Physical therapy and rehabilitation specialist Prof. Dr. Turan Uslu gave information about the subject. The meniscus is a cartilage tissue that acts as a shock absorber between the two bones of the knee. It is often damaged by twist-style strains. This damage causes pain and swelling in the knee. The part that breaks from the meniscus as a result of damage or its severely damaged structure may cause locking in the knee. Since the cartilage does not have blood circulation, the damage is repaired by the body.It is not possible. It is possible to repair the meniscus arthroscopically in the light of the information and decision of a specialist physician. In some damage, part or all of the meniscus may need to be removed. Hyaluronic acid injections and PRP give good results in patients with first and second degree meniscus lesions.
Meniscal lesions in patients over the age of XNUMX are usually accompanied by degenerative changes. Patients with completely removed meniscus have a high incidence of osteoarthritic problems later in life. astroscopicallyRehabilitation following meniscus intervention is important for early return to sports. Weight bearing on the leg using crutches is allowed within 48 hours after arthroscopy. The bike (stationary home or laboratory style) can be used within a few days. It is returned in 4-6 weeks following the rehabilitation suitable for sportive activity at the preoperative level. In complex repairs, this process may be prolonged.
Will the meniscus heal on its own?
In the treatment of meniscus tear, surgery or a combination of “medication-exercise-rest” method should be applied. MRIDirect arthroscopy should be preferred for tears with mechanical symptoms such as snagging and locking. If the patient has a low-grade tear that is not fully separated, the patient's complaints are treated with drugs and special exercises given by the doctor. If the complaints do not decrease after using the exercise method for at least 1,5 months, the surgical method can be applied.
Arthroscopy period in surgery
After the meniscus diagnosis, treatment should be started without delay. Meniscus tear is diagnosed by an orthopedist's examination and subsequent MRI. While open surgery was used in the treatment of meniscus before, nowadays, closed surgeries, which are a modern treatment method, are performed, namely arthroscopy. An optical system (camera) with an approximate diameter of 5 mm is entered into the knee joint. The image of the inside of the knee is projected on the screen and the ligament and other structures inside the knee are examined. In most meniscus tears, removing the tear is sufficient for treatment.