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Meniscal repair

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Meniscal repair

Meniscal repair is a surgical procedure performed to address a tear in the meniscus, which is a wedge-shaped cartilage in the knee joint that acts as a cushion and helps with stability. Meniscal tears are common injuries, often caused by twisting or excessive force on the knee. While not all meniscal tears require surgery, certain types of tears or tears in specific locations may benefit from meniscal repair.

The procedure involves the following steps:

1. Assessment: The orthopedic surgeon assesses the type, location, and extent of the meniscal tear using diagnostic imaging, such as magnetic resonance imaging (MRI).

2. Arthroscopy: Meniscal repair is often performed using arthroscopy, a minimally invasive surgical technique. Small incisions are made, and a tiny camera (arthroscope) is inserted to visualize the inside of the knee joint.

3. Repair: Depending on the characteristics of the tear, the surgeon may use various techniques to repair the meniscus. This can include sutures, anchors, or other fixation devices to bring the torn edges of the meniscus together.

4. Rehabilitation: After the surgery, a structured rehabilitation program is essential for the recovery process. Physical therapy helps in restoring knee strength, improving range of motion, and promoting healing of the repaired meniscus.

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Meniscal repair is favored for tears that are in the vascularized outer rim (peripheral zone) of the meniscus, where blood supply is better. The inner region of the meniscus lacks a direct blood supply, making spontaneous healing less likely.

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Benefits of Meniscal Repair:

1. Preservation of Meniscal Tissue: Repair aims to preserve the natural meniscal tissue, which is important for maintaining joint stability and preventing long-term degenerative changes in the knee.

2. Potential for Long-Term Joint Health: Successful meniscal repair may contribute to the long-term health of the knee joint by preventing further damage and reducing the risk of osteoarthritis.

3. Minimally Invasive: Arthroscopic techniques used in meniscal repair result in smaller incisions, less tissue disruption, and potentially faster recovery compared to traditional open surgery.

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It's important to note that not all meniscal tears are suitable for repair. Factors such as the tear pattern, location, patient age, and overall knee health are considered when determining the most appropriate treatment approach. Some tears may be better addressed with meniscectomy (removal of the torn portion) if repair is not feasible or recommended. The decision is individualized and is made in consultation with the orthopedic surgeon based on the specific circumstances of each patient.

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FAQ

Choosing Dr. Praveen Kumar and his team for your orthopedic surgery is a decision grounded in a compelling combination of expertise, experience, and a commitment to excellence. Dr. Praveen stands out as a Consultant Orthopaedic Surgeon with a senior role in Orthopaedics, Arthroscopy, Sports Medicine, and Joint Replacement at Kinder Hospitals in Cochin and Cherthala. His extensive background in Orthopaedics and Trauma Care, coupled with a notable reputation as a highly-skilled arthroscopic surgeon specializing in knee and shoulder surgeries, speaks volumes about his proficiency.

Dr. Praveen's educational journey, including graduation from Thrissur Medical College and completion of MS in Orthopaedics from Mahatma Gandhi Memorial Government Medical College, Indore, reflects a solid academic foundation. Moreover, his Fellowships in Arthroscopic Surgery, Sports Medicine, and Joint Replacement, with international training at The Severance Hospital, Yonsei University, Seoul, showcase a commitment to staying at the forefront of advancements in the field.

The numerous accolades earned by Dr. Praveen, such as the S.G. Krishnan Fellowship in Arthroscopy and Sports Medicine, further attest to his dedication to excellence. His advanced training in Complex Joint Replacements and Revision Joint Replacement surgeries at Maxx Hospital, Chandigarh, and expertise honed through training in Advanced Arthroscopic Shoulder Surgery at international institutions like Prince Wales Hospital, Hong Kong, and ALPS Shoulder Institute, France, underscore his commitment to continuous learning.

Beyond his individual accomplishments, Dr. Praveen leads a team that mirrors his dedication and proficiency. The team at Kinder Hospitals is collectively focused on providing top-notch care in Orthopaedics, Arthroscopy, Sports Medicine, and Joint Replacement. Their collaborative efforts and specialization in a range of orthopedic areas make them a comprehensive choice for patients seeking excellence in musculoskeletal care.

Dr. Praveen's involvement as the consultant Orthopaedic Surgeon for the Kerala Blasters Football Club and his roles as a Sports Medicine Specialist for FFA Football Academy and RS Sports Academy demonstrate not only his expertise in surgical interventions but also his commitment to the broader field of sports medicine.

In summary, choosing Dr. Praveen Kumar and his team ensures access to a highly skilled and experienced orthopedic surgeon, backed by a dedicated team, advanced training, and a commitment to delivering exceptional care. The combination of academic prowess, international exposure, and a passion for advancing orthopedic knowledge positions Dr. Praveen and his team as a compelling choice for those seeking orthopedic surgery of the highest standard.

Meniscal repair surgery is typically recommended for individuals facing significant pain, swelling, and functional limitations due to various conditions affecting the meniscus. The major reasons for meniscal repair surgery include:

1.Meniscal Tears: The primary indication for meniscal repair is the presence of tears in the meniscus. Tears can result from acute injuries, degenerative changes, or repetitive stress on the knee joint, leading to pain and compromised knee function.

2. Locking or Catching Sensation: Meniscal tears can create irregular edges that may catch or lock within the knee joint during movement. This can result in pain, swelling, and a sensation of the knee "giving way."

3. Limited Range of Motion: Meniscal tears can restrict the normal range of motion in the knee, making it difficult to fully bend or straighten the leg. This limitation can impact daily activities and sports participation.

4. Pain and Swelling: Tears in the meniscus can cause persistent pain, especially during movement or weight-bearing activities. Swelling may also occur due to inflammation within the knee joint.

5. Failed Conservative Treatment: When conservative treatments such as rest, physical therapy, and anti-inflammatory medications do not effectively address the meniscal condition, meniscal repair surgery may be considered.

It's crucial to note that the decision to undergo meniscal repair surgery is based on a thorough evaluation by a healthcare professional, considering factors such as the location and type of meniscal tear, the age of the patient, and the overall health of the knee. Before recommending surgery, conservative treatment options are often explored to manage symptoms, but surgery becomes a consideration when these measures prove insufficient.

The timing for discharge after meniscal repair surgery can vary based on individual factors, surgical technique, and hospital policies. Generally, patients can expect a relatively short hospital stay or may even undergo the procedure as an outpatient. Here's a general timeline:

1. Day of Surgery: After the meniscal repair surgery, you will be monitored in the recovery area before being discharged once you are stable. Initial focus will be on pain management and monitoring postoperative recovery.

2. First 24 to 48 Hours: During this period, pain management will continue, and the healthcare team will assess your ability to move and perform basic activities. Physical therapy may begin to aid in the initial stages of rehabilitation.

3. Post-Discharge Rehabilitation: Following hospital discharge, rehabilitation and recovery continue at home or through outpatient physical therapy sessions. Adherence to prescribed exercises and rehabilitation protocols is crucial for optimal recovery.

The decision to discharge a patient is based on various factors, including pain control, mobility, wound healing, and overall medical stability. Before discharge, the healthcare team will provide detailed instructions for home care, including pain management, rehabilitation exercises, and follow-up appointments. Diligent adherence to these instructions is essential for a successful recovery after meniscal repair surgery.

Embarking on the journey of recovery after Meniscal Repair Surgery, envision the prospect of seamlessly reintegrating into your professional realm with renewed vigor. For those engaged in sedentary vocations, the prospect of reclaiming your workspace beckons within a conservative 4 to 6 weeks, a testament to the swift orchestration of your triumphant return. Should your professional pursuits involve moderate physicality or standing, anticipate a graceful reentry within 6 to 12 weeks, where each movement resonates with the melody of progress. For individuals in physically demanding professions, the crescendo of your return may unfold over a transformative period of 3 to 6 months, marked by the meticulous sculpting of strength and resilience. As you navigate this dynamic landscape of recovery, guided by the expert choreography of healthcare professionals and the rhythm of tailored rehabilitation, envision a triumphant return to your professional stage. Let the applause be a reflection of your resilience, and the encore, a celebration of your revitalized kinetic prowess.