The outer and inner meniscus consists of fibrous cartilage and is mechanically comparable to a shock absorber. Its function is to dampen forces acting from above or below, thereby protecting the cartilage and optimising the sequence of movements.
Injuries to the meniscus can occur either as a result of uncontrolled force effects during a sports accident or as a result of permanent overloading due to leg deformity or occupational exertion.
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Not every meniscus injury has to be surgically treated. Especially with smaller fresh cracks, it is often possible to perform meniscus treatment by immobilization, targeted physiotherapy and the use of blood plasma products such as ACP or PRP or targeted cell therapy. Thus, meniscus surgery can be avoided in many cases.
Good indications for a conservative procedure and avoiding meniscus surgery are fresh injuries and a good circulation situation. But even in chronic overload situations, meniscus damage can be treated by adjusting the diet and using insoles, so meniscus surgery can often be avoided. Prof. Schoettle is regarded as a meniscus specialist in Munich and knows very well when meniscus surgery is really necessary.
If a meniscus treatment with conservative methods is not possible, a meniscus partial removal must be carried out in these cases by means of an extremely gentle arthroscopic, almost painless meniscus operation. After a short relief phase of a few days, normal activities should be possible.
Due to the extremely important function of the meniscus with regard to the protective and stabilizing properties in the knee joint, an attempt should always be made to preserve the meniscus as much as possible during meniscus treatment. Therefore, the aim should always be to perform a meniscus suture. The healing success of such a meniscus treatment depends on various factors. The localization of the tear, the shape of the tear itself and the consistency of the meniscus play a decisive role.
In order to accelerate the healing process, additional use of PRP is reommended.
After the meniscus surgery, the knee should be weightbeared partially for 4-6 weeks and the mobility reduced using a knee brace to ensure healing.
If the meniscus is no longer preserved due to a previous meniscus operation or a serious injury, the lack of shock absorber function can lead to early arthrosis.
In these cases, meniscus replacement is the perfect meniscus treatment. It serves mechanically as a “shock absorber” and biologically as a guide rail for the immigration of the body’s own stem cells and thus for the conversion into an almost body’s own meniscus. This meniscus operation should definitely be combined with cell therapy in order to increase the chances of healing. With movement restrictions and a comprehensive rehabilitation program, free mobility and exercise should be possible after 3 months – and exercise should be possible again after 6 months.
Prof. Dr. med. Philip Schoettle
KNEE AND HEALTH INSTITUTE
Sprechzeiten Montag bis Freitag nach Vereinbarung
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