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The meniscus is the main cushion or shock absorber with the knee and therefore it is desirable to repair rather then remove torn meniscus when possible.
The operation involves making two small wounds (incisions) in the front of the knee to gain access to the knee joint.
There is a possibility at some point following surgery that the section that has been repaired may sustain a further tear. If a large meniscal repair is carried out then the knee is usually protected in a brace for six weeks following surgery.
The brace has two small locks at the side which allow you to lock the brace out straight when walking and unlock the brace to allow the knee to bend it up to 90° when sitting or lying down. After six weeks the brace will be removed and you will be required to work on strengthening the thigh muscles and range of motion exercises.
It would not be safe to drive with a knee brace on and therefore following meniscal repair it would not be possible to drive a vehicle for at least six weeks following surgery. The speed of return to sport following knee surgery varies between individuals and the level of sport you compete at.
If a small meniscal repair is carried out or if the meniscal repair is carried out as part of a bigger procedure such as anterior cruciate ligament reconstruction then a knee brace is not normally utilised following surgery. In order to protect a large meniscal repair it is important to avoid loading a flexed knee in the early months following surgery. When the patient is sitting or lying down then the brace can be unlocked and the knee encouraged to bend to 90°. The brace should be worn in bed at night and locked out an extension for the first two weeks at night.

The patient will usually come out of the brace at six weeks following surgery at which point physiotherapy will often be required to work on range of motion and strengthening exercises.
In order to try to protect their meniscal repair the patient is encouraged to avoid squatting down under load beyond 90° for at least a further six weeks following removal of the brace. When the original FAST-FIX Meniscal Repair System was introduced in 2001, it set the benchmark for non-invasive, all-inside repairs.
Forty-five athletes with the clinical features of a possible meniscus lesion underwent evaluation by magnetic resonance imaging (MRI).
JavaScript is currently disabled, this site works much better if you enable JavaScript in your browser. A camera, (which is about the same thickness as a pen) is then used to look around the knee and identify the problem.
A number of factors are weighed up at the time of surgery before deciding upon repair or removal of the torn section of cartilage.
While this is not common, it can occur and in those cases further surgery may be required to remove the torn section. At approximately 10 days following the surgery the knee will be changed into a hinged knee brace. This protects the meniscus repair but allows some movement to stop the knee joint getting stiff. In this situation loaded squatting beyond 90° would be limited for at least eight weeks following surgery. Therefore following a large isolated meniscal repair it is normally desirable to protect the meniscus with a range of motion brace for six weeks following surgery.

It’s important to avoid loading a flexed knee when getting in out of the shower or bath.
All the patients examined had pain in the medial or lateral compartment on effort, but at least three of the typical symptoms of a meniscus tear (effusion, restricted movement, impactions, blockades, synovial reaction) were at the same time absent.
It is safe and beneficial to load the meniscus with the knee fully extended following surgery and therefore weight-bearing as tolerated with the brace locked out in extension is allowed. The result is a faster, more secure meniscal repair system that will maximize the chances of a successful meniscus tear recovery. Exactly this type of lesion in the posterior horn represents the most frequent cause of false-negative results in other investigational procedures (arthrography, arthrotomy, arthroscopy). In ten cases conservative treatment was performed, 28 patients had a rationale or partial meniscectomy, and in 7 cases refixation of the meniscus was performed. The advantages of MRI in the diagnosis of a meniscus lesion are: early detection of grade-I and grade-II lesions, visualization of all the extra-articular structures, no radiation loading, noninvasive investigation, definition of a surgical intervention, possibility of monitoring the clinical course, and postoperative follow-up. MRI is indicated when there is a suspected significant meniscus lesion but typical symptoms are absent, in children, and in all cases where conservative treatment seems possible. During the period of the study (4 years) we performed 489 arthroscopic operations on menisci with no additional investigations.
In summary, MRI can be very helpful for the classification and the surgical intervention, but the patients must be specifically selected and the interpretation needs a lot of experience.

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