Procedures / Knee

Meniscal injuries

Meniscal surgery and repair, prioritising tissue preservation: root tears, bucket-handle tears and repairable tears.

What it is
The menisci distribute load between the femur and tibia. Root tears and bucket-handle tears compromise that function and, left untreated, accelerate cartilage wear.
When it is indicated
Repair is prioritised whenever the tissue allows it, especially in young patients and in root tears, where preserving the meniscus protects the joint in the long term.
How it is performed
Arthroscopically the meniscus is sutured or the root is reattached to bone through a transtibial tunnel. For chronic bucket-handle tears the doctor has described a meniscocapsular release technique to achieve reduction. Partial meniscectomy is reserved for tissue that cannot be repaired.
Recovery
Protected weight bearing and limited flexion during the first weeks, depending on the repair. Physiotherapy progresses to strength and return to activity.
Procedures the doctor performs
  • Meniscal suture and meniscal preservation
  • Meniscal root repair
  • Reduction and repair of bucket-handle tears
  • Partial meniscectomy when repair is not possible