Answer:

The meniscus plays a crucial role in regulating force transmission from the femur to the tibia and preventing direct impact between these two bone ends. When the meniscus is partially or completely torn, it causes uneven force distribution, increases friction between the bone ends, leading to cartilage damage and gradual joint degeneration. The more meniscus tissue is removed, the earlier and more severe the risk of joint degeneration becomes. Therefore, meniscus removal is generally only performed if the tear is older than 6 weeks, located in the inner two-thirds region with poor blood supply, or involves fraying or tears that cannot be repaired.

Doctor Vu (right) during an arthroscopic meniscus repair procedure. Illustration photo: Tam Anh General Hospital

Doctor Vu (right) during an arthroscopic meniscus repair procedure. Illustration photo: Tam Anh General Hospital

When a meniscus injury occurs, doctors often prioritize treatment through meniscus suturing. Meniscus suturing is indicated for longitudinal tears, fresh tears within 6 weeks, and tears in the outer one-third region near the joint capsule, where there is an abundant blood supply for rapid healing. Suturing the meniscus aims to restore anatomical form, address issues such as pain, effusion, and joint locking, thereby preserving meniscus function and extending joint longevity.

Currently, arthroscopy is the optimal method for treating meniscus tears, offering advantages such as small incisions, less blood loss, reduced pain compared to traditional open surgery, and good cosmetic results. Recovery time is fast, allowing patients to return to normal activities sooner; depending on the extent of the injury, they may resume sports after 6-9 months.

You should visit a specialized hospital for a precise examination and assessment of your injury. The doctor will then determine whether suturing or removing the meniscus is appropriate and where the intervention should take place.

Master, Doctor, Level II Specialist Tran Anh Vu

Head of Department of Sports Medicine and Endoscopy

Tam Anh General Hospital TP HCM