How Long To Recover From Meniscus Repair
Recovery later meniscus repair: what to expect
Written by:Published: nineteen/06/2019
Edited by: Nicholas HowleyIf you lot are planning to become the meniscus in your knee repaired you might be worried about the recovery menses afterwards. We interviewed leading consultant orthopaedic surgeon Professor Paul Lee about how long it takes to get back to work or sport, what symptoms are normal in the recovery period, and to what extent you lot can regain your mobility after meniscus repair.
How long does it take earlier you can become back to work?
Meniscus repair is a very intricate surgery, it is not suitable for everybody, and information technology depends on the claret supply to the meniscus. Therefore, how long it takes to heal depends onhow the meniscus is repaired – and more importantly, where the meniscus was torn.
If the torn part of the meniscus was nearly the claret supply, the healing process is usually very successful. However, if the meniscus tear is abroad from the blood supply and has been longstanding, it may have a long time to recover.
Typically, following a elementary repair, the patient can return to work to after approximately six – 8 weeks following surgery. Yet, for a more complex meniscus repair, it volition take a lot longer.
What about getting back into sport?
I would non recommend returning to sport for at least 6-9 months. Again, this depends on the patient's biology, and besides the way the meniscus was repaired.
For a low-bear upon sport such equally cycling, the patient can return usually at effectually half-dozen months. However for complex sport that involves cut and turning such every bit rugby, football or Aussie rules football, information technology may have a chip longer, typically about a year.
Each meniscus tear is very unlike. The position of a meniscus tear has a huge influence on how before long a patient can return to sport. For example, if the tear of the meniscus is towards the back of the knee, nosotros would suggest the patient to avoid deep flexion of the knee, only at the same time, extending the leg and walking on it can help to push the meniscus to heal amend.
With the knowledge of how and where the meniscus was torn we can specifically tailor movements or create a programme which tin be prescribed to assist recovery.
What symptoms are normal in the recovery period?
Recovery depends on the corporeality of work which has been washed within the knee, but usually meniscus repair is done via keyhole surgery. In terms of symptoms:
- Pain is commonly managed past simple painkillers such as paracetamol.
- Swelling in the knee joint is to exist expected for approximately 3 – 6 months. The firsthand swelling will reduce after two weeks, but the general swelling on the whole leg tin can last a while longer, which is completely normal.
- The knee may become strong during the recovery process, which is completely normal and can be dealt with afterwards the healing process has happened.
- A clicking and crunching awareness could be normal during the recovery process.
- A feeling of 'fluid' inside the knee up to a sure extent could too be normal.
Some of these symptoms depend on the rehabilitation program prescribed past the surgeon and any subsequent physiotherapy.
Post-obit meniscus repair surgery, I would strongly recommend avoiding not-steroid anti-inflammatory medications such as Ibuprofen, Diclofenac and Naproxen. These are very powerful painkillers and their effect tin delay the wound from healing and potentially delay the meniscus repair. Of course, if the hurting is unbearable, these type of painkillers can exist used to treat breakthrough pain.
What symptoms should I exist worried about?
During the recovery procedure, if you feel that in that location is a sudden give manner of the knee, or any clunking or locking inside the knee that does non settle downwardly within 24 hours, it is important to seek medical attention. If your articulatio genus is locked in a sure position do not try to forcefulness it straight. This could indicate that the repair of the meniscus has failed, and I would suggest the patient to seek medical advice every bit presently as possible.
Although it is common for the keyhole wound to leak claret-stained fluid, if you have a temperature or fever associated with this, I would suggest for you to seek medical advice immediately. Although information technology is very rare, a patient can develop deep vein thrombosis post-obit this type of surgery. This can depend on your surgeon, since a tourniquet may or may not have been used, and this will also have an influence on your recovery.
What proportion of patients will demand revision surgery?
Generally speaking, a meniscus repair is a very successful surgery. If the indication is correct with the correct candidate, the success rates of meniscus repair would exist over 80%. Nonetheless, if the repair is more complex or at that place is less of a biological response, the success rate could be down to 50%.
During surgery, we tin stabilise the meniscus, reduce it back to place and potentially augment it with some biological stimulation. Whether the meniscus continues to repair itself is down to the patient's biology, their nutrition, and the style they load the articulatio genus post-obit surgery. Therefore it is very important to work with your surgeon and have a full understanding to maximise your chance of success.
Will I completely regain my previous mobility – or will there be a permanent change?
If your meniscus repair is successful and there is no other associated damage, it is highly likely that you volition be able to return to your previous state of strength, range of move, also as your operation.
Even so, it is important to empathise that each meniscus repair is very dissimilar and it requires some specialist knowledge. Generally speaking, it is not advisable to repair a meniscus for a patient aged over 50 without whatever biological supplementation. It is important to talk to your surgeon, and based on your MRI scan, discuss and understand your prognosis.
Recently at MSK Doctors nosotros accept employed a needle arthroscopy technique. This will assist improve the accuracy of our diagnosis to give a more precise prognosis of the meniscus' status in terms of inside, and what the general condition is within the cartilage inside the knee. This will requite a much better indication and prognosis of how any surgery will respond. Nosotros are proud to say that MSK Doctors is the beginning clinic to adopt this technique in the United Kingdom.
If y'all would similar a consultation with Professor Lee to discuss meniscus repair, click here .
Past Professor Paul Lee
Orthopaedic surgery
Professor Paul Lee is a consultant orthopaedic surgeon based in London and Grantham, Lincolnshire, specialising in hip replacement, knee joint surgery and knee cartilage replacement alongside revision hip replacement, meniscus surgery and anterior cruciate ligament (ACL) surgery. He privately practises at 108 Harley Street medical centre and as the director at MSK Doctors in Ancaster, Lincolnshire. His NHS base is United Lincolnshire Hospitals NHS Trust where he is a consultant sports and arthroplasty surgeon and the Managing director of Inquiry.
Professor Lee is highly qualified, and received his MBBCh in Medicine from Cardiff University in 2005 and went on to receive an MSc in Sports Medicine - Muscle Performance and Recovery, from Cardiff Metropolitan University iii years later. He and then returned to Cardiff University to complete a PhD entitled 'Treatment of Muscle Injuries' in 2022.
He regularly treats elite sports people, including handling of muscle injuries in Great britain Premier League footballers, significantly reducing their recovery time, allowing them to return to playing sooner.
Professor Lee, who is held in loftier esteem past his patients, offers various non-surgical orthopaedic techniques including micro artho-glycan genu, actovegin muscle injury and stem cell injection treatments aslope the Unloader One® knee brace. He also prides himself in his surgical skills in the Southward.P.A.I.R.Due east tendon-sparing total hip replacement, FT-MPFL Patella re-alignment and All-Inside ACL reconstruction surgeries.
He has as well combined surgery, engineering science, engineering to develop theSingle Treatment Autologous Chondrocyte implantation (STACi) procedure.
Farther to his qualifications, Professor Lee besides has diverse fellowships from respected institutions including the Royal College of Surgeons of Edinburgh (Tr & Orth), the European Board of Orthopaedics and Traumatology (FEBOT) and Orthopaedics Infirmary in Oswestry.
He is likewise a certified expert in the use of the Exeter hip system, which was developed after preparation on the Robin Ling Exeter Hip Replacement Fellowship in the Princess Elizabeth Orthopaedic Hospital in Exeter. He likewise did international fellowships in Germany and Australia. Other higher training saw Professor Lee become a certified member of the Faculty of Sports and Do Medicine (MFSEM).
Professor Lee is widely published in various peer-reviewed journals and is an active member of the British Hip Society (BHS), British Orthopaedic Sports Trauma and Arthroscopy Clan (BOSTAA) and the British Orthopaedic Association (BOA) aslope the Biological Knee Gild (BKS). He is internationally recognised at the ICRS educational activity centre of excellence for his teaching in cartilage and joint preservation surgery.
Source: https://www.topdoctors.co.uk/medical-articles/recovery-after-meniscus-repair-what-to-expect
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