“To speak to medical professionals who specialise in sports injury was a breath of fresh air. The experience for me was the best it could be, especially as an athlete with a potentially career-ending injury. Everyone was caring and I was given the hope I so badly needed. It was now possible that... Read More

“Everything was wonderful. I am now completely pain free and absolutely thrilled.”

“Thank you for the excellent operation you did on my knee. It has healed up really well with only a very small scar left. Most of the acute pain is now gone and each week it pains a little less. I am looking forward to the long (pain free) walks I used to do before. So many thanks, you are the... Read More

“Thank you so much for seeing me and treating me so quickly after my skiing accident! I was amazed and impressed that you managed to arrange my surgery so quickly. Mum and I have a nickname for you - GOD!”

“'Thank you' seems inadequate words for the debt of gratitude I owe you all. Your expertise and skills heal body and soul. Your care and kindness humble me.”

“I felt fully engaged from the start and actually found the whole process quite enjoyable! I felt informed without being patronised, well prepared, both by the consultation with Neil, the paperwork and booklets. The outcome has exceeded my expectations and the care was tremendous, as was the pain... Read More

“Neil performed a PCL replacement in my right knee back in 2000. At the time, it was a procedure that few knee surgeons had the skills to perform. He fully informed me of the risks attached to the procedure, the likelihood of success and allowed me to take my time to decide on how I wished to... Read More

“You fitted me with a completely new knee on 20th June. It is absolutely amazing and I'm getting on and off, riding and jumping with ease. It has brought back all the possibilities in retirement that had come to an end with a bad knee. It's not yet four months since the operation.....lets hope the... Read More

“Now that I seem to be well on the road to recovery, I'd like to thank you personally for my new partial knee replacement on 31st July 2017. Having not quite had the courage to watch the full operation on your website, I am nevertheless aware of the enormous skill and expertise required for this... Read More

Meniscus repair surgery

Meniscus repair surgery

 

Meniscus repair surgery

Sometimes the meniscus can be repaired using small sutures (stitches) to hold the torn section together. However, menisci do not heal very well, due to poor blood supply, so not all tears can be repaired.

Partial meniscectomy

Partial meniscectomy is where the damaged part of the meniscus is removed during arthroscopic surgery.

Are there any risks from this type of surgery?

Complications following meniscal surgery are rare. However, they can include:

Infection

The chance of infection is less than 1% and can usually be treated effectively with antibiotics. Usually only the skin is affected, but if bacteria get into the knee itself then it may be necessary to have a further arthroscopy to wash the knee out with saline solution and give stronger antibiotics via a drip.

Deep vein thrombosis (DVT)

The risk of this is less than 1% and is unusual if you move around as much as possible after surgery. Symptoms include pain, swelling, warmth and redness of the calf. Less commonly, a DVT can also present in the thigh area.

Swelling

A small amount of swelling is very common after meniscal surgery, often just above the kneecap or around the incision sites. If the swelling becomes painful, you should contact the team for advice.

Stiffness

Most people experience some stiffness in the joint after an operation, but this should improve with exercise and physiotherapy.

Follow-up appointments

Everyone is different, so healing and post-operative programmes vary from person to person. However, the follow-up appointments below are typical:

Two weeks: wound check and removal of stitches

Six weeks: post-operative check up

If there are any complications with your rehabilitation your physiotherapist may refer you back to your consultant for a further review and will liaise directly with the consultant about any issues

Getting back to normal

Following the operation you will have a small dressing around your knee.

You will be allowed up once you have recovered from the anaesthetic.

If you have had a partial meniscectomy you will be allowed to fully weight-bear as pain allows straight away.

Following meniscal repair you may not be able to fully weight-bear straight away.

In some instances you may need to wear a brace to restrict movement in your knee while it heals.

You may need to have crutches to help you to walk.

Your knee may be swollen and bruised so you should keep your leg elevated (raised) when you are not walking or exercising.

A physiotherapist will give you some simple exercises to help with your recovery.

When can I return to work?

This depends on the type of work you do and how quickly you recover. As a general guide, if your job involves sitting down for most of the time, you should be able to return to work a few days after surgery. If it involves being on your feet for longer periods of time, but does not require manual duties such as heavy lifting and kneeling, you may return to work within two to three weeks.

Jobs that require a greater degree of manual work and physical demand, for example lifting and running, may require four to six weeks or more following partial meniscectomy and up to three months or more following meniscal repair.

When can I return to sport?

People recover at different rates for many reasons so returning to sport will be based on how ready you are both physically and psychologically, rather than on a set timeframe.

Following a partial meniscectomy you may be able to return to road cycling at two to four weeks and jogging or light individual sports, for example non-competitive golf, at four to six weeks. These timeframes are doubled following meniscal repair.

The time it takes to return to high performance/contact sports, for example rugby, football and skiing following partial meniscectomy will be six to eight weeks or more. Again, this timeframe will be doubled for meniscal repair.

Am I more likely to get osteoarthritis after meniscal surgery?

One of the important roles of the menisci is to spread your body weight over as big an area of your knee joint lining as possible. If the menisci are injured and can no longer do this properly, then areas of your joint lining are put under more load. Sometimes the lining is put under too much load and can slowly deteriorate over time eventually leading to loss of the lining of the knee. This is called osteoarthritis (OA).

The risk of developing OA in later life may increase if you have a meniscal injury while you are young or if the injury means a large amount of meniscus is lost. Wherever possible, your surgeon will try to preserve as much meniscal tissue as possible to minimise this risk.