• He explained the procedures to me at every step and helped me understand my knee injury in the most simple way. I am also very happy with his personal follow up on my condition post my surgery. His support staff has also been extremely courteous and supportive.

    Yashita Munjal
    Visited For Meniscus Repair

  • I know Dr. Vikram Mahaskar for quite sometime. His diagnosis of injury is superb and so is his surgical acumen. If anyone known to me have any orthopedic problem Dr. Vikram Mahaskar will be the first choice.

    Siddharth
    Visited For Meniscus Injury

  • Arthroscopic Meniscus Repair

    What are the meniscus?

    There are two washer like structures (‘C’ shaped) that are there on the inside and outside of the knee. They make sure that the weight of the body is equally distributed on the bone much like the shock absorbers on your bike. The portion of the meniscus that is closer to the (capsule), outside of the knee has a good blood supply, where as the portion closer to the centre of the knee does not have a blood supply.

    How do the meniscus tear?

    The meniscus tears due to injury or because of aging. Injury are most commonly twisting injuries of the knee during sport or accidents. Injury related tears are more commonly associated with ligament injuries.

    The other type of tears are degenerative (due to the aging process). They occur mainly in older people without any significant injury.

    How do I know I’ve torn my meniscus?

    The first feeling is of something stuck in the knee that prevents you from straightening your knee completely. You may also feel just a pain on the inside, outside or back of the knee. This is re confirmed by an MRI.

    What is locking?

    Sometimes when the tears are large, they get stuck between the knee and prevent the knee from straightening completely, much like a door stopper. This is called locking.

    Torn meniscus trapped between thigh and leg bone.

    What is the treatment?

    Wherever possible the meniscus tears should be repaired. However, this depends on the type of tear (injury related, degenerative) and the pattern of the tear. If the tear is in a region where the blood supply is good (Red –Red, Red-white) region results of repair are good, whereas in the region where blood supply is absent they are best removed partially as they don’t have a propensity to heal.

    Read more about Meniscus Tear Treatment in Detail.

    Repaired meniscus

    How do we repair them?

    The menisci are repaired using specialised devices that have a strong sutures (threads) attached to them.

    Techniques are

    Inside out: For body and posterior horn tears on the medial side.
    Outside in: For anterior horn and body tears.
    All inside: For post horn, root and body tears.

    What is the post op rehabilitation?

    Post meniscus repair the patient is instructed to wear a brace that allows movement of the knee 0-90 deg for 6 weeks. The patient can weight bear as tolerated. After 6 weeks the brace is removed. The patient typically walks unaided in 3 weeks and return to sport in 6 months.

    How successful are they?

    We repair 80-90% of all meniscus tears whether in isolation or associated with ligament tears. This is a very successful surgery if done in the right type of tears. Success rates in our data are over 95% with return to sport in over 90% patients.