“Just thought I would let you know that I had a very successful weeks skiing in Verbier and got back last weekend. Weather fantastic and knee held up very well. Many, many thanks.”
There are two shock absorbers in the normal knee each called a meniscus. They are frequently injured or torn and tend not to heal because only the outer edge has a blood supply. Some tears can be repaired by stitching the meniscus so that it can heal.
The majority of meniscal tears are removed with an arthroscopy (keyhole surgery). If the amount removed is small most patients have no further problem but in patients where a large part of the meniscus is lost there is a risk of developing pain and early arthritis in the joint.
One solution for some patients is insertion of a meniscal scaffold. This is a procedure where a meniscus like scaffold is sewn into place with the aim of allowing the body’s tissue to grow into the scaffold and produce a new meniscus like shock absorber. It is a relatively new technique which has shown promising results. There are two most frequently used scaffolds, the CMI implant http://www.ivysportsmed.com/en/collagen-meniscus-implant and the Actifit implant http://orteq.com/healthcare/the-actifit-procedure/. We offer both types of surgery.
Rehabilitation following this type of procedure is lengthy and patients require several weeks off work and months off sport.