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Top Doctors in the World for Meniscal Repair are:

Damir Hudetz, M.D., Ph.D
Željko Jeleč, M.D., Ph.D.
Trpimir Vrdoljak, M.D.
Eduard Rod, M.D., Ph.D.
Dr. Muath Adi
Dr. Ahmad Mousa

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Meniscal repair is a surgical procedure aimed at treating tears in the meniscus, a crucial component of the knee joint. The meniscus is a C-shaped cartilage that acts as a cushion between the thigh bone (femur) and the shin bone (tibia). It plays a vital role in stabilizing the knee, distributing weight, and reducing friction during movement. Meniscal tears are common injuries, particularly among athletes, and can lead to pain, swelling, and reduced mobility.

Symptoms of Meniscal Tears

The symptoms of a meniscal tear can vary depending on the severity and location of the tear. Common signs include:

  1. Pain: Often localized on the inside or outside of the knee.
  2. Swelling: The knee may become swollen due to inflammation.
  3. Stiffness: Difficulty bending or straightening the knee.
  4. Locking: The knee may lock or catch during movement.
  5. Reduced Range of Motion: Limited ability to move the knee freely.

These symptoms can be exacerbated by activities such as walking, running, or twisting the knee. It is essential to seek medical attention if you experience persistent knee pain or discomfort.

What is Meniscal Repair?

Meniscal repair involves surgically repairing the torn meniscus to restore knee function and prevent further damage. Unlike meniscectomy, which involves removing the damaged part of the meniscus, repair aims to preserve as much of the original tissue as possible. This approach is particularly beneficial for maintaining knee stability and preventing long-term complications such as arthritis.

Types of Meniscal Repairs

There are several techniques used in meniscal repair, each tailored to the specific characteristics of the tear:

  1. Suture Repair: The most common method, involving suturing the torn edges together.
  2. Meniscal Root Repair: Focuses on reattaching the meniscus to its original position.
  3. All-Inside Repair: Utilizes specialized devices to repair the meniscus without additional incisions.
  4. Inside-Out Repair: Involves making a small incision to access the meniscus and place sutures.

The choice of technique depends on factors such as the location, size, and pattern of the tear, as well as the patient's age and activity level.

The Procedure: What to Expect

Meniscal repair is typically performed arthroscopically, meaning it involves small incisions and the use of a camera to guide the surgeon. This minimally invasive approach reduces recovery time and minimizes scarring.

  1. Preparation: The patient undergoes pre-operative assessments, including imaging studies like MRI, to evaluate the tear's characteristics.
  2. Surgery: Under general or regional anesthesia, the surgeon makes small incisions and inserts an arthroscope to visualize the knee's interior. The torn meniscus is then repaired using the chosen technique.
  3. Post-Operative Care: Following surgery, patients may need to use crutches and wear a knee brace to protect the repaired meniscus. Physical therapy is often recommended to regain strength and mobility.

Recovery and Rehabilitation

Recovery from meniscal repair can vary depending on the severity of the tear and the specific repair technique used. Generally, patients can expect the following timeline:

  1. Initial Recovery: Swelling and discomfort are common in the first few days. Ice, elevation, and pain medication can help manage these symptoms.
  2. Physical Therapy: A crucial component of recovery, focusing on restoring range of motion, strength, and stability.
  3. Return to Activities: Depending on the patient's progress, they may gradually return to regular activities, including sports. This process can take several months, and it is essential to follow the surgeon's and physical therapist's guidance.

Choosing the Best Doctor for Meniscal Repair

Selecting a skilled and experienced surgeon is crucial for a successful meniscal repair. Here are some factors to consider when choosing the best doctor:

  1. Experience and Specialization: Look for a doctor with extensive experience in knee surgeries and a specialization in meniscal repair.
  2. Reputation and Reviews: Research patient reviews and testimonials to gauge the doctor's reputation and patient satisfaction.
  3. Advanced Techniques: The best doctors stay updated with the latest surgical techniques and technologies.
  4. Personalized Care: A good doctor will provide personalized care, considering the patient's unique needs and lifestyle.

In conclusion, Meniscal repair is a vital procedure for individuals suffering from knee pain due to a torn meniscus. Understanding the symptoms, treatment options, and recovery process can help patients make informed decisions about their healthcare. While finding the best doctor for this procedure is essential, it is equally important to follow post-operative care and rehabilitation guidelines to ensure a successful recovery. By choosing the right professional and adhering to the prescribed treatment plan, patients can achieve optimal knee health and return to their active lifestyles.

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