Arthroscopic Medial Meniscal Repair

Not every meniscal tear requires surgery. However, arthroscopic repair is often chosen when:

• The tear occurs in the outer vascular zone, where blood supply supports healing.
• The patient is young, active, or athletic and needs a strong, stable knee.
• The tear is large, unstable, or symptomatic despite non-surgical treatments.
• The meniscus injury is combined with an ACL tear or ligament damage, allowing simultaneous repair.

1. Evaluation and Diagnosis
   A detailed clinical exam and MRI scan confirm the tear’s size, type, and location.
2. Anesthesia and Preparation
   The patient receives anesthesia, and the knee is painted and positioned for precise arthroscopic access.
3. Arthroscopic Repair
   Through tiny incisions, a camera (arthroscope) and specialized instruments are introduced. The torn edges of the meniscus are repositioned and secured with sutures or anchors. Techniques such as inside-out, outside-in, or all-inside repair are selected depending on the tear’s pattern and position.
4. Concurrent Repairs (if needed)
   If other injuries, such as ACL tears, are present, they are repaired during the same arthroscopic session.
5. Closure and Dressing
   The small keyhole incisions are closed, and the knee is protected with a sterile bandage and brace.

Rehabilitation after arthroscopic medial meniscal repair is structured to protect healing and restore strength:

• Immobilization: A knee brace limits excessive movement during the early healing stage.
• Weight-Bearing Control: Crutches are typically required for several weeks until the repair is stable. Non weight bearing walk uptill 4 weeks.
• Physiotherapy: Gradual progression from gentle range-of-motion exercises to strengthening of the quadriceps, hamstrings, and hip muscles.
• Return to Sports: Most patients safely resume sports within 4–6 months, depending on healing progress and adherence to therapy.

• Maintains the knee’s natural cushioning and stability.
• Reduces the likelihood of early osteoarthritis.
• Improves long-term function and mobility.
• Lowers the risk of requiring future knee replacement surgery.

Although generally safe, arthroscopic meniscal repair carries some risks, including stiffness, incomplete healing, infection, or re-tear of the repaired tissue. Success rates are highest in patients who carefully follow rehabilitation protocols and allow sufficient healing time before returning to strenuous activity.

arthroscopic medial meniscal repair is a minimally invasive and highly effective procedure that restores stability, preserves joint function, and protects long-term knee health. By saving the meniscus instead of removing it, patients enjoy better mobility, reduced risk of arthritis, and a stronger foundation for an active lifestyle.