Done for patients with meniscal tears.
Torn meniscus causes severe pain and leads to progressive osteoarthritis. This necessitates operative intervention either by removing the torn part of the meniscus or by suturing it according to the size and site of tear.
With meniscal suturing, a suture might be used in some cases (Fast fix; Smith & nephew or miniscal viper Arthrex)
Same day discharge
With excision WB is allowed on the same day of surgery and return to work is in 7 days. With repair, WB is postponed for 4 weeks but ambulation is definetly allowed on a single limb with crutches instantly after surgery
Smoking slows the healing process. Smoking also increases the risk of infection and pneumonia after surgery by slowing your body’s white blood cells.
Meniscal Repair patients are to wear the knee immobilizer full time for the first 3 weeks to protect the repair for the first phase of healing.
Patients are to use two crutches for the first week, putting light weight on the operative leg with each step with the immobilizer on. Remember to put the involved foot flat on the ground. Most patients can be fully weight bearing by the end of the first week while continuing to wear the immobilizer. After the first week, you may then increase weight as tolerated and advance to one crutch for a few days and then a cane if needed.
People with light work (like desk or computer work with no squatting, lifting or kneeling) can return to work within a week to ten day with the brace on. The exception is for people who may have long commutes. By staying still with the leg down for long periods, increases the risk of a BLOOD CLOT in the leg. Patients with active office work or very light labor with variable tasks can sometimes go back to work at two or three weeks, depending on lifting requirements and if their employer will make accommodations for light duty. Heavy work, (lifting or unprotected heights) cannot usually return before 6 weeks. Most will need to be cleared by their physical therapist. The heaviest of labor, working in unprotected heights would naturally take longer.
Right knee patients and left knee patients with a standard transmission car cannot drive until out of the knee immobilizer, off all pain meds and can fully weight bear without pain. Left knee surgery patients can drive after 3 weeks if they have no pain and you are off pain all pain medications comfortable walking without crutches.
Those at higher risk of blood clots include those patients who have sedentary life styles, long car or train commutes, have a history of prior cancer, women on birth control pills, may be overweight or males over the age of 40. These patients should be taking an at least a baby aspirin per day (unless allergic or sensitive). Doing the exercises (ankle pumps below), using aspirin and at times compressive stockings will also reduce the risk of blood clots. Patients who have a history of clots in the past or three or more of the above risk factors should ask if they should be on a blood thinner post op for at least six weeks.
Pump your ankle up and down for at least 1 minute (like pressing on the gas pedal). This increases circulation and reduce the risk of developing a blood clot.
Tighten your quads (muscle in the front of your thigh) with the knee immobilizer on and raise your leg 8 to 12 inches off the bed.
With your heel on the bed, bend your knee while sliding your heel toward you. Start with bending 30-45 degrees and work toward 90 degrees during the first week. If you are in bed for extended periods, move your arms regularly. Use light weights for upper arm exercises and keep muscle tone for using crutches.
Contact us if any of the following are present:
There are two types of cartilage in the knee, articular cartilage and meniscus cartilage. Articular cartilage lines the end of the bones while meniscal cartilage act as cushion between the bones that acts as a shock absorber , lubricator and protector for the articular cartilage
The meniscus cartilage in the knee includes a medial (inside) meniscus and a lateral (outside) meniscus. Together they are referred to as menisci.
There are two categories of meniscal tears: acute traumatic tears and degenerative tears…
Most commonly occur in middle-aged people that happen with or without trauma. This degenerated weakened tissue makes it very unlikely that a surgical repair will heal or that the surrounding meniscus will be strong enough to hold the sutures used to repair it. So partial removal of the torn part is the solution. Symptoms of a degenerative meniscus tear include swelling, pain along the joint line, catching and locking.
Occur most frequently in the young athletic population as a result of a twisting injury to the knee. this is where repair is possible under certain criteria
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30 Mourad St. – Giza
2nd Floor – # 108
Mobile: 010 60906808
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from 4 pm to 7 pm
30 شارع مراد – الجيزة
الدور الثانى – عيادة رقم 108
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