The meniscus is the name given to the cartilaginous tissue of the knee joint. When this cartilage is torn it causes significant pain and loss of mobility. Some meniscal injuries can heal on their own with rest and at-home care, but in some cases surgery is needed to repair the injury.
The meniscus is a flat piece of cartilage in the knee joint. It is sandwiched between the heads of the femur and tibia, providing the joint with shock absorption and also making it more stable. However, while the knee joint is generally quite strong, the meniscus is actually very vulnerable to damage, and it can be torn easily if the knee is twisted. In fact, meniscal tears are one of the most common injuries injuries to affect the cartilage of the knee.
Injuries to the meniscus are particularly common in contact sports that involve movements such as jumping and sudden changes of direction while running. For instance, soccer and volleyball are two sports where there's a high risk of meniscal injury. People who suffer a meniscal tear while playing sports often injure other parts of the knee, such as the anterior cruciate ligament, at the same time.
Older people, especially older athletes, also have an increased risk of injury to the meniscus. This is because cartilage becomes more brittle and weaker with age, so there's a higher chance it will be torn in a fall or other accident involving the knee.
For many people, a minor tear to the meniscus can be repaired with rest, anti-inflammatory medication, and other simple measures. However, tears that are large or unstable may need more in the way of treatment. When this is the case surgery to repair the meniscus is often the best option. This kind of surgery is often carried out using arthroscopy, in which a miniature camera and surgical instruments are used to repair the meniscus. This surgery is less invasive than open surgery because it can be performed through small incisions that heal more quickly.
Some meniscal tears can be repaired by stitching the torn edges of the meniscus together, but not all tears can be treated in this way. For example, if the torn pieces are highly fragmented it's difficult for stitching to be effective. Another consideration is that it's harder to repair long tears that extend through the centre of the meniscus, but the central part of the cartilage has no blood supply. This means it's less able to heal itself.
After meniscus repair surgery it typically takes around 6 weeks for full recovery. However, this depends on the extent of the damage to the meniscus, and other factors, and for some people recovery may be faster or slower depending on their circumstances. During recovery it's important to keep up with physical therapy exercises and other measures that help your knee get stronger without putting stress on the meniscus. You may also need to wear a brace or cast, or use crutches, for a few weeks. This is necessary to keep the knee stable and allow the meniscus time to heal without having to bear too much weight.
The majority of people who have meniscus repair surgery have good results in the short term. However, in the long term, someone who suffers an extensive injury to the meniscus has an increased risk of developing arthritis in the affected joint. This means it's important to take care of the knee, and if possible, to avoid activities that pose a high risk of further injury to the knee.
I am writing to thanks you & your staff fro the wonderful work you did on my hip repllacement. It is so nice not to be in constant pain and it's enjoy able to go for a walk now & not dread it as before. I can't thank you + the staff at the cavell hospital enough.
After years of arthritic pain, steroid injections, physiotherapy and arthroscopy (which actually made things far worse)... I now feel like a new woman thanks to the knee surgery you performed last month - I have no doubt this is due in no small part to your skill as a surgeon. The wound healed quickly, recovery has been rapid, without any complications and the scar is neat and beautifully stitched!!
Having recently undergone a full left knee replacement I am 100% satisfied with everything Mr Saksena and his team at The Cavell provided. I was given plenty of advice both before and after my surgery, which was very reassuring. My recovery has been rapid with minimal pain and within 8 weeks I had full extension and 130 degree flexion back in the knee. I wouldn't hesitate to recommend Mr Saksena as an orthopaedic surgeon.
I had a total knee replacement with Valgus Deformity 7 weeks ago, and this gave the surgeon extra work to do, I only have good things to say about this surgery and after care with all staff involved at Chase Farm Hospital, as in my experience I have heard a lot of good and bad things about this type of surgery, Well I can only say that if anyone has concerns about this please try not to worry it is worth while as it has given me a new lease of life to what I had before, and yes the first 2 weeks are the worse, but please do try your exercises, because as they say you only get the real benefit if you are prepared to do your bit. Thanks very much for my new lease of life yet again.
I was very fortunate to be referred to Mr Saksena as an NHS patient and was very impressed with the treatment and care provided by Mr Saksena and the whole team at Cavell Hospital. Once discharged, someone was always available to talk to you and an appointment was made immediately if you needed to see a nurse (which I did several times, due to a normal discharge from my wound). The entire staff were all friendly, cheerful and efficient. The scar is very neat and after 7 weeks I am walking well and just using a stick outdoors.
I would like to just sincerely thank you for the job you did on my knees, both of them. Before I had my knees replaced I was in constant pain, which had been the case for nearly 5 years. It was so bad that I often wondered what the use was in living! Now, nearly 2 years later, I feel I have my life back. I can now walk without pain and every single day, and I mean every single day, I walk the roads that I walked pre-operations and I remember the pain that I was in for every small distance I had to walk. Now, I walk with a smile on my face and a thrill in my heart, so very grateful for having the freedom to enjoy walking once again. I also have great fun going with the grandchildren to the park and playing with them, which before the operation was impossible as all I could do was basically sit and supervise them. So there too there is a huge change.
You did a total knee replacement on my right leg on 22nd March in the Kings Oak Hospital and it has been very successful. I am now almost pain free with the knee getting stronger each day. I would like to thank you and your excellent medical team for doing such a neat job. I would also like to thank the wonderful nurses at the hospital who were always cheerful and efficient.
In September 2014 I underwent a knee replacement operation. Mr Saksensa was an amiable professional with a calming influence and caring nature. His team were friendly and supportive. My knee replacement was a complete success and I am still enjoying my favourite sport of skiing.
You performed a partial meniscectomy at Highgate Hospital in late april. I would like to thank you for your hardwork; the problem has been entirely resolved and I am pretty sure that is down to the procedure rather than the passage of time as the condition persisted during the prior two months. Some part of that is surely down to your skill.