Our Summary

This research paper looks at the complications that can happen within 30 days after two types of knee surgery: arthroscopic meniscus repair and meniscectomy. These surgeries are done to fix a damaged or torn meniscus, which is a piece of cartilage that acts as a cushion between the shinbone and thighbone.

The researchers looked at data from the American College of Surgeons National Surgical Quality Improvement Program between 2006 and 2019. They found over 6,000 cases of meniscus repair and nearly 100,000 cases of meniscectomy.

Their results showed that both types of surgery had less than a 1% chance of complications. However, they found that the meniscus repair surgery had slightly higher rates of blood clots in the lungs (pulmonary embolism), blood clots in the veins (venous thromboembolism), and patients needing to go back to the hospital, compared to the meniscectomy.

The researchers also looked specifically at patients over the age of 40 and saw similar trends.

In conclusion, both types of knee surgeries are considered low risk. The results of this study can help doctors explain the risks and benefits of both surgeries to their patients.

FAQs

  1. What are the two types of knee surgeries discussed in the research paper and what do they aim to fix?
  2. What are the potential complications that can occur after arthroscopic meniscus repair and meniscectomy?
  3. Did the research find any differences in complication rates between the two types of surgeries?

Doctor’s Tip

One helpful tip a doctor might tell a patient about meniscectomy is to follow the post-operative rehabilitation plan carefully, including physical therapy exercises to help regain strength and range of motion in the knee. It is important to listen to your body and not push yourself too hard too soon, as this can increase the risk of complications. Additionally, maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help support the healing process and reduce the risk of future knee issues.

Suitable For

Meniscectomy is typically recommended for patients with a torn meniscus that cannot be repaired, or for patients with degenerative meniscus tears. Patients who have tried conservative treatments such as physical therapy and medication without success may also be recommended for a meniscectomy. Additionally, patients who have significant pain, swelling, and limited range of motion in the knee due to a meniscus tear may be candidates for this surgery.

It is important for patients to discuss their individual situation with their healthcare provider to determine if a meniscectomy is the best course of action for their knee injury.

Timeline

Before meniscectomy, a patient may experience symptoms such as knee pain, swelling, stiffness, and difficulty moving the knee. They may undergo imaging tests such as an MRI to diagnose the issue and may try non-surgical treatments such as physical therapy or medications.

After meniscectomy, the patient will typically have a recovery period of several weeks to months, depending on the extent of the surgery. They may experience pain, swelling, and stiffness in the knee, as well as limited range of motion. Physical therapy may be recommended to help regain strength and mobility in the knee. Over time, most patients will experience improvement in their symptoms and be able to return to their normal activities.

What to Ask Your Doctor

Some questions a patient should ask their doctor about meniscectomy include:

  1. What are the potential risks and complications associated with meniscectomy?
  2. How does the recovery process differ between meniscectomy and meniscus repair?
  3. What are the long-term implications of having a meniscectomy?
  4. Are there any alternative treatments or therapies that could be considered instead of surgery?
  5. What is the success rate of meniscectomy in terms of relieving pain and improving knee function?
  6. How soon can I expect to return to normal activities and sports after undergoing a meniscectomy?
  7. Will I need physical therapy or rehabilitation after the surgery?
  8. Are there any factors that may increase my risk of complications during or after the surgery?
  9. How experienced are you in performing meniscectomy procedures?
  10. What should I do if I experience any unusual symptoms or complications after the surgery?

Reference

Authors: Lai WC, Mange TR, Karasavvidis T, Lee YP, Wang D. Journal: Knee Surg Sports Traumatol Arthrosc. 2023 Oct;31(10):4117-4123. doi: 10.1007/s00167-023-07507-8. Epub 2023 Jul 14. PMID: 37449988