


More Facts About Knees:

Babies are born without knee caps. They appear when the child reaches 2-6 years of age.


The knee is the largest articular joint in the body.


Each knee has two tough, rubbery menisci that act as shock absorbers in the joint.


One meniscus sits on the inside of the knee joint and is referred to as the medial meniscus. The other meniscus rests on the outer part and is referred to as the lateral meniscus.


Arthritis is one of the most common causes of knee bursitis.


Many of our customers have had excellent results with Knee TShellz Wrap® for bursitis in the knee.


Runner's knee is not exactly a condition in itself. It sums up a multitude of knee disorders with different causes all centering around the kneecap.


Obesity and improper body alignment are responsible for many knee injuries.


Optimal knee treatment includes avoiding activity, icing the inflammation, gently stretching and warming the area.


Increased blood flow can speed ACL, PCL and meniscus recovery significantly.

 

Our Bursitis Injury Specialists are Friendly and Helpful.




Meniscus Repair Surgery


Once your medical professional has diagnosed your tear, he/she will recommend the most effective treatment for your meniscus injury. The following will determine whether conservative or surgical treatment options are more appropriate:

  • Your activity level
  • Your age
  • The severity of your tear
  • The location of your tear
  • The type of tear
  • Your symptoms
  • Any other associated knee injuries
Do I need meniscus surgery?

Meniscal tears are graded on 3 levels; 1 being the least severe and 3 being the most. Grade 1 and 2 tears may not even be apparent during an arthroscopic exam and can usually be repaired without surgery. Grade 3 tears generally require surgery. Surgical options are used more often for larger, complex or displaced tears.

At one time, surgeons removed injured menisci believing they served no purpose, however doctors now know the importance of the meniscus to the knee joint mechanics and function. Removing part of the meniscus should be avoided if possible, especially if it will weaken the periphery since it will compromise the load absorption capabilities and can increase the risk of degeneration. However, if the meniscus is at risk of further damage or the knee cannot flex or extend properly, surgery many be required to minimize damage (i.e. remove the flap to prevent more tearing) and restore joint function. It is beneficial to try to heal a meniscus tear prior to surgery to avoid it if possible or to minimize the amount of meniscus that needs to be repaired or trimmed.

Do I need meniscus surgery?

If an anterior cruciate ligament (ACL) injury occurs when the medial meniscus is torn surgery may be required to repair the ACL. Once again, the severity of the tear along with the patient's age and activity level are all factors considered when determining treatment. If conservative treatments are unable to treat your tear completely, your physician may recommend a surgical option. A comprehensive arthroscopic exam is usually performed prior to surgery to determine the location and nature of the tear and whether or not it can be repaired. You are generally a candidate for surgery if you have injured your meniscus and you:

  • Experience symptoms that interfere with your daily living after 2 - 3 months (knee catching or locking, very stiff and painful, major instability).
  • Have a larger, complex or displaced tear.
  • Have major instability in your knee (often due to a combined meniscus/ACL injury)
  • Are a high-level athlete

Call Us Toll Free: 1-866-237-9608
International: +1 705-445-3505


Types of Meniscus Surgery

Arthroscopic meniscus surgery trims meniscus tears

Treating a torn meniscus is one of the most common of all knee surgeries. The type of surgery you require will depend on the size, shape and location of your meniscus injury. There are generally 3 types of meniscus surgery: a meniscectomy, a meniscal repair, or a meniscal replacement. All of these will be performed arthroscopically while under some type of anesthesia; they usually don't require an overnight hospital stay. Your orthopedic surgeon will determine which surgery is most suited to your condition.

Arthroscopic surgery involves making tiny incisions around your knee joint and inserting a pencil-thin, fiber optic camera with a small lens and lighting system in one hole, and small surgical instruments in the other holes. The surgeon will take a look inside your joint to investigate all the soft tissues and bones. These images will then be transmitted to a TV monitor, which allow the doctor to make a diagnosis and/or perform the meniscus surgery under video control.


Meniscal Repair

A meniscal repair is generally preferred over a meniscectomy, as it fixes the damage and helps prevent deterioration of your meniscus. However, this involves a more complex surgery, the recovery is longer and it is not always possible (depending on the location). Early diagnosis definitely can affect the outcome of this surgery. Younger people tend to be the best candidates as their tears are often stable and located near the periphery of the meniscus. These tears have a better chance of healing than those farther in the joint because of the blood supply

A peripheral meniscus tear may be sutured to assist with repair

Trepanation (Abrasion Technique) involves making small holes or shaving torn edges in your meniscus to promote bleeding and enhance healing. Longitudinal tears or bucket handle tears often won't heal unless they are abraded.

Suturing involves using stitches to reconnect the tear, repair the damage, and save your meniscus. The sutures are spaced 3-4 mm apart to prevent gapping and sewn while your knee is fully extended (or at 10 degrees maximum) to allow for full extension after surgery.


Meniscectomy

The most common meniscus surgery is a Partial Meniscectomy or Resection, which involves removal of the torn or damaged part of your meniscus. It is generally used for degenerative and horizontal tears located in the inner 2/3 of your meniscus (the white-on-white zone). This area has a poor healing rate because it receives little or no blood supply, therefore it is better to remove the damaged part rather than try to fix it. The goal of this surgery is stabilization, which will prevent catching, buckling and locking in your knee joint. The surgeon will trim and smooth out frayed edges on the inner rim (which can be difficult to reach), and remove the damaged part or flap of your meniscus.

In the case of a discoid meniscus that did not heal through conservative treatments, part of your meniscus may be removed to relieve symptoms, prevent further tearing and preserve some of your meniscus cushioning function.

A Complete Meniscectomy or Resection may be required if there is extensive damage to the meniscus and it is determined unsalvageable. This involves surgical removal of your entire meniscus. If you have your meniscus removed, the rest of your joint gets overloaded (resulting in a 200%-350% increase in contact pressure). This surgery is only performed if necessary, as removal of the meniscus can lead to joint narrowing, ridging, flattening, and becoming bow-legged or knock-kneed. Complete meniscectomy patients often express dissatisfaction with the corrected knee as time goes on.

Although meniscectomies have faster recovery than other meniscus surgeries they can often lead to arthritis as the size of your meniscus (shock absorber) is reduced and/or removed. Normal knees have 20% better shock-absorbing capacity than meniscectomized knees.


Meniscal Replacement

A meniscus may be replaced with an allograft or collegen implant

A Meniscal Replacement involves implanting a new meniscus into your knee. There are two different replacements that can be used:

An allograft is a transplant from a donor. A good candidate for this type of replacement is someone who is young, has minimal ACL damage, is a previous menisectomy patient, and has developed pain in the knee capsule. If the patient is obese, suffers from gout or arthritis, has an infection or any metabolic disease (being unable to convert food to energy) they are not likely candidates for this procedure. The success of this surgery is dependent on proper knee alignment, ligament stability, and amount of articular cartilage that is present.

A collagen implant is also an option to replace the meniscus. The implant is stitched into place with the hope that your body will begin to grow and attach tissue to the porous surface of the implant. In this way, the implant works as a scaffold to assist the body with its own repair process.


Post Surgery

Initially following a meniscal repair, the knee is immobilized in full extension with a postoperative immobilizer which is eventually replaced with a long leg brace. This brace is worn continuously (expect during rehabilitation exercises) for at least 2 weeks, with the range allowance of the brace increasing as the weeks progress. This continues until the knee can be fully flexed. Note, in some cases such as a central zone repair or a mensical transplant the brace may be necessary for 6 weeks or longer. Following a partial meniscectomy, immobilization is not required and full extension with 90 degree flexion is possible approximately 10 days after surgery.

With a meniscus repair you may be allowed to bear some weight on your repaired knee with the assistance of crutches and a brace immediately following surgery. The amount of weight and progression of weight allowed will depend on your specific case. However, you will be able to bear full weight within 4-8 weeks if your quadriceps control is good. In the case of a partial meniscectomy, you should be able to bear full weight within 4-7 days.

The goal of professionally led exercises during the first month of rehabilitation is to regain range of motion in the joint, regain muscle control in the leg, ensure the patella does not lose mobility, maintain flexibility and strength in the hip and ankle, and restore stability. Your doctor, surgeon or physical therapist will assist you with these exercises to achieve these goals without causing re-injury.

Following a meniscal repair, you should avoid pivoting, squatting, twisting and deep lunging exercises for at least 4-6 months following surgery. Jogging or running should be avoided for 5-6 months of rehabilitation. Generally you will be able to return to normal activities and sports approximately 6 weeks after a partial meniscectomy and 3-4 months after a meniscal repair or replacement. However, it is always recommended that you get your surgeon's approval before beginning any exercises or activities following meniscus surgery.

Research indicates pain relief after a partial meniscectomy or abrasion is about 50 - 75%. Healing and recovery time is generally dependent on the degree of damage done, your age, pre-injury level of function, and your rehabilitation. Tenderness, pain, stiffness and weakness are very common after surgery.

Call us Toll Free at 1-866-237-9608
International: +1 705-445-3505


A Word of Caution

There are always some risks associated with any surgery, which include but are not limited to possible infection, allergic reaction to medications, blood clots, and damage to surrounding nerves and blood vessels. However, modern techniques have significantly minimized the occurrence of these problems.

If you feel any clicking in your knee during exercise or weight bearing activities following surgery, let your surgeon know immediately.

Although surgery is often successful at repairing any damage and/or relieving pain, it does not necessarily return strength to your knee.

There are occasions where surgery is not necessary, or not worth the potential for further damage. As with all surgical procedures, it is usually recommended that you get a second opinion before making a decision.

To learn about conservative home treatments options for meniscus injuries or other soft tissue knee injuries visit our meniscus treatment page.


Meniscus: Quick Links
Anatomy
Overview
Symptoms
Causes
Diagnosing
Treatment
Conservative Treatments
Medications & Exercise
Surgery
Prevention



Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.


Learn More About Knee Injuries & Treatments

I want to learn more about post-surgery recovery.

I want to learn all about common causes of knee pain.

I want to learn more about TShellz Wrap® Circulatory Boost

I want to learn more about Ice & Heat: Which Is Better For Treatment?

I want to learn more about Knee Treatments.

I want to learn more about Runners Knee.

I want to learn more about Hoffas Syndrome.

I want to learn more about Knee Arthritis.

I want to learn more about Knee Trigger Points.


FREE SHIPPING ON ALL PRODUCTS CURRENTLY ENABLED
60 DAY TRIAL PERIOD


During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!

 
 
 

Some Facts About Knees:

Approximately 19.4 million visits to physicians' offices in the US per year are due to knee problems.


The knee is a complex joint with many components, making it vulnerable to a variety of injuries.


Oral medications can mask the pain but do not aid in the healing of knee injuries.


Most knee injuries can be successfully treated without surgery.


Sadly, regardless of treatment, ACL injuries in high-school youths are associated with a 10-fold increased risk for degenerative knee arthritis later in life.


MendmyKnee (a division of MendMeShop) is an FDA registered company.


Every year, at least 1 in 3000 Americans between ages 14 and 55 tear an anterior cruciate ligament (ACL).

 


TShellz Wrap Knee for meniscus injury acl injury mcl injury or hyperextended knee

MendMeShop Arnica Pain Relief Cream

Knee Compression Support Wrap

Mendmeshop Customer Service for Chronic Bursa Problem Treatment Recommendations