
Meniscectomy is the surgical removal of all or part of a torn meniscus. A meniscus tear is a common knee joint injury.
If you have a small tear at the outer edge of the meniscus ( red zone), you may want to try home treatment. These tears often heal with rest.
If you have a moderate to large tear at the outer edge of the meniscus (red zone), you may want to think about surgery. These kinds of tears tend to heal well after surgery.
If you have a tear that spreads from the red zone into the inner two-thirds of the meniscus ( white zone), your decision is harder. Surgery for these kinds of tears may not work.
If you have a tear in the white zone of the meniscus, surgery usually isn't done, because the meniscus may not heal. But surgery may be done if torn pieces of meniscus are causing pain and swelling.
How Well It Works
Removing the whole meniscus generally reduces some symptoms. But losing the meniscus reduces the cushioning and stability of the joint. Most people, especially if they are young or active, are not satisfied with a total meniscectomy. This is why surgeons try to remove as little of the meniscus as possible.
Studies of partial meniscectomy have shown that 78% to 88% of people have good results from partial meniscectomy. This means that 78 to 88 people out of 100 people who have this surgery have decreased symptoms and are able to return to most or all of their activities.
Risks
Meniscectomy is generally well tolerated and does not usually cause complications. But there is a risk of damaging the nerves during surgery.
There is a direct relationship between the amount of meniscus tissue that is surgically removed and the load distribution across the knee. If more tissue is removed, the knee is less able to sustain the load of walking, running, or other activities. With uneven load distribution, degeneration of the knee joint may happen at a faster pace than it would with an intact meniscus.
What to think about
Surgical repair is generally favored over a partial or total meniscectomy. If the meniscus can be repaired successfully, it reduces the risk of knee joint degeneration that may occur with removal of all or part of the meniscus.
One study reports that the development of arthritis in the knee after meniscectomy may be influenced by heredity and environmental factors. This finding is significant, because surgical removal of meniscal tissue has been considered the cause of osteoarthritis in the knee. If this study's findings are correct, surgery may be a factor, but not the only factor, in eventual osteoarthritis in knees
Know more:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3438273/