Meniscus tear treatments
My teachers used to say, “We don’t treat X-rays!” What they meant was: “ just because you see something suspicious on radiological images doesn’t mean you have to operate”. The clinical exam takes precedence. Having said that, it’s true that small, minor tears are often found by chance on a MRI in patients over the age of 50, and treatment will be conservative: rest, anti-inflammatories, physiotherapy or injection. More serious meniscus tears rarely heal on their own, because they get little to no blood supply.
What I do, in such cases, is an arthroscopic procedure to remove the fragment causing pain or stiffness in the knee, or stitch the tear if the fragment is too large or when there is good potential to heal (which is more common in teens or young adults who present with ligament tears).
Knee arthroscopy is the most common procedure in orthopedic surgery, and also the most simple. It can be performed as a day surgery. My preference is to do it under local anaesthesia.
It is simple, well tolerated, and ability to walk is restored in a few days usually.
« The complication rate related to knee arthroscopy is low, less than 1%, and includes infections, deep vein thrombosis DVT (blood clot in a vein) and neurovascular lesions. Recovery time for a partial meniscus resection is 2 to 6 weeks, depending if osteoarthritis was involved or not. Recovery time after stitches is longer and more complex. »
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Five months after my operation, despite the severity of my wound, I am again able to ride a bike without difficulty or pain. I had an impeccable and attentive follow-up from Dr. Beauchamp. Thank you!