Knee surgery on the meniscus, recovery
Knee surgery on the meniscus involves a rather complicated procedure, which is required for severe injuries and impaired functional abilities of the affected area. There are many methods of surgery that are considered relatively safe, but very effective. However, there is still a risk of various complications and rehabilitation measures are required.
Before deciding on whether to carry out an operation on the knee joint on the meniscus, it is important to understand what the meniscus itself is, what it is intended for. This is a kind of cartilaginous pad responsible for the mobility and flexibility of the joint. Each knee has two menisci connected by a transverse ligament. Round-shaped cartilages are designed to perform the following functions:
Damage to this organ is often associated with various kinds of injuries. At the same time, motor activity is significantly impaired, and the person suffers from intense pain.
Indications for surgery
Doctors prefer to treat damage to the meniscus of the knee joint without surgery in a conservative manner. However, in some cases, without surgical intervention simply can not do. Surgery performed on the knee joint is required in such cases as:
- cartilage crush;
- tearing meniscus;
- cartilage discharge;
- lack of required results when conducting conservative treatment.
All these injuries require urgent surgical intervention, as this may provoke the occurrence of dangerous consequences, in particular, such as:
- depletion of cartilage tissue;
Surgical techniques are used to restore the integrity of the affected area. Modern equipment, the professionalism of doctors and advanced technology - all this allows the operation to be almost painless and very effective.
Types of surgery
All types of surgery are aimed at removing or stitching the knee cartilage. For these purposes, doctors use a variety of techniques, in particular, such as:
Transplantation involves the transplantation of artificial or donor grafts. This type of surgery is indicated when carrying out a preliminary removal of cartilage or intense painful sensations in the area of the knee, which are of a chronic nature.
Arthroscopy is aimed at restoring the damaged part. The procedure is carried out using a special device. This shows the stitching of the injured area and excision of the affected tissues.
Meniscectomy is an operation to remove cartilage tissue or a separate part of it that is detached from the joint. The procedure is performed under anesthesia.
Arthrotomy is a type of surgical intervention designed to remove a severely damaged meniscus. During the operation on the patient's skin, a small incision is made in several layers, each of which is fixed and then stitched.
Features of rehabilitation after surgery
After knee surgery on the meniscus, additional therapy is required, which implies a complex of therapeutic gymnastics and physiotherapy. Often, at the initial stage of rehabilitation, soft tissue edema is formed, which may additionally be accompanied by inflammation. This is due to the defeat of the nerve endings and blood vessels during the operation or immediately after it.
The operation and treatment of the rupture of the meniscus of the knee joint, even if all the requirements are met, can give certain complications, which is why rehabilitation is shown in the recovery period, which implies:
- elimination of pain and swelling;
- decrease the period of tissue splicing;
- restoration of full motor activity.
After the operation, the meniscus of the knee joint treatment implies:
- the use of drugs;
- physiotherapeutic effect;
Conducting certain recovery measures must be coordinated with the doctor.To take medicines yourself or to do special exercises is prohibited.
Early recovery period
If there is a rupture of the meniscus of the knee joint, the operation is performed in most cases, as this helps to restore the damaged area. However, after the operation, rehabilitation measures are required. The early recovery period implies the use of chondroprotectors to restore cartilage tissue, as well as physical therapy to prevent muscular atrophy and normalize the blood supply to the joint.
The patient is prescribed anti-inflammatory drugs, analgesics, and with fluid accumulation, the joint is punctured. Chondroprotectors give a good result, since they contribute to the formation of cartilage in the body. Such drugs as “Teraflex”, “Artra”, “Dona” have proven themselves in the treatment.
In addition, in the rehabilitation process, physiotherapy procedures and the initial course of exercise therapy are shown. If a tire was applied to the knee joint, then gymnastics is performed for the feet and hips, to prevent joint atrophy.
Late rehabilitation period
There is no treatment for the rupture of the meniscus of the knee joint without an operation, since this is a rather serious injury, which without appropriate therapy can provoke many complications. After performing the operation and carrying out an early recovery period, it is necessary to normalize the mobility of the joint by conducting special physical culture.
The late rehabilitation period begins literally immediately after the patient is discharged from the hospital, and the immobilization tire and sutures are removed. The patient continues to take chondroprotectors, if necessary, painkillers and is undergoing physiotherapy.
During this period, more serious joint development is required, which is why the number of exercises increases and a physical training complex is conducted before the onset of pain. Then you need to systematically repeat the exercises 2-3 times for 15-20 minutes. Additionally, a massage of the injured limb is prescribed to ensure a better blood flow. It is worth remembering that massaging the knee itself is prohibited, as this may cause a shift.It is necessary to perform a massage of the leg or thigh.
Since the rupture of the meniscus of the knee joint is practically not treated without surgery, and surgical intervention can provoke various complications, rehabilitation is a must. Often, physiotherapeutic procedures are prescribed for this, in particular, such as:
- laser therapy;
- magnetic therapy.
Physiotherapy procedures are carried out in a hospital under the supervision of a specialist.
It is imperative to correctly restore the meniscus of the knee joint after the operation and return mobility to it, which is why sports rehabilitation is applied. This recovery method involves the use of various simulators that are designed to heat the affected area.
Often, use of a veloergometer is prescribed, which helps to use all the muscle groups of the limbs. In addition, recommended swimming at least 30 minutes a day. At the same time, it is necessary to frequently change the position of the body. Athletic recovery involves walking, exercise with the ball and running.
The complex of therapeutic exercises
All therapeutic exercises after the operation are selected strictly individually, taking into account the patient's well-being. In the absence of serious contraindications and pathologies, the treatment complex must necessarily include:
- squats with the ball;
- walking backwards;
- exercises with step;
All exercises must be performed at a measured pace, gradually increasing the load.
Recovery after surgery can also be performed surgically. There are several different restoration techniques, in particular such as prosthetics and suturing.
Prosthetics is carried out with the help of artificial plates. Endoprosthetics are prescribed only when a significant portion of the cartilage tissue is removed or if the bone is severely damaged. To ensure normal circulation in the area of the operation, stitches are applied. However, this procedure is carried out if no more than a week has passed since the moment of injury.
Complications after surgery
Knee surgery on the meniscus is generally well tolerated by patients and recovery takes place as soon as possible.However, in some individual cases, the operation may provoke the occurrence of various complications, in particular, such as:
- the occurrence of infection inside the joint;
- damage to cartilage and ligaments;
- formation of adhesions;
- nerve damage;
It is worth noting that often the occurrence of all these complications is associated with the admission of medical errors or non-compliance with the instructions of a specialist during the recovery period. That is why in order to achieve positive results of the therapy, it is necessary to very carefully approach the question of choosing a clinic and doctor, and also to follow absolutely all the instructions of a specialist.
Treatment of meniscus of the knee without surgery
If the meniscus of the knee joint is damaged, many resort to surgical intervention, but the operation may not always bring the desired result, and it can provoke various kinds of complications. Treatment of the meniscus of the knee joint without surgery is quite possible with such injuries as:
- partial separation;
There are many effective methods that will help eliminate inflammation and the main signs of the disease.Treatment without surgery, meniscus of the knee joint implies the wearing of an elastic bandage for an acute period. It is important to restrict movement. The affected limb must be held in an elevated position to ensure blood flow.
When the acute period passes, you need to perform a special physiotherapy exercises to restore the mobility of the affected area. However, do not overload your leg too much. For treatment, you can use special baths with medicinal plants, compresses, tinctures, ointments to eliminate pain and inflammation. We wish you good health!