Arthroscopic Surgery “Medial Meniscus Repair”

“Arthroscopic Medial Meniscus Repair” This is the video of an tangible operation preformed by Dr. Alan M Reznik for the middle meniscus tear. The studious is the soccer player presenting with the censure of recurrrent locking, flourishing as well as giving way. The rip was the formidable sort involving the bill rip as well as the “red upon white” rip of the meniscus edge or preriferal meniscus. It was treated with colour with the suture correct finished arthroscopically regulating 5 sets of sutures.

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Comments: 28 comments

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  • improm2u
    November 29th, 2009 at 12:14 am

    good to se the reapir , rathar than cutting out the precious carltlidge, altho some ppl fine the stiches irrating and get them taken out. , let shope this guys caltidge knits back together,

  • anaphylaxis123
    November 29th, 2009 at 12:14 am

    hi DrAReznik…for the past few months m having knee cap pain of my right knee and whenever i flex my knee with force or walking up stairs there’s crunching sound form my knee cap….the pain worsens if i climb up stairs…..can u help me? wat u shud i do?

  • crh2010
    November 29th, 2009 at 12:14 am

    I had this surgery and when I bend my knee it kinda still locks or its very painful, is there anything I can do to help this?

  • DrAReznik
    November 29th, 2009 at 12:14 am

    As always a good exam is the key to the best diagnosis. If your knee is found to be stable and the signs of a meniscus tear have resolved then you can slowly return to activity. As a rule, most minor knee injuries resolve in 4-6 weeks. Those knees that remain painful, swell, lock, buckle or give way should be re-evaluated for a tear and treated appropriately.
    If you have no symptoms, no swelling, no locking, no pain then certainly light activity should be fine.

  • licandres01
    November 29th, 2009 at 12:14 am

    Hi Dr. Reznik, i started playing tennis a month ago and after three weeks i started feeling a little pain in my knee, went with a Orthopedic and told me i had a little injury in the middle meniscus, and told me i had to rest, then i went with another doctor and told me i have to stay home, if i can walk perfectly is it extremely necessary to stay home??

  • DrAReznik
    November 29th, 2009 at 12:14 am

    Improvement with NSAIDs is a good sign but continued instability is not. It sounds like you are looking for someone to say it will all magically go away. If you do not improve in 4 to 6 weeks from the injury or you continue to be unstable you must see an Orthopedic surgeon for an exam. Again, there is no substitute for a good exam by a skilled MD in this setting.

  • bradfordwillis
    November 29th, 2009 at 12:14 am

    Thank you for the reply. To follow up, it’s now been 10 days since the bowling injury. I was on 500mg Naproxin, but switched to aspirin due to stomach discomfort. The swelling is down & the pain is minimal. However, my gait is still quite slow and I’m still getting the clicking & popping from the left knee but not continuous. The knee feels a bit unstable, yet I can bear full weight on it. Stairs are tough unless the leg is straight. Is this normal after 10 days? Any further thoughts?

  • DrAReznik
    November 29th, 2009 at 12:14 am

    Most injuries with a flexed knee of the type are involving the patella or kneecap. that would cause you to slow down and have pain going down stairs. On the otherhand recurring clicking or locking could be a cartilage tear. Rest, ice and NSAIDs are best first choice treatments. If pain, clicking or swelling persists you need to see an Orthopedic Surgeon.

  • bradfordwillis
    November 29th, 2009 at 12:14 am

    Hi Dr. Reznik. While bowling, upon release of the ball (I throw hard), my left foot failed to slide and instead stuck. All my weight & inertia came down on it resulting in a knee injury. Since then, it’s been clicking and popping when I walk. A Dr (GP) saw it & didn’t think it was serious & said rest it for a couple of weeks. I can only walk at about 20% of normal speed & with a hard limp & the clicking & popping sounds. Any idea what is going on with my knee?

  • chiquisbaby81
    November 29th, 2009 at 12:14 am

    Dr. Reznik,
    I had an ACL repair two years ago and my knee has never been the same since. It feels very stable but the ROM never really came back. I can’t squat. About two days ago I think I bent my knee a little too much and now I hear alot of pops. A little swelling but went away quick. Did the Lachmans test and my knee still feels stable. You think maybe it has something to do with the meniscus??? Let me know what you think….Thanks

  • DrAReznik
    November 29th, 2009 at 12:14 am

    You may have a different problem like “notch impingement” on the ACL or scar tissue rubbing inside your knee, check with your surgeon

  • ian2304
    November 29th, 2009 at 12:14 am

    Many thanks for the prompt reply. I actually had an ACL reconstruction on the same knee back in Dec 07. Ive always had this clicking when i extended my leg since then. I thought after this meniscus repair, that it would go away but it hasn’t.
    It’s so annoying.

    If the clicking doesn’t hurt, should I just leave it alone?
    Sorry for the many questions.

  • DrAReznik
    November 29th, 2009 at 12:14 am

    Firstly, we refer to the range as 0 to 90 starting with the knee straight to being bent at 90 degrees. Most surgeons will brace or protect a repair in different ways. Extremely small tears and partial meniscetomies may not need a lot of protection. Ask How big your tear was, how many sutures. When I have patient ask this question – they usually had something other that the full repair shown for the very large tear seen in this video.

  • ian2304
    November 29th, 2009 at 12:14 am

    Dr Reznik, I just had this exact surgery done exactly a week ago. Before this, I had clicking in my knee when I raised my leg from 90 degrees to 180 degrees, and my knee would lock and give way. After the operation, I was not put in a knee brace. I am paranoid that the sutures might tear or loosen. How strong are the sutures? And when push down on my knee to do quad exercises, I can still head some clicking. What is the cause of this? many thanks

  • DrAReznik
    November 29th, 2009 at 12:14 am

    This is not my preferred device – so I cannot comment.
    But, it has been reported, on occasion, the part inside the knee can cause irritation and rubbing on the surface of the femur. If you continue to have pain, swelling and unable to walk a second look arthroscopic exam may be needed.

  • MarkaoAV
    November 29th, 2009 at 12:14 am

    Thank you for your kind answer. Do you know how long does it take the Rapidloc device to bio-degrade?

    I know there are three pieces in the device (anchor,suture,knot). Do you know if the three will bio-degrade at the same rate?

  • DrAReznik
    November 29th, 2009 at 12:14 am

    First I place my pts in a straight brace for 3 weeks and then a hinged knee brace. Most Patients need to use crutches when the first change over to the brace. Walking normally is not the rule at this time. The quads are week and the healing time for the meniscus is 4 months. Most of my pts are walking reasonable well by 6 weeks but require the brace until 4 months post op.

  • MarkaoAV
    November 29th, 2009 at 12:14 am

    Dr Reznik I had a medial meniscus repair done 4 weeks ago (1 anchor attaching the meniscus to the capsule). I still feel pain and cannot walk. Is it normal?

  • kmalik01
    November 29th, 2009 at 12:14 am

    Dr. Reznik, I have a tear to the anterior and posterior aspects of my medial meniscus…tried 3 weeks of RICE, NSAIDS and little relief….any mistep sparks intense pain….what’s the surgical prognosis to return to pre injured state….K. Malik

  • dakrazy1987
    November 29th, 2009 at 12:14 am

    I’m going to get that surgery and I was wondering……How long does it take to heal? Is it a same day service? Are you allowed to walk on it?

  • skittles2590
    November 29th, 2009 at 12:14 am

    Wow thats crazy. i didnt think i would actually find a video this good on youtube! thanks Doc, keep the vids coming.

  • manicprime
    November 29th, 2009 at 12:14 am

    thanks very much, it will be a removal, not a repair, after the surgery, should i see any repercussions or should it eventually get back to 100% whatever that is, its been injured for sooo long now

  • janerez
    November 29th, 2009 at 12:14 am

    Depends if you are having a repair or removal of a torn fragment. For repairs, I usual don’t let patients return to full sports for at least 4 months and then with a brace on – the repair takes at least 4 months to heal 80%. If the cartilage was removed and not repaired then 6 weeks is usually OK but a lot of prep is required for soccer. It is one of the toughest sports for your knee after surgery.

  • manicprime
    November 29th, 2009 at 12:14 am

    hi doc, im scheduled to have this surgery shortly, what i wanted to ask is how long it will take after the surgery for me to get back in soccer. thanks

  • KdoGG4050
    November 29th, 2009 at 12:14 am

    thank you very much for the reply but like you said that wasn’t what i wanted to hear. I see my doctor tom. Its been 2 weeks since surgery and ive taking off my leg immobilizer. Been on crutches for four weeks now! My other question is this. How will my doctor decide whether I will remain on crutches for the full 6 weeks or 4? Ive started doing small movements. Is this to early for rehab?

  • Sheila Rolston
    July 27th, 2010 at 9:36 pm

    Dear Dr. Reznik,

    I recently had arthroscopic knee surgery and am having a lot of problems. I’ve had this same surgery a few other times and had no problems. The first two days after surgery went well, but on the third day my knee became extreemely painful and the swelling increased. I can barelly walk. I’m a chronic pain sufferer and am used to hurting but this is almost more than I can bear. I have found some petechiae on my upper and lower leg that come and go. Is there any reason that I’m having so much trouble this time? Any help will be greatly appreciated.

    Sheila

  • Mohamed Taleb Barikhan
    August 8th, 2010 at 8:22 am

    Dear Doctor,
    i had a knee operation (meniscus tear) on Feb ’10 and it was painfull and it took me more than two months to walk properly.
    the problem now is whenever i sit for more than 5 minutes or i stand for more than 5 minutes i have to bend my knee to make it click so i feel better.
    i have visited my doctor and he always telling me that i have to strengthen my leg muscle so it doesn’t touch the patella and this click would disappear. frankly speaking i started to believe that my operation failed or something wrong is there cause my life is not normal and i am even afraid to run!! please advice me…thank you in advance for your help

  • Charles Cialella JR
    August 25th, 2010 at 12:21 pm

    In 1996 i fell and tore my meniscus.I had it repaired with surgery.My job requires my constant walking and climbing.I’ve been doing this for 13 yrs. after the surgery.I’ve developed a bad case of D.J.D and osteoarthritis in 2007,Ater numerous drs. visits and Depro shots,the knee has started locking up on me.I’ve been to two orthaepedic doctors and after an mri they both came to the same conclusion ,they both agreed i would need a total knee replacement.My other knee has a slight case of osteoarthritis.Could my my tear in 1996 and subsequent climbing and walking have contributed to my needing that knee having to be replaced?

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