The meniscus of the knee plays a vital role in joint stability, shock absorption, and protection of the cartilage surfaces. Each knee contains two menisci, the medial meniscus and the lateral meniscus, which help distribute body weight and reduce stress across the joint.

Due to their limited blood supply, menisci have a reduced healing capacity, which makes treatment decisions complex. Management of a meniscus tear depends on the injury pattern, symptoms, patient age, and activity level.

Meniscus Repair vs Meniscectomy

 

In some cases, damaged meniscal tissue may be removed (meniscectomy) to relieve symptoms and allow faster recovery. While this approach may provide short term relief, removal of meniscal tissue can increase joint loading and contribute to long term cartilage degeneration.

Where possible, meniscal repair is often preferred, as preserving the meniscus helps maintain normal knee biomechanics and joint protection.

Meniscus Repair Techniques

Modern meniscus repair surgery involves stabilising the torn meniscal tissue using specialised suturing techniques. The surgical method varies depending on the type and location of the tear.

Repair strategies may include:

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• Suture based meniscus repair

• Meniscal root repair, involving bone tunnel fixation

• Meniscal centralisation procedures

• Biological enhancement techniques in select cases

Emerging biological approaches, including repair augmentation, are an area of ongoing research, with early evidence suggesting promising outcomes in suitable patients.

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Individualised Treatment Approach

 

Treatment of meniscal injuries is highly individualised. Decisions are guided by patient symptoms, functional goals, age, and the specific characteristics of the meniscus tear.

Preserving meniscal tissue is generally prioritised whenever clinically appropriate, as this supports long term knee stability and joint health.

For patients experiencing knee pain, locking, catching, or instability, consultation with a knee specialist in Melbourne is recommended.