Most meniscus tears are small, and the torn portion is removed, leaving
a smooth, stable surface. Occasionally, other problems are found during
arthroscopy, such as cartilage damage or loose fragments, and these may
also be treated during surgery.
Certain meniscus tears must be repaired. Historically, during a meniscal
repair procedure, stitches were placed from the interior of the knee outward,
and incisions were made at the joint line to allow for tying of the knots.
In recent years, an instrument was introduced that includes pre-loaded
surgical implants that are absorbed in the body over time, as well as
a pre-tied knot. With this innovative device, meniscal repair can be performed
without the need for additional incisions.
In ACL reconstruction, the torn ligament is replaced with a graft, either
from the patient’s own body or with donor tissue. The tighter and
more secure the graft, the better the result will be for the patient in
the long term. New technology has made tighter, more secure grafts possible.
Grafts may be taken from the patient's hamstring, quadriceps, or patella
(kneecap) tendon. Donor or cadaver (allograft) tissue may also be used.
Screws or other fixation devices anchor the graft and hold it in place.
|The Smith & Nephew FASTFIX* Meniscal Repair System makes meniscus repair procedures quicker and easier for surgeons to perform.
Screws like these BioRCI-HA* bioabsorbable screws from
Smith & Nephew are used to anchor tissue grafts and hold them in place.