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Thread Starter 

I am seeking comments of people who had similar injury as my which is ACL and menisci tears. I had a knee reco over 14 weeks ago going well and my surgeons left  3 vertical longitudinal tears in situ. I am 43 fit and not overweight.

One of my question is I have a very peripheral 12 mm length tear which was not sutured because of my age and being stable. I am wondering why not suturing the tear is better as if sutured this would restore the function of the medial meniscus.

Has anyone had this type of injury with both menisci tears and how are they going ? I am in particular interested in people who had similar type of injury 10 - 15 years ago and if they have OA

 

Main priorities:

•             Delaying onset of OA and knee replacement ( I hope to be able to delay that until my 70s)

•             Quality of life rather than return to impact sport

 

Planned Main activities moving forward:

•             Gym work

•             Cycling

•             Return to skiing (2 weeks per year)

 

 

 

Examination Under Anaesthesia:

No effusion. 0  Recurvatum to 140 flexion. Lacham 1+ with an equivocal end point. Pivot shift 2+. No collateral laxity

 

Operative procedure

A tourniquet was applied and anthroscopy performed using anterolateral and anteromedial portals. No abnormality was seen in the patellofemoral compartment. In the medial compartment the articular surface was intact. Probing revealed an inferior surface partial thickness vertical longitudinal tear on the inferior surface of the posterior horn of the medial meniscus. The tear was very peripheral and was approximately 12 mm in length. As it was stable, it was felt that there was little to be gained by trying to suture it, given the patient’s age. In the intercondylar notch there was a proximal rupture of the anterior cruciate ligament. In the lateral compartment the articular cartilage was intact. There were small inferior surface and superior surface partial thickness vertical longitudinal tears on the posterior horn of the lateral meniscus . These were stable and were not addressed surgically.