Meniscal surgery is generally performed arthroscopically. This technique allows access into the knee joint through small incisions and to perform surgical procedures.
The proposed treatment varies depending on the nature of the meniscal lesion: traumatic, degenerative, or congenital. In all cases, meniscal preservation is important. Indeed, the menisci play an essential role in load distribution and knee stabilization. Therefore, it is important to preserve them to avoid the onset of early osteoarthritis.
In cases of traumatic lesions, menisci are repaired arthroscopically if the lesion is extensive and located in a vascularized zone (the periphery of the meniscus). The tear is repaired using sutures through different techniques (all-inside, in-out, out-in), depending on the location of the lesion.
For degenerative or wear-related lesions, medical treatment is generally recommended as a first option: rest, physiotherapy, and injections. If symptoms persist due to unstable meniscal flaps (catching, locking), resection of these fragments (partial meniscectomy) by arthroscopy is proposed, as this type of lesion is most often non-repairable.
Some degenerative lesions appear in young, active, and athletic individuals (horizontal cleavage), and repair is indicated in certain cases.
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The proposed treatment varies depending on the nature of the meniscal lesion: traumatic, degenerative, or congenital. In all cases, meniscal preservation is important. Indeed, the menisci play an essential role in load distribution and knee stabilization. Therefore, it is important to preserve them to avoid the onset of early osteoarthritis.
In cases of traumatic lesions, menisci are repaired arthroscopically if the lesion is extensive and located in a vascularized zone (the periphery of the meniscus). The tear is repaired using sutures through different techniques (all-inside, in-out, out-in), depending on the location of the lesion.
For degenerative or wear-related lesions, medical treatment is generally recommended as a first option: rest, physiotherapy, and injections. If symptoms persist due to unstable meniscal flaps (catching, locking), resection of these fragments (partial meniscectomy) by arthroscopy is proposed, as this type of lesion is most often non-repairable.
Some degenerative lesions appear in young, active, and athletic individuals (horizontal cleavage), and repair is indicated in certain cases.
More information:
