Is it common to retear a meniscus?Asked by: Martine Harris
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Patients with surgically treated lateral
Subsequently, question is, What causes repeated meniscus tears?
What causes meniscus tears? Meniscus tears can happen at any age. The meniscus tends to be less pliable and more brittle as we age. When younger patients develop a meniscus tear, it is more commonly associated with a traumatic twisting event.
Furthermore, Can a meniscus tear twice?. Have you had a meniscus repair and are now experiencing knee pain, swelling and loss of function? If so, you may have re-torn your meniscus. A re-torn meniscus can occur from a fall, traumatic event or degeneration.
Furthermore, How do I know if my meniscus repair failed?
Therefore, the only practical way of finding out whether or not a meniscal repair has healed is to gentle test the knee out by slowly returning to normal activities and sports after the 3-month post-op mark.
What are the chances of re tearing your meniscus?
But the 2013 research indicated those numbers were inflated, with less than 10% of meniscus patients experiencing a re-tear.
In serious cases, it can develop into long-term knee problems, like arthritis. In addition moving around with a torn meniscus could pull fragments of the cartilage into the joint causing larger knee issues which could requiring more significant surgery in the future.
The fluid in your knee often remains there for at least 4-6 weeks after surgery until your body can reabsorb it. This fluid will make your knee feel tight or stiff, especially with deep knee bending or squatting.
Total distribution of failures. Medial meniscal repairs had significantly higher failure rates within 3 years (28.3%) than lateral repairs (11.7%).
Pain is quite common, most often in the area where you had pain before surgery, in the soft tissues below the knee cap, over the athroscopy wounds and occasionally the whole knee. The pain settles usually within two to three weeks, but may take upwards of six weeks.
At final follow-up, 14 of the 50 patients (28%) initially diagnosed with a lateral meniscal tear were found to have a postoperative retear on repeat MRI or subsequent diagnostic arthroscopy. Of these, 4 patients had been treated with meniscal repair, and 10 had been treated with partial lateral meniscectomy.
A torn meniscus usually produces well-localized pain in the knee. The pain often is worse during twisting or squatting motions. Unless the torn meniscus has locked the knee, many people with a torn meniscus can walk, stand, sit, and sleep without pain.
If that repaired meniscus does not heal, you will typically need a second surgery, often just 9-12 months down the line.
Effectiveness. When performed by an experienced surgeon, meniscus repair is highly successful , with good results in approximately 90% of patients. Any knee that is injured has a higher likelihood of developing arthritis. A successful repair slows the development of arthritic changes.
- Rest the knee often. ...
- Put ice or a cold pack on your knee several times a day for 20 minutes at a time. ...
- Apply compression by wearing a bandage or brace. ...
- Elevate the knee while you're resting or when you're icing it.
Less than 10 percent of meniscal tears occurring in patients age 40 or older can be repaired. This is often because the tissue degeneration affects blood flow to the cartilage, making healing less likely after surgery. A doctor may recommend removing the damaged tissue and suggest physical therapy exercises.
A study of patients with osteoarthritis who underwent arthroscopic partial meniscectomy showed that the risk of total knee replacement was 400% greater than those who received non-surgical therapies.
You will probably need about 6 weeks to recover. If your doctor repaired damaged tissue, recovery will take longer. You may have to limit your activity until your knee strength and movement are back to normal. You may also be in a physical rehabilitation (rehab) program.
Excessive pain in the knee following arthroscopic surgery is usually due to overactivity or spending too much time on your feet before the thigh muscles have been adequately strengthened. Excessive swelling can also cause pain in the knee. It is normal for the knee to be sore and swollen following arthroscopy.
While the healing process of the injured tissue may have occurred and the weakened tissue is back to full tensile strength, there still may be swelling which is activity dependent.
Can the Meniscus Tear Again After Surgery? A possible cause for knee pain 1 year after meniscus surgery would be a re-tear of the meniscus. Realize that, as discussed above, the torn part of your meniscus was removed. That means that the remaining meniscus is smaller, but still taking the same pressure.
Factors that may cause a failed meniscal repair include: Patients older than 40 years of age. Delayed treatment. Ragged, degenerative and complex tears.
If left untreated, meniscal root tears can lead to ipsilateral compartment osteoarthritis similar to a total meniscectomy where hoop stresses are no longer dissipated through the meniscus, thereby increasing contact pressures.
That's where – because a portion of the meniscus has been removed, the bones around the knee joint “see” more stress when you walk and they react by becoming very inflamed and can actually at it's worse, cause a stress fracture which is quite painful.
Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. It is vital that meniscus repair patients do not squat for at least four months after the repair.
If you sit at work, you may be able to go back in 1 to 2 weeks. But if you are on your feet at work, it may take 4 to 6 weeks. If you are very physically active in your job, it may take 3 to 6 months.