Meniscus Part II
Historically, meniscectomy was the treatment of choice for surgical repair of a damaged meniscus.Â Recent research suggests the meniscus is an integral part of knee function and stability and the removal of part or all of the meniscus is associated with poor outcomes. This resulted in meniscectomy beginning to fall out of favor. Meniscal repairs have now been determined to have greater results when careful patient selection is performed based upon favorable factors.
A patients age, type and activity requirements are all taken into consideration when determining the surgical procedure. More importantly, the timing of the injury (surgeries within 8 weeks of injury have better outcomes), the stability of the ACL and the location of the tear (vascular vs nonvascular) are critical in determining the best surgical procedure.
Indications include but are not limited to:
-Avoid flexion angle greater than 60 degrees (increases stress on meniscus)
Goal of the surgeon is to preserve as much of the functional meniscus as possible with preservation of the entire meniscus being the goal whenever possible. Indications for a meniscectomy include: