Why Do We Still Perform Meniscectomy
The goal of meniscectomy was to reduce pain, restore knee function, and prevent the development of osteoarthritis. As surgeons had long believed that the meniscus was a remnant tissue and that it was not needed, it could be removed if damaged without a negative effect.
However, as medical research studied the long-term effects of this procedure, it became apparent in the medical community that meniscectomy was a primary cause of the sudden onset of knee osteoarthritis. The meniscus was, in fact, an important component of the knee.
The meniscus provides several vital functions including mechanical support, localized pressure distribution, and lubrication to the knee joint. They are made of thick fibrous cartilage that allows them to function as a shock absorber between the upper and the lower leg bones.
Doctors in France writing in the medical journal Orthopaedics & Traumatology, Surgery & Research, joined the growing list of doctors rallying under the banner Save the Meniscus!
This research asks the same question we do, Why do we still perform meniscectomy?
- The French researchers acknowledge that even in late 2017, meniscectomy remains one of the most frequent orthopedic procedures, despite meniscus sparing techniques having been advocated for several decades now.
Sample Verdicts & Settlements
SAMPLE VERDICT : $15,195. A 17 year old male passenger in a vehicle was struck by another car which was going through a stop sign without coming to a full stop. The impact was severe and caused the plaintiff to suffer a lateral meniscus tear which required surgery. The defendant claimed that liability was not his fault and that because of his insurance policy he should not be liable to pay. A jury awarded $12,195 for allowable expenses and another $3,000 for interest on overdue No-Fault Insurance benefits.
SAMPLE VERDICT : $18,500. A 65-year old male hit a vehicle after he lost control of his car because it was collided with by a third vehicle that had changed lanes in an unsafe manner. The vehicle that swerved out of his own lane unsafely slammed into the plaintiffs car, forcing him into another car. This led to a torn meniscus and a knee contusion but the defendant denied liability and stated that the plaintiff lost control of his car for an unrelated reason. The jury found that the liability was shared and therefore the settlement was reduced to $18,500.
SAMPLE VERDICT : $115,000. An adult female driver suffered a torn meniscus that required surgery as she was driving southbound on a public road. Her car was cut off by another vehicle which caused her to lose control and strike into a tree. The plaintiff denied liability and stated the accident was the fault of an unidentified third party. The jury rejected this and passed a verdict in favor of the plaintiff.
Meniscus Replacement: Meniscus Tear Surgery Implanting A Donor Meniscus
If the meniscus cannot be repaired, either due to the location and size of the tear, or because a lot of the meniscus was previously removed, a donor meniscus can be implanted. This solution is often used to prevent early arthrosis and early cartilage damage in young patients.
Both the medial and the lateral meniscus can be replaced. However, its important to first determine the exact size and location of the meniscus being replaced. The necessary donor meniscus comes from an international transplant centre. There is often a long wait before a match is found. Due to various administrative obstacles, there currently is no German donor system for meniscus tissue with a German tissue bank. The meniscus tissue is primarily imported from Benelux countries. Fortunately, these transplants do not cause the rejection reactions organ transplants are known for.
Since the implant is harvested under sterile conditions and examined for germs there are virtually no infections from the donor meniscus.
The minimally invasive procedure during which the surgeon implants and affixes the prepared meniscus implant through a tiny access typically takes about two hours.
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Reading Pa Residents Trust Dr Soffer For Their Knee Care
Dr. Stephen Soffer is not only a board-certified orthopedic surgeon with years of experience in diagnosing and treating knee injuries, but also fellowship trained in knee surgery and shoulder surgery by Dr. James Andrews. When you see him for your knee care, Dr. Soffer will take a compassionate, individualized approach to alleviating your symptoms.
If Dr. Soffer suggests a surgical procedure for your meniscus injury, he will thoroughly explain what to expect after meniscus surgery. Whether you decide to pursue surgery or to try non-surgical methods, Dr. Soffer will offer the most cutting-edge treatments available.
If you are interested in exploring your knee care options with Dr. Soffer, call our office at 610-375-4949 to schedule an appointment. We look forward to helping you recover from your knee injury and get back on your feet as quickly as possible.
Patients Undergoing Arthroscopic Meniscus Surgery Were Too Optimistic Regarding Their Recovery Time
There is a lure to surgery. We see it every day in our offices. The long-standing belief that surgery will fix everything. A recent paper from the University of Southern Denmark wrote:
- In general, patients undergoing arthroscopic meniscus surgery were too optimistic regarding their recovery time and postoperative participation in leisure activities. This highlights the need for shared decision making which should include giving the patient information on realistic expectations. . .
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How Aflac Group Accident Plan Works
- You have selected Aflac High Group plan.
- You met with an accident and injured leg and you are taken to hospital with the help of an ambulance.
- You are diagnosed and there is a fracture in your leg.
- Doctor treats you for the fracture.
- You are on the crutches when you leave the hospital
- Aflac plan will pay you $3050
Now we will demonstrate through table what will be the expenses covered with Aflac Group Accident Payout. Here are the benefits and aflac group accident claim payouts for various injuries and hospitalization charges.
Torn Meniscus Exercises To Avoid
Meniscus tears are common in contact sports such as football, basketball and volleyball. Doctors will usually remind patients who have torn meniscus that some exercises can put too much pressure on your knees. Any activities that can cause pain or mechanical symptoms for your knees such as catching, clicking, or locking should be stopped immediately. Patients should avoid putting weight on their knees as much as possible.
Other than contact sports, the following exercises are more likely to cause re-injury, which should also be avoided for patients with meniscus tear:
- Deep squatting
In order to minimize symptoms during exercise, please do not perform any high-impact sports as discussed above or other activities that include repetitive jumping, squatting and twisting. Learn how to prevent torn meniscus is also the key to reduce your risks of getting accidental meniscus injury.
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Average Workers Comp Settlement For Torn Meniscus
The average torn meniscus workers comp settlement depends on several important factors. This includes future medical treatment and whether work restrictions are permanent. Settlements are based upon insurance company exposure and how much could be paid out in the future.
Our experience shows that employers do not want to bring people back to work after a serious knee injury. Insurance companies also get tired of paying weekly benefits. This combination results in aggressive return to work programs that might not be in a disabled employees best interests. It is possible to short-circuit this process and trade workers comp benefits for a lump sum cash payment.
Insurance companies will typically pay several years of workers comp payments in cash. Medical evidence needs to show continuing medical problems and disability. We recommend speaking with an experienced workers comp lawyer to help maximize your settlement value.
Michigan Workers Comp Lawyers never charges a fee to evaluate a potential case. Our law firm has represented injured and disabled workers exclusively for more than 35 years. Call 316-8033 for a free consultation today.
Does Every Meniscus Injury Need Surgery
Some people need surgery for a torn meniscus, but some dont. The decision depends on:
- Type, size and location of the tear.
- Your age.
- Your activity level and lifestyle.
- Related injuries .
- Presence of symptoms
Your healthcare professional may suggest you first try nonsurgical treatments, such as :
- RICE .
- Knee injections, such as cortisone.
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What Matters Most To You
Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements.
Reasons to have surgery
Reasons not to have surgery
I want to do whatever I can to fix my knee.
I think my meniscus tear is minor. I want to wait and see if my knee gets better before I have surgery.
I’m in a lot of pain, and I want to have surgery so I can start feeling better.
My pain isn’t too bad.
I think surgery may help me avoid long-term joint problems.
I don’t want to have surgery for any reason.
I accept the risks of surgery.
I feel that surgery is too risky for me.
Going Home After A Meniscectomy
You may need to use crutches in the first few days following your surgery. Continue to take any pain relief medication as prescribed.
Use ice on your knee to help control swelling and pain. Wrap any ice pack with a tea towel and apply several times a day for 10-20 minutes.
If your incisions are dry you can remove your dressing after two days. Keep the area clean and dry until your follow-up visit. Use a water proof dressing when showering.
Continue doing your exercises as prescribed. You should avoid any strenuous activity until released to do so by your consultant.
Be sure and discuss any return to work with your consultant.
As with any procedure there can be complications including:
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What Happens Before Surgery For A Meniscus Tear
Prior to surgery, the physician will conduct detailed medical diagnostics. The knee specialist can essentially already establish a meniscus tear based on questions for the patient and a physical examination. During the medical examination the specialist will test the knee joints range of motion in different positions. They will assess the gait as well as flexion and extension. A torn meniscus causes relatively noticeable pain, particularly in the joint space of the knee joint, which already provides fairly good clinical support for the diagnosis.
X-rays are always taken in the case of knee pain because they help the knee specialist examining the patient to assess the overall situation in the knee joint. The standing x-ray provides an indication of the thickness of the cartilage layer. In this way the physician can, for example, rule out knee arthrosis as the cause of the sharp pain. Even bone injuries are possible accompanying damage to the knee joint caused by distortion or buckling. The x-ray can be used to rule out bone injuries or fractures.
Unlike the x-ray, which primarily shows bones, an MRI shows detailed images of all soft tissue. This allows the knee specialist to assess the condition of tendons, ligaments and fibrocartilaginous menisci. Particularly valuable in the MRI examination of a torn meniscus is the possibility of displaying the course, length and exact location of the meniscus damage in detailed imaging.
Diagnosing A Meniscus Tear
When you experience these symptoms, it is important to see an orthopaedic surgeon so your knee can be examined and an accurate diagnosis made.
Occasionally, the diagnosis is obvious based upon a description of the injury and an examination of the patient. However, X-rays and magnetic resonance imaging are frequently used to help identify any other associated injuries.
The most common findings on exam include tenderness over the joint line where the meniscus is torn, swelling, and sometimes loss of motion.
Once the diagnosis of a meniscus tear is made, you should discuss your treatment plan with your orthopaedic surgeon. For most people who have a symptomatic meniscus tear, arthroscopic surgery is selected to remove or repair the torn tissue. However, if you have arthritis, you may benefit from injection and physical therapy without surgery.
Arthroscopy has revolutionized how knee surgery is performed. In the past, a torn meniscus required a three- to four-inch incision and an overnight stay in the hospital.
Now, the meniscus tear can be repaired with the arthroscope through two tiny incisions. The surgery can be performed on an outpatient basis in less than an hour.
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How To Not Get Broke Even With Torn Meniscus
When youre experiencing the symptoms of a torn meniscus, the best aid is to rest your body. Resting the body may give time for the knee to heal itself. Placing a pillow under the knee to incline the affected area is a good remedy, too.
The second self-treatment is to compress the area of concern with ice with an ice bag or a bunch of ice cubes on a towel. The cold sensation can help reduce the swelling and may lessen the pain.
Medications can also help you through the pain. Non-steroidal anti-inflammatory drugs or NSAIDs like Advil or Ibuprofen can be bought over the counter. It is best to consult a doctor or pharmacist for the right dosage regimen for you. These medicines are generally $2 to $20 depending on the dosage regimen.
Physical therapy can also help patients fix that broken knee. Physical therapy is cost-effective and has been proven to therapeutically relieve the pain and heal the affected area. Physical therapy is only $50 to $75 per hour. Physical therapy will only cost you $1000 up to $2000 for a 3 to 4 hours therapy for one week.
More detailed information is given by Mayo Clinic for other treatments for torn meniscus.
Before Your Meniscus Get Torn
The surgery is medically necessary making it mandatory for insurance companies to cover the expenses. Patients with insurance will pay for the co-payments and co-insurance that is 10%. Other services uncovered by the insurance must be paid out-of-the-pocket.
The Risks Of Cortisone Use Pre
Most people that contact us already have a good understanding the frequent or long-term cortisone use has its challenges and risks.
In March 2021, research lead by Rush University Medical Center and published in the journal Arthroscopy found that patients who received knee injections within one month prior to knee arthroscopic surgery developed postoperative infections at twice the rate of those who did not receive an injection.
This of course relates to an injection increasing the risk for surgical infection. But what about the overall impact of corticosteroids on the meniscus?
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What Will My Stay Be Like At Gelenk
During your inpatient stay at Gelenk-Klinik you will have a single-occupancy room. The room has a bathroom with shower and WC. All rooms include towels, a bath robe and slippers. They further include a mini-bar and safe. All rooms also have a television. You only need to bring your personal medication, comfortable clothes and sleepwear. After surgery you will receive 24-hour care from experienced nursing staff, international patient care team and experienced physiotherapists. The inpatient stay following the procedure typically lasts 3 days. Your family members can stay at a hotel within walking distance . We will help you to make the reservations.
Torn Meniscus Treatments: Physical Therapy Just As Good As Surgery Says Study
If you suffer a torn meniscus, you may not want to rush to get under the knife. A new study that compares physical therapy to knee surgery for the common injury finds that therapy can be just as effective — not to mention cheaper.
However, therapy didn’t always help, however and some people wound up having surgery to fix the problem. But those who stuck with therapy had improved as much six months and one year later as those who were given arthroscopic surgery right away, researchers found.
“Both are very good choices. It would be quite reasonable to try physical therapy first because the chances are quite good that you’ll do quite well,” said one study leader, Dr. Jeffrey Katz, a joint specialist at Brigham and Women’s Hospital and Harvard Medical School.
Results were published online March 18th in the New England Journal of Medicine and presented Tuesday at an American Academy of Orthopaedic Surgeons conference in Chicago.
A meniscus is one of two C-shaped pieces of cartilage that cushion the knee between the shinbone and thighbone, according to the Mayo Clinic. Any activity that causes you to forcefully twist or rotate the knee while putting weight on, such as basketball or tennis, may raise risk for a tear. Risk for a torn meniscus increases as people age, due to years of wear and tear.
About one-third of people over 50 have a tear in one, and arthritis makes this more likely. Usually the tear doesn’t cause symptoms but it can be painful.
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Knee Pain: Why Do Meniscus Tears Hurt
The meniscus is a cartilage disc in the knee that does not have nerves in it so why does a meniscus tear hurt? The meniscus can wear out and become weakened from repetitive stress and eventually tear. Your meniscus can also be torn from trauma such as a sports injury. The pain from a meniscus tear might go away on its own or with physical therapy, though certain parts of the meniscus do not heal on their own.
Meniscus tears are a very common cause of knee pain. That pain might be mild or it might be severe. In some patients who develop a meniscus tear and also have arthritis, the pain can be due to both issues. Not everyone with a meniscus tear will have severe pain. In fact, many of you may have no pain at all if you give your knee a few weeks to rest. If your pain persists despite a few weeks of rest or PT then we may consider repairing your tear. Many more tears are repairable than we previously thought.