A meniscectomy is a surgical procedure that removes the damaged portion of the meniscus. It is typically performed arthroscopically using small incisions and specialized instruments. This approach allows Dr. Gazzaniga to trim away the torn tissue while preserving as much healthy cartilage as possible.

This procedure is often recommended when the tear occurs in an area of the meniscus with poor blood supply or is too damaged to repair. In these cases, the tissue has limited ability to heal on its own. Removing the unstable fragment can relieve pain and eliminate mechanical symptoms such as catching or locking.

Recovery from a partial meniscectomy is usually faster than other surgical options. Most patients are able to bear weight shortly after surgery and return to daily activities within a few weeks. Physical therapy focuses on restoring strength, range of motion, and stability.

While a meniscectomy can provide reliable symptom relief, it does remove part of the meniscus, which reduces its ability to absorb shock. Over time, this can increase stress on the knee joint and may contribute to cartilage wear. For this reason, Dr. Gazzaniga aims to preserve as much of the meniscus as possible whenever feasible.

A meniscus repair is a procedure that stitches the torn meniscus back together rather than removing it. The goal is to preserve the natural structure and function of the knee. This option is preferred when the tear is located in a region with good blood supply, which allows the tissue to heal.

Not all tears are suitable for repair. The type, size, and location of the tear play a critical role in determining whether it can be successfully fixed. Younger patients and those with acute injuries are more likely to be candidates for this procedure.

Meniscus repair is also performed arthroscopically. Dr. Gazzaniga uses specialized devices to place sutures that hold the torn edges together while the tissue heals. In some cases, additional biological techniques may be used to enhance healing.
Recovery from a meniscus repair is more gradual compared to a meniscectomy. Patients often need to limit weight-bearing and restrict knee motion for several weeks to protect the repair. Physical therapy is carefully structured to allow healing while restoring function over time.

The advantage of a successful repair is long-term joint preservation. By maintaining the meniscus, the knee retains its natural shock absorption and stability. This reduces the risk of early arthritis and helps maintain higher levels of activity in the future.

A meniscus transplant is a more advanced procedure used in select cases where a large portion of the meniscus has been removed or is no longer functional. This procedure involves replacing the damaged meniscus with donor tissue.

This option is typically considered for younger, active patients who continue to have pain after a previous meniscectomy and have otherwise healthy knee cartilage and alignment. The goal is to restore cushioning in the joint and reduce ongoing stress on the cartilage.

During the procedure, a donor meniscus is carefully sized and implanted into the knee. It is secured in place using sutures and anchors to allow it to integrate with the surrounding tissue. This is a technically demanding surgery that requires precise planning and execution.

Recovery from a meniscus transplant is longer and more structured. Patients usually follow a staged rehabilitation program that includes limited weight-bearing initially, followed by gradual strengthening and return to activity over several months.

A meniscus transplant does not guarantee a full return to high-impact sports, but it can significantly reduce pain and improve function. More importantly, it can help protect the knee from further degeneration and delay the progression of arthritis.

The appropriate treatment for a meniscus tear is not one-size-fits-all. It depends on the specific characteristics of the injury and the goals of the patient. Preserving the meniscus is always the priority, when possible, as it plays a critical role in long-term knee health.

Dr. Gazzaniga uses advanced surgical techniques, individualized care and tailored treatment plans that address both immediate symptoms and future joint preservation. Early evaluation and proper management are essential to achieving the best possible outcome and maintaining an active lifestyle. Contact Dr. Gazzaniga to help you get back to the life you love.