Meniscus Tear: Repair, Reconstruction, or Surgery — What's Right for You?

That sharp pop during a football tackle, or the slow ache after weeks of running — these are all ways a meniscus tear announces itself. It is one of the most common knee injuries seen in active adults across Bengaluru.

What Is the Meniscus and Why Does It Matter?

The meniscus is the knee's shock absorber. Preservation is key: patients who lose significant meniscal tissue have a substantially higher risk of early-onset osteoarthritis. The meniscus has three blood-supply zones:

• Red-Red Zone (outer): Rich blood supply, heals well with repair.
• Red-White Zone (middle): Marginal supply; repair depends on tear pattern.
• White-White Zone (inner): No supply; typically requires partial removal.

Types of Meniscus Tears

• Vertical / Longitudinal
• Bucket-handle
• Radial
• Horizontal cleavage
• Complex / Degenerative
• Root tears

Symptoms and Diagnosis

Common signs include joint line pain, swelling, locking, and "giving way". Diagnosis involves clinical tests (McMurray's) and MRI, which has >90% sensitivity.

Treatment Options

Step 1: Conservative Management

Small tears may respond to the RICE protocol (Rest, Ice, Compression, Elevation) and targeted physiotherapy. PRP injections may also be used as an adjunct.

Step 2: Arthroscopic Surgery

• Meniscus Repair: Preferred for younger patients with acute, peripheral tears. Dr. Nitin uses contemporary suturing techniques (inside-out, all-inside).
• Partial Meniscectomy: Trimming irreparable portions. Faster initial recovery but higher long-term arthritis risk.
• Meniscus Reconstruction: Transplantation using an allograft for patients with total meniscus loss.

Frequently Asked Questions (FAQ)

Can I play sports again?
Yes, most athletes return after 4–6 months (repair) or 4–6 weeks (meniscectomy).

Cost of surgery in Bengaluru?
Varies based on procedure and implants; typically covered by insurance.