Partial Meniscectomy

Partial meniscectomy is usually recommended for patients experiencing symptoms that do not improve with conservative treatment, symptoms that interfere with daily activities, or mechanical issues such as catching, locking, or the knee giving way. Stable and asymptomatic meniscal tears often do not require surgery and can be managed with non-operative measures. Historically, degenerative meniscal tears—those associated with gradual wear and tear in the presence of knee arthritis—were treated with meniscectomies. However, recent research has shown that meniscectomies may provide little symptomatic relief compared to conservative treatments for these types of tears.

It’s crucial to understand that meniscal repair, when viable, is superior to meniscectomy in reducing the risk of long-term arthritic changes in the knee. However, each patient’s case is unique. For some individuals, partial meniscectomy may be the best option based on their specific injury, goals, and lifestyle. Dr. Cinque can help patients evaluate these factors and make the best decision for their needs.

Partial meniscectomy is a minimally invasive arthroscopic procedure. During this surgery, Dr. Cinque will make three small incisions around the knee to create arthroscopic portals. These portals allow the insertion of an arthroscope, a camera that provides a clear view of the knee joint, and specialized surgical tools. Dr. Cinque will use these tools to trim and smooth the edges of the torn meniscus, ensuring that any loose or damaged tissue is removed while preserving as much of the healthy meniscus as possible.

The goal of this procedure is to eliminate the pain and mechanical symptoms associated with the meniscal tear while retaining the knee’s functionality. Once the damaged portion is removed and the remaining edges are smoothed, the incisions are closed using non-absorbable sutures. These stitches are typically removed during a follow-up visit two weeks post-surgery.

A well-structured rehabilitation plan is essential for achieving the best possible outcome following any meniscal surgery. One of the significant advantages of a partial meniscectomy is the minimal postoperative restrictions. Most patients are encouraged to bear weight as tolerated using crutches immediately after surgery. Full range of motion is generally permitted right away, allowing patients to gradually increase their activity levels over the following weeks.

Typically, patients can return to higher-impact activities within 4-6 weeks, provided they remain pain-free and do not experience any swelling. If pain or swelling does occur during specific activities, it is often a sign of developing arthritis rather than a new meniscal injury. Patients are advised to modify their exercise routines if needed, opting for lower-impact activities such as swimming or cycling, which place less stress on the knee joint.

For certain patients, the ability to bear weight shortly after surgery makes partial meniscectomy a preferred choice over meniscal repair. This early mobility can be a significant advantage for those who need to resume daily activities or work quickly. However, it is essential to weigh these short-term benefits against potential long-term implications, such as an increased risk of arthritis 10 to 20 years after the surgery.

Understanding the full scope of what to expect from the procedure and the rehabilitation process is critical. Patients should be aware of the recovery timeline, the potential for long-term changes in the knee joint, and how these factors align with their lifestyle and activity goals. Dr. Cinque works closely with patients to ensure they have a comprehensive understanding of their surgical options and are prepared for their postoperative journey.

Meniscal injuries and the appropriate treatment options can vary greatly from patient to patient. Factors such as the type and location of the tear, the patient’s age, activity level, and overall health all play a role in determining the best course of action. Dr. Cinque’s personalized approach to treatment ensures that each patient receives care tailored to their unique situation. By taking the time to understand the patient’s goals, whether that’s returning to high-impact sports or simply being able to walk without pain, Dr. Cinque can guide them toward the treatment that will provide the most benefit.