Knee Meniscus Tear
Torn Meniscus in the knee is common after twisting injury.
It presents as pain along the inner aspect of the knee, and limitation of knee flexion. It may sometimes produce locking episodes. MRI is the investigation of choice.
In patients with multiple episodes of locking, and limitation in daily activities, arthroscopy is indicated. The torn piece of meniscus is excised during surgery. In early cases with large tears, repair of the meniscal tissue may be attempted, however success of such surgery depends on the location of tear, and extent of damage to meniscal tissue
Knee Arthroscopy is a minimally invasive procedure for correction of internal derangements of the knee, including meniscal tear, recurrent synovitis, loose body removal, osteochondral defects, para-meniscal cysts excision,
It is usually performed under spinal anesthesia.
The patient may start walking from the next day of surgery, and over 90 % of them them resume office within a week. Active sport activities should be avoided for approximately 3 weeks.
ACL RECONSTRUCTION SURGERY
The anterior cruciate ligament (ACL) is one of the most commonly injured ligaments of the knee. In general, the incidence of ACL injury is higher in people who participate in high-risk sports, such as basketball, football, skiing, and soccer.
SURGERY FOR ACL RECONSTRUCTION
ACL reconstruction is required if the instability due to damaged ACL fibers is limiting the activity level of patient to a significant extent; or if the patient wants to pursue an active athletic activity/ sport.
There is some evidence that a torn ACL ligament may accelerate the rate of degenerative changes in the knee, due to excess instability.
Most patient after ACL reconstruction return to pre-injury status after 6 weeks,and are allowed to pursue active sports after 6 months.
ACL reconstruction is commonly performed as Arthroscopy assisted procedure, with minimal scar.