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Arthroscopic Knee Surgery

Meniscal Repair

In some cases it is more appropriate to repair the torn meniscus rather than remove the torn part. This decision is determined by the nature, location and type of tear that is encountered. Some areas of the meniscus have adequate blood supply and have the ability to heal if repaired. Other areas are without sufficient blood supply and thus do not have the ability to heal.

The "red zone" is the term we use to describe the areas that have potential for healing. The "white zone" does not have the ability to heal.

When I repair your meniscus I will either suture (sew) it back together or repair it using a special biodegradable "tack" to hold it together while the healing occurs. Healing takes time and I will usually require that you use crutches 3 to 4 weeks following a meniscus repair and limit your return to vigorous activities for 3 to 4 months. Even if we do everything right, you meniscus may not heal and it may be necessary to come back at a later date and re-scope the knee and remove the part that did not heal.

I am more likely to repair a torn meniscus in a younger person as the impact of saving the meniscus will have greater import.

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