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Meniscal Repair Orthopedic Surgery Abroad
 

Miniscus Repair / Replacement

 

The meniscus is a C-shaped cushion of cartilage in the knee joint. When people talk about torn cartilage in the knee, they are usually referring to torn meniscus.
If a meniscus is so badly damaged it cannot be repaired, it may need to be removed or trimmed out. Without the meniscus cushion, persistent knee pain and arthritis can develop….

 

Anatomy

Three bones meet to form your knee joint: your thighbone (femur), shinbone (tibia), and kneecap (patella). Your patella sits in front of the joint to provide some protection.

The ends of your thighbone and shinbone are covered with articular cartilage. This slippery substance helps your knee bones glide smoothly across each other as you bend or straighten your leg….

 

Description

If your meniscus is severely damaged or has been removed, it is likely that the articular cartilage protecting your knee will begin to wear. As this cartilage wears away, it becomes frayed and rough. Moving the bones along this exposed surface is painful. This condition is osteoarthritis….

 

Allograft Preparation

Healthy cartilage tissue is taken from a cadaver (human donor) and frozen. This tissue is called an allograft. It is sized, tested, and stored. Correct sizing is one of the most important factors in the success of the transplant. Later, the allograft will be matched by size to a candidate for the procedure….

 

Allograft Safety

A screening process is done before selecting a possible donor. Someone who knows the donor well is interviewed to help identify risk factors that would prevent the use of the donor tissue….

 

Patient Eligibility

Although meniscal transplants have been performed for more than 20 years, the procedure is still relatively uncommon. This is largely due to the strict criteria patients must meet to be considered for the procedure.

 

The criteria for meniscal transplant include : -

Younger than 55 years and physically active. Missing more than half of a meniscus as a result of previous surgery or injury, or a meniscus tear that cannot be repaired. Persistent activity-related pain. Knee with stable ligaments and normal alignment. No or minimal knee arthritis. Not obese…..

 

Surgery

Meniscal transplant surgery is an arthroscopic procedure. It can be performed on an outpatient or inpatient basis. Whether or not you will need to stay overnight at the hospital will depend on your medical needs…..

 

Procedure

Knee arthroscopy is one of the most commonly performed surgical procedures. In it, a miniature camera is inserted through a small incision. This provides a clear view of the inside of the knee. Your orthopaedic surgeon inserts miniature surgical instruments through other small incisions to do the procedure…..

 

Surgical Complications

The risk of complications from meniscal transplant surgery is very slight. Stiffness, reoperation, and incomplete healing are the most common complications….

 

Rehabilitation

Immobilization. You will need to wear a knee brace and use crutches for the first 4 to 6 weeks after surgery. This gives the transplanted tissue time to become firmly attached to the bone.

Physical therapy. Once the initial pain and swelling has settled down, physical therapy can begin. Specific exercises can restore range of motion and strength….

 

Outcome

Many factors contribute to the success of a meniscal transplant. These include : -

The condition of the knee at the time of surgery. Correct sizing of the transplant. The technique of placing the tissue. Commitment to rehabilitation.

 

The research studies that have been done on meniscal transplants are not perfect. Overall, between 21% and 55% of transplants fail within 10 years. Meniscal transplants on the outside (lateral) part of the knee are more successful than those on the inside (medial) of the knee.

Synthetic (artificial) meniscal tissue has been tried, but there is conflicting information at this time.

Meniscal transplants can be quite helpful, but are not a good option for every patient. For patients who are carefully and correctly selected, meniscal transplant surgery can provide significant benefits….

 

 

 

 

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