Arthroscopic cartilage repair is a surgical operation for repairing torn knee gristle. The torn meniscus is repaired by a range of minimally invasive techniques and needs surgical protection to permit healing. Therapy is helpful to regain full performance of the knee, that happens on the average 4-5 months once the surgery is done.
Symptoms of Torn meniscus
Torn knee gristle usually produces pain within the region of the tear and swelling within the hinge joint. These symptoms are created worse with pivoting motions, squatting, and vigorous activities.
Torn meniscus fragments will get caught in the hinge joint and cause catching sensations. If an outsized enough fragment becomes lodged between the bearing surfaces, the knee might 'lock' and become unable to be absolutely bent or extended.
The goal of Arthroscopic Cartilage Repair
The goal of cartilage surgery is to preserve healthy cartilage tissue. Repairs are usually restricted to the present peripheral region of the cartilage.
Many types of meniscus tears occur within the region of the meniscus while there is lack of adequate amount of blood for healing. Meniscus removal is usually counseled for tears to some regions of the meniscus.
Surgical choices for Torn meniscus
Meniscus tears are often treated by meniscus removal (meniscectomy), cartilage repair, or in uncommon circumstances, cartilage replacement. Since the goal of surgery is to preserve healthy cartilage, cartilage repair is tried once the tear is serviceable.
Meniscectomy, removal of the broken meniscus tissue has some short-term results. However, results in the event of inflammatory disease, occur 10 to 20 years later.
Meniscus repair conjointly has effective results, however, contains a longer recovery time than extirpation and is restricted to tears that are amenable to repair.
Meniscus replacement is taken into account for young, active patients who have antecedently had most of their cartilage removed and develop pain within the space while not having advanced chronic changes to the body part (gliding surface) gristle.
Any knee that's scraped contains a higher chance of developing an inflammatory disease. A victorious repair slows the event of unhealthy changes.
Factors related to higher rates of meniscus healing embody repair at intervals a pair of months, additional peripheral tear location, and concomitant ACL reconstruction.
Possible advantages of arthroscopic meniscus repair
The meniscus is a very important structure for load transmission and shock absorption within the knee. The knee is subjected to up to five times weight throughout the activity, and 0.5 of this force is transmitted through the meniscus with the knee straight, and eighty-fifth of the force goes through the cartilage with the knee bent ninety degrees.
Loss of the meniscus will increase the pressure on the body part (gliding) gristle that results in chronic changes. A victorious meniscus repair preserves meniscus tissue and mitigates these changes.
Who ought to think about arthroscopic meniscus repair?
Even though the recovery is longer for a meniscus repair than for an extirpation, any serviceable meniscus ought to usually be repaired. Meniscus repair is taken into account when:
- The patient is healthy and needs to stay active,
- The patient understands the rehabilitation, and accepts the risks of surgery,
- The meniscus tear is found within the fringe of the meniscus,
- The meniscus tissue is of excellent quality, and
- the sawbones is seasoned in meniscus repair