Meniscus root repair is a surgical procedure performed to treat injuries to the meniscus root, which is the attachment site of the meniscus to the tibia (shinbone). The meniscus is a C-shaped cartilage structure that provides cushioning and stability to the knee joint. When the meniscus root is torn or detached, it can lead to instability and increased risk of developing knee osteoarthritis.
During a meniscus root repair, the torn or detached meniscus root is reattached to the bone using various techniques. This procedure aims to restore the normal function and biomechanics of the meniscus, preserving its role in load distribution and joint stability.
The surgery is typically performed arthroscopically, using small incisions and a camera-guided instrument to visualize and repair the meniscus.
We usually use suture tape passed through bone tunnels secure the meniscus root back to the bone. Meniscus root repairs have shown promising results in restoring knee stability and reducing pain. However, the success of the procedure depends on various factors, including the type and location of the meniscus tear, the patient's age and activity level, and the surgical technique employed. Rehabilitation and postoperative care, such as physical therapy, are crucial for optimizing the outcomes of meniscus root repairs.
An abbreviated protocol below should be adjusted by a physiotherapist to allow for individualised, save rehabilitation after this procedure.
Initial 6 weeks: Non-weight-bearing and range of motion 0-90°
After 6 weeks: Progressive ROM exercises, Closed chain strengthening, Avoid deep flexion for 9 months. Followed by: Sport-specific exercises
Usually 9-12 months full activity and sports can be started again.
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