I'm 25 yrs old female.I had pain in left knee for 2-3 months ,but it use to go after rest.But after MRI doctor found ,that I 'm having Grade 2 lateral and medial meniscus tear.I'm able to walk without any pain,but when strain is put on the knee like -while sitting,getting up,climbing stairs .
Orthopedic says I require an operation.
Physiotherapist is giving me ultrasound,interrefrential and hot wax therapy and saying that I do'nt need a surgery and it may be healed by Physiotherapy in 3-4 months.
Kindly suggest what to do,if I go for operation ,then is it safe or can it be cured by physiotherapy?
The basic principle of meniscus surgery is to save the meniscus. Tears with a high probability of healing with surgical intervention are repaired. However, most tears are not repairable and resection must be restricted to only the dysfunctional portions, preserving as much normal meniscus as possible.
Surgical options include partial meniscectomy or meniscus repair (and in cases of prior total or subtotal meniscectomy, meniscus transplantation). Arthroscopy, a minimally invasive outpatient procedure with lower morbidity, improved visualization, faster rehabilitation, and better outcomes than open meniscal surgery, is now the standard of care.
Partial meniscectomy is the treatment of choice for tears in the avascular portion of the meniscus or complex tears not amenable to repair. Torn tissue is removed, and the remaining healthy meniscal tissue is contoured to a stable, balanced peripheral rim.
Meniscus repair is recommended for tears that occur in the vascular region (red zone or red-white zone), are longer than 1 cm, involve greater than 50% of meniscal thickness, and are unstable to arthroscopic probing.
I just had surgery less than a week ago for both lateral and medial meniscus tears on my right knee. It was really no big deal at all. surgery was on a friday and I was back to work monday. not much pain involved and I am aleready walking w/out crutches after 3 days. I have been avoiding surgery for about 5 years, and now I don't know why. My personal recommendation is to go w/ your orthopedic doctors advice. If they say that surgery will help you with pain and discomfort, then do the operation.
Below are the findings of my knee MRI please suggest in this case should i go ahead with the arthoscopy or shall take a treatment..
" MR findings are suggestive of grade 2 tear in posterior horn of medial meniscus with marrow edema in medial femoral condyle with joint effusion "
I had an injury 2 months back and I'm asked to take MRI . and my reports are under:
Bones alignment & signal intensities are normal.
* Minimal free fluid noted in joint space - Effusion
* Anterior & posterior cruciate ligaments appears normal.
* Collateral ligaments are normal.
* Horizontal grade II tear involving posterior horn of medial meniscus.
* Patella, patellar tendon and quadriceps tendon shows no obvious signal
* Soft tissues and muscles around knee are normal in size contour and signal
intensites. No focal lesions noted.
I'm advised to undergo anthroscopy? Please give me a suggestion do i need it or can i manage without surgery.
Common Meniscus Repair Treatments
For many individuals, cold or hot compresses, compression bandages, and physical therapy may help a torn meniscus heal. However, in some cases, surgery is needed to repair a damaged or torn meniscus, and treatment for meniscal tears depends on the severity of the injury. Surgical repair of the meniscus is often utilized through arthroscopic surgery.
In some cases where blood supply is damaged or fails to heal, the torn section of the meniscus may be removed through arthroscopic surgery. This procedure utilizes an arthroscope, or a small camera about the diameter of a pencil inserted through a small incision in the knee joint. The camera displays the interior portion of the knee joint and allows accessed by additional endoscopic tools that are then manipulated by a surgeon watching a monitor to remove or fix the torn cartilage in a minimally invasive surgical technique. In some cases, a torn meniscus can be repaired utilizing traditional sutures or absorbable plastic staples.
A meniscal transplant may also be performed. Without the meniscus or cartilage to cushion the knee joint, persistent pain and bone friction will result. In cases where the meniscus cannot be repaired, complete removal and replacement may be required. In such situations, a meniscal transplant is performed, mostly in individuals who are under 55 and physically active.
Donor tissue for a meniscal transplant comes from human donors or cadavers or tissue banks, from individuals who have donated their bodies or organs to medical research or organ donor associations.
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