Meniscus Repair
What Is the Meniscus?
The knee joint is one of the most important weight-bearing joints in our body and stands out for its complex structure. Within the functional integrity of this structure, the menisci — C-shaped fibrocartilage tissues located on the tibia (shin bone) — play a critical role. Present in each knee as two structures, medial (inner) and lateral (outer), these structures:
- Increase the congruence between the joint surfaces.
- Provide shock absorption, distributing the load evenly.
- Protect the joint cartilage and slow down wear.
- Contribute to joint stability.
- Help with the circulation of joint fluid (synovial fluid).
The health of the menisci is essential for the knee to move painlessly and with stability. For this reason, damage such as meniscus tears can adversely affect knee function and increase the risk of osteoarthritis over the long term. Preserving meniscal tissue is one of the priority goals of modern orthopedic treatment.
Causes of Meniscus Tears
Meniscus tears can occur through different mechanisms:
- Traumatic Tears: Usually occur as a result of traumatic events such as sudden twisting, pivoting, or a direct blow to the knee, particularly in athletes and active individuals. They may often be accompanied by other knee injuries (e.g., ligament tears).
- Degenerative Tears: Can occur as the meniscal tissue weakens with age, without any significant trauma or with only very mild strain (e.g., squatting).
What Are the Symptoms of a Meniscus Tear?
The following symptoms may indicate a meniscus tear:
- Knee pain, especially pain that increases with movement.
- Joint swelling (effusion).
- A sensation of catching, locking, or giving way during movement.
- Difficulty fully extending or bending the knee (restricted range of motion).
- A feeling of instability or the knee giving out.
If you are experiencing these types of symptoms, it is important to see an orthopedic specialist for an accurate diagnosis and treatment.
The Diagnostic Process: How Is an Accurate Diagnosis Made?
A scientific and comprehensive evaluation is essential in diagnosing meniscus tears:
- Clinical Evaluation: A detailed patient history is taken and a careful physical examination is performed. Suspicion of a tear is assessed with special meniscus tests.
- Imaging Methods:
- Magnetic Resonance Imaging (MRI): The most valuable method for diagnosing meniscus tears. It shows the type, location, and size of the tear, as well as any accompanying pathologies (ligament or cartilage damage, etc.) in detail.
- X-ray: Used to evaluate bony structures and rule out other possible problems (fracture, osteoarthritis).
Modern Approaches to Treating a Meniscus Tear
The choice of treatment is personalized according to the characteristics of the tear, the patient’s age, activity level, and expectations. The basic principle is to preserve the meniscal tissue as much as possible.
Arthroscopic Meniscus Repair
- Goal: To restore the anatomical integrity and function of the torn meniscal tissue by repairing it, thereby preserving the knee’s natural structure and securing its long-term health. It is an ideal option especially for tears in the outer region where the meniscus has good blood supply, and for young patients.
- Technique: Performed using knee arthroscopy, a minimally invasive method. Using a camera and special instruments inserted into the joint through small incisions, the edges of the torn meniscus are brought together with appropriate suturing techniques or implants. The repair technique used is determined according to the characteristics of the tear.
Arthroscopic Partial Meniscectomy
- Goal: Removal of meniscus portions that are not suitable for repair (e.g., degenerative, complex tears, or tears in a region with poor blood supply) and that are causing mechanical symptoms.
- Technique: Arthroscopically, only the damaged, non-functional portion of the meniscus is carefully removed without harming healthy tissue. In this procedure, it is essential to preserve as much healthy meniscal tissue as possible.
Recovery and Rehabilitation After Surgery
Postoperative rehabilitation is critically important for a successful surgical outcome. A personalized, structured program is followed under the guidance of experienced physiotherapists:
- Early Period: Protecting the knee (e.g., with a brace), restricting weight-bearing (especially after repair), and controlling pain and swelling.
- Intermediate and Advanced Period: Gradual range-of-motion and strengthening exercises, balance and coordination work, and preparation for return to activity and sport.
- Follow-up: The recovery process varies according to the procedure performed and individual factors, and is monitored with regular check-ups.
Expertise and Experience
- Advanced Surgical Techniques: In our clinic, under the leadership of Prof. Dr. Murat Bozkurt, who has extensive experience in knee surgery and arthroscopic methods, the principles of meniscus-preserving surgery are adopted. Current and effective treatment methods, especially arthroscopic meniscus repair, are successfully applied.
- Personalized Planning: Each patient’s condition is evaluated in detail, and personalized treatment plans are created based on the most current scientific data.
- Patient-Centered Approach: Throughout the entire process from diagnosis to the completion of rehabilitation, patient education and multidisciplinary teamwork are prioritized.
Contact and Appointment
If you suspect a meniscus tear or would like a professional evaluation of your knee health, you can book an appointment with Prof. Dr. Murat Bozkurt for an accurate diagnosis and treatment options. Do not postpone your health.
Frequently Asked Questions
What is a meniscus tear and why is it so important for the knee?
The menisci are C-shaped cartilage cushions located in the knee joint between the thigh bone and the shin bone. They distribute the load placed on the joint, absorb shock, increase joint congruence, and contribute to the stability of the knee. A meniscus tear is a disruption of the integrity of this important tissue. Preserving the meniscus is critically important for the knee to function healthily and to reduce the long-term risk of osteoarthritis.
What are the most common symptoms of a meniscus tear? What complaints in my knee should raise suspicion?
The menisci are C-shaped cartilage cushions located in the knee joint between the thigh bone and the shin bone. They distribute the load placed on the joint, absorb shock, increase joint congruence, and contribute to the stability of the knee. A meniscus tear is a disruption of the integrity of this important tissue. Preserving the meniscus is critically important for the knee to function healthily and to reduce the long-term risk of osteoarthritis.
Does every meniscus tear require surgery? Are there non-surgical treatment options?
The menisci are C-shaped cartilage cushions located in the knee joint between the thigh bone and the shin bone. They distribute the load placed on the joint, absorb shock, increase joint congruence, and contribute to the stability of the knee. A meniscus tear is a disruption of the integrity of this important tissue. Preserving the meniscus is critically important for the knee to function healthily and to reduce the long-term risk of osteoarthritis.
What is the main difference between meniscus repair (suturing) and meniscus removal (meniscectomy)? Which is more advantageous?
The menisci are C-shaped cartilage cushions located in the knee joint between the thigh bone and the shin bone. They distribute the load placed on the joint, absorb shock, increase joint congruence, and contribute to the stability of the knee. A meniscus tear is a disruption of the integrity of this important tissue. Preserving the meniscus is critically important for the knee to function healthily and to reduce the long-term risk of osteoarthritis.
Who is a suitable candidate for meniscus repair surgery? Can every type of tear be repaired?
The menisci are C-shaped cartilage cushions located in the knee joint between the thigh bone and the shin bone. They distribute the load placed on the joint, absorb shock, increase joint congruence, and contribute to the stability of the knee. A meniscus tear is a disruption of the integrity of this important tissue. Preserving the meniscus is critically important for the knee to function healthily and to reduce the long-term risk of osteoarthritis.