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Galaxy Knee & Shoulder Hospital Bhopal, India

Meniscus Tear Injury Treatment Recovery

Our Work Experience

12000+ Successful

Surgeries

21+ Years

Of Experience

10000+ Sports

Persons Treated

25+ States Serve

from the Country

250 International

Stature Awards Ach.

98.33% Satisfaction

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Knee & Shoulder Surgeon

About Dr. S.K. Gupta

M.S. (Ortho.) Mumbai,
M.R.C.S., F.I.A.S. (Japan),
F.A.P.O.A. (Singapore),

Dr. S.K. Gupta Galaxy Hospital Bhopal
Dr. S.K. Gupta Contribution In Meniscus Tear Preservation Repair
  • Dr SK Gupta is fondly known as ‘The Meniscus Man of India’ in the community of Arthroscopy surgeons of India.
  • Who won the award for the best video technique of the year for the meniscus root classification publication 2024.
  • Faculty Indian Arthroscopy society annual conference IASCON 2024 at Bengaluru done a panel discussion and lecture on meniscus radial tear
  • Faculty Chandigarh Arthroscopy course Jun 2024 talk on meniscus and panel discussion on meniscus and cartilage
  • Faculty Ganga Arthroscopy course March 2024 performed live meniscus root repair and talk on meniscus repair
  • Faculty KASS Knee 360 Kolkata Feb 2024 performed live ACL surgery and talk on meniscus repair
  • Faculty IOACON dec 2023 Lucknow lecture on ramp lesion
  • International Faculty at Singapore advance knee symposium Dec 2023 talk on MCL and ramp lesion
  • Faculty ASK Symposium Dec 2023 performed live surgery shoulder and talk on meniscus
  • Scientific chairman and faculty Complex knee course La Prade at Jaipur Nov 2023 talk on meniscus root repair and panel discussion on meniscus repair
  • Faculty Bengaluru Arthroscopy course October 2023 debate on meniscus repair panel discussion on meniscus repair
  • Faculty IASCON 2023 September Lucknow talk on ramp repair
  • Faculty Raipur arthroscopy meet July 2023 talk on meniscus root with HTO
  • Faculty 9 th International Arthroscopy Academy meet July 2023 talk on meniscus repair
  • Faculty SUSPENSORYCON Goa Feb 2023 talk on meniscus repair
  • Faculty Arthroscopy Academy Conference course delivered talk on meniscus root repair and performed live surgery on meniscus repair December 2022
  • Faculty Bengaluru Arthroscopy course delivered talk and conducted panel discussion on meniscus repair November 2022
  • Faculty Meniscus repair Hyderabad SISA course November 2022
  • Faculty Arthrolab Singapore Oct 2022 delivered talk on meniscus repair
  • Faculty and delivered talk on meniscus radial repair, ramp repair Indian Arthroscopy society IASCON September 2022
  • Faculty and delivered talk on meniscus repair with anchor Pune Knee Course July 2022
  • IAS 2010 paper on Arthroscopic meniscus flounce sign.

Publications-

  • Meniscus Root Tear: Extended Classification and Arthroscopic Repair Techniques

Arthroscopy Techniques 2024-01 Journal article DOI: 10.1016/j.eats.2023.08.012

  • Lateral Meniscus Zip Lesion of Knee: Classification and Repair Methods

Arthroscopy Techniques 2024-04  Journal article DOI: 10.1016/j.eats.2024.102911

  • Anatomical Double-Row Lateral Meniscus Root Repair Using Suture Anchors
  • Arthroscopy Techniques 2023-10 Journal article DOI: 10.1016/j.eats.2023.06.003

Arthroscopic Meniscus Ramp Repair: The Shoelace Technique

Video Journal of Sports Medicine 2023-07 Journal article DOI: 10.1177/26350254231176832

AMR Sign - An Arthroscopic S-shaped Fold Signifying Adequate Medial Meniscus Repair

Malaysian Orthopaedic Journal 2023-07-01 | Journal article DOI: 10.5704/moj.2307.003

Arthroscopic Ramp Repair: “No-Implant, Pass, Park, and Tie Technique” Using Knee Scorpion

Arthroscopy Techniques 2023-05  Journal article DOI: 10.1016/j.eats.2023.02.005

Read More -

All About Meniscus Tear Preservation Repair

Meniscus tears are a very common injury among athletes and the physically active. They can lead to knee pain, instability, and an inability to move the knee properly. The meniscus is the C-shaped cartilage in the knee that acts as a cushion between the femur (thigh bone) and the tibia (shin bone), which helps absorb shock, distribute weight, and stabilize the knee. When the meniscus tears, it may cause instability and dysfunction in the knee, which can lead to long-term damage if not treated appropriately.

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Dr. S.K. Gupta is a renowned surgical orthopedic doctor practising in India. 

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Meniscus Tear Preservation Repair

The meniscus is one of the crucial elements in the knee joint that helps to provide cushioning and stability while aiding the smooth movement of the knee. The tear of a meniscus is one of the most common injuries among athletes and active people. Once it occurs, pain, instability, and inability to move the knee result.

If left untreated, a torn meniscus can lead to further knee damage and degenerative conditions, such as osteoarthritis. Preservation and repair of the meniscus are important to prevent long-term complications and ensure optimal functioning of the knee.

Meniscus repair is often the best treatment for highly active or sports-oriented patients because preserving the meniscus helps maintain proper knee function, reduces pain, and prevents long-term joint damage.

The surgery for meniscus tear preservation and repair is usually done arthroscopically, which is a minimally invasive procedure that involves making small incisions and using a camera to gain a detailed view of the tear inside the knee. This reduces the trauma to surrounding tissues and allows for quicker recovery. The surgery usually takes about one to two hours, and most patients are able to return home the same day. (vid new – what is arthroscopy)

The patient is usually asked to use knee braces and crutches for some weeks after the procedure to avoid excessive pressure on the knee. Additionally, physiotherapy helps to restore strength, flexibility, and mobility in the knee joint so that normal activities can be resumed.

It is an excellent option for patients who have torn or damaged their meniscus and are looking to restore their knee’s function. It reduces pain, discomfort, and instability and allows individuals to return to sports and high-intensity activities with a stronger and more stable knee. It is, therefore, important to ensure that surgical intervention is considered only after exploring all non-surgical treatment options. Consulting with an orthopedic surgeon is important in determining the extent of the tear and the best course of action for the individual’s specific situation.

Why Consult Dr. S.K. Gupta for Meniscus Tear Preservation Repair

Dr. Sheetal Kumar Gupta is an arthroscopy and sports injury specialist heading the arthroscopy and joint reconstruction unit at Galaxy hospital, Bhopal. He has been a consultant for sports medicine, Sports Authority of India & State Sports Academy and is serving National level teams of various disciplines like Hockey, Judo, Kabbadi, Water Sports, Wushu Taikwando etc.

He has done his fellowship in Arthroscopy and Sports medicine from Japan and was trained at various international surgical centres. With an experience of more than 21 years, he has performed over 12000 knee and shoulder surgeries including complex ligament surgeries and surgeries of around more than 8000 National/International level players of various disciplines. He is National and International level faculty for various seminars, conferences and workshops.

Notable Achievements:

  • Trained at Japan, Germany, UK, Singapore, Malaysia and Thailand.
  • Visiting sports medicine specialist Sports Authority of India (SAI).
  • Ex Sports injury specialist to Indian senior Women National Hockey team.
  • Ex-Dope control officer, National Anti-doping Agency (NADA).
  • National faculty for advance knee and shoulder arthroscopy workshop and conferences.
  • Performed more than 8000 arthroscopies independently including knee, shoulder, ankle and hip arthroscopies.
  • Successfully operated over 2000 players who are back in sports and have won national and international medals after their surgeries.
  • Successfully treated more than 10000 sports players of various disciplines.
  • Internationally trained and more than 18 years of experience.
  • Has treated National and International level players of Hockey like Sardar Singh, Shivendra, Sandeep Singh, Dilip Tirkey, Sameer Dad ; Olympic champion Ankit Sharma, Commonwealth Karate champion Supriya Jatav, world champions of Judo like Sanathoi, Kalpana Devi, Navjot to name a few and boxing legends like M.C. Mary Kom & Sarita devi.

What Happens When You Have a Meniscus Tear?

A meniscus tear is a common knee injury that affects the cartilage in the knee joint. The meniscus acts as a cushion between the femur (thigh bone) and tibia (shin bone), and a tear can cause a variety of symptoms: (vid-ghutna lock kyo hota hai?)

  • Pain, especially when twisting or rotating the knee
  • Swelling
  • Limited range of motion
  • A popping sensation at the time of injury
  • Tenderness on the inside or outside of the knee
  • Difficulty straightening the knee or locking of the knee joint
  • Instability or weakness in the knee, causing difficulty with movement

What is Meniscus Repair Surgery?

Meniscus repair surgery is a procedure to treat a tear in the meniscus, aiming to restore the damaged cartilage. There are two main types of meniscus surgeries: ( vid- meniscus surgery recovery..)

  1. Meniscus Suturing: This approach involves stitching the torn pieces of the meniscus together. The procedure is typically used for tears in the outer third of the meniscus (where blood supply is better), allowing the cartilage to heal naturally.

  2. Meniscectomy: In some cases, if the tear is severe and repair is not possible, part of the meniscus may be removed. This is known as a partial meniscectomy, and it helps relieve pain and restore knee function. In some cases, a complete meniscectomy (removal of the entire meniscus) may be necessary.

Does Meniscus Tear Need Surgery?

Not all meniscus tears require surgery. The decision for surgery depends on factors such as:

  • The type, location, and size of the tear
  • Age and activity level of the individual
  • Presence of other knee injuries (e.g., ACL tear)
  • Response to conservative treatments

Surgery is usually recommended when the tear causes significant pain, instability, or limits mobility, especially in active individuals or athletes.

What Are the Symptoms of a Meniscus Tear?

Common symptoms of a meniscus tear include:

  • Pain at the time of injury or when twisting or rotating the knee
  • Swelling or puffiness in the knee joint
  • Limited knee movement or difficulty straightening the leg (pic – meniscus knee injury)
  • A popping or clicking sound
  • Instability, or a feeling that the knee might give out
  • Tenderness in the joint line (either inside or outside of the knee)

Does Meniscus Repair Lead to Knee Replacement?

Meniscus repair surgery itself does not directly lead to knee replacement. However, when meniscus tears are left untreated or if the cartilage is significantly damaged over time, the risk of developing osteoarthritis increases. In cases of long-term knee degeneration, knee replacement may be considered.

Proper meniscus repair surgery, combined with rehabilitation and physical therapy, can significantly reduce the likelihood of future knee joint issues.

Treatment Procedure for Meniscus Surgery

Treatment for a meniscus tear may vary depending on the severity of the tear and the individual’s activity level. Options include: (vid- meniscus tear treatment :20 years)

Meniscus Tear Treatment by Home Remedies

In the immediate aftermath of a meniscus injury, certain home remedies can help reduce pain and swelling:

  • Rest: Avoid putting weight on the injured knee and allow it to heal.
  • Ice: Apply ice to the affected area for 20-30 minutes every few hours to reduce swelling.
  • Compression: Use an elastic bandage or compression wrap to minimize swelling.
  • Elevation: Keep the knee elevated above the level of the heart to reduce swelling.

Physiotherapy to Treat Meniscus Tear

Physiotherapy is essential for patients with a meniscus tear, especially if surgery is not immediately required. A physiotherapist will guide the patient through exercises that help restore knee strength and flexibility, while also improving overall function.

Physical therapy may include:

  • Strengthening exercises for the quadriceps and hamstrings
  • Range-of-motion exercises
  • Balance and stability training

Surgery for Meniscus Tear Treatment

When non-surgical treatments fail or the tear is severe, surgery may be required. The surgeon may perform either a meniscus repair (suturing the torn pieces) or a meniscectomy (removal of damaged tissue). ( vid new- meniscus repair vs meniscectomy)

Preparation for Meniscus Treatment

Before undergoing treatment for a meniscus tear, your doctor may perform the following tests:

  • Physical Examination: To check for tenderness, swelling, and knee instability.
  • MRI: To assess the type and extent of the tear and to identify any associated injuries.
  • X-rays: To rule out bone fractures or other bone-related issues.

Preparatory Steps for Meniscus Tear Surgery

The doctor may advise the following steps before surgery:

  • Fasting Before Surgery: You will be instructed not to eat or drink after midnight before surgery.
  • Medication Disclosure: Inform the doctor about any medications, including supplements, to ensure that any required changes to medication are made before surgery.
  • Pre-surgery Exercises: You may be asked to do some strengthening exercises in advance to aid recovery after surgery.
  • Smoking and Alcohol Avoidance: Smoking and alcohol can hinder the healing process, so it is advisable to refrain from both prior to surgery.

Post-Operative Protocol for Meniscus Surgery

After meniscus repair surgery, patients can expect a recovery process involving several key steps: ( vid -meniscus tear recovery time)

  • Rest: Resting the knee to allow healing.
  • Elevate and Ice: Applying ice and elevating the leg to reduce swelling.
  • Pain Management: Use prescribed pain medications as needed.
  • Crutches: You may need crutches or a knee brace for support during the first few weeks of recovery.
  • Physical Therapy: Rehabilitation exercises will be necessary to regain knee mobility and strength.
  • Avoid Weight-Bearing: Refrain from putting weight on the affected knee for a period of time to ensure proper healing.

Risks and Complications Associated with Meniscus Surgery

  • Meniscus Repair reconstruction surgery is highly successful and carries a low risk of complications. However it is important to discuss the same with your doctor before proceeding to surgery.

What happens if meniscus tear is not repaired in time?

(vid- Ghutne ki gaddi )

Meniscus Surgery Cost

The cost of meniscus repair surgery varies depending on factors such as:

  • Type of Surgery: A meniscus repair is generally more expensive than a meniscectomy.
  • Severity of Injury: More complex or severe tears may require more extensive treatment.
  • Hospital/Surgeon: The cost can vary depending on the hospital and the experience of the surgeon.
  • Insurance Coverage: Insurance may cover a significant portion of the cost, but this depends on the patient’s policy.

 

Qualities of a Top Meniscus Surgeon

A skilled orthopedic surgeon who specializes in knee procedures should have:

  • Board Certification and Specialization: Certification in orthopedic surgery with expertise in meniscus repairs.
  • Experience: A proven track record of successful meniscus surgeries.
  • Good Communication: The ability to explain procedures, risks, and recovery expectations clearly.
  • Compassionate Care: A patient-focused approach with empathy and support throughout treatment.

 

How to Choose the Best Meniscus Surgeon

When choosing a surgeon for your meniscus repair, consider the following:

  • Referrals: Ask for recommendations from family, friends, or your primary care physician.
  • Credentials: Ensure the surgeon is board-certified and has extensive experience in knee surgeries.
  • Consultations: Meet with the surgeon to ask questions about the procedure and recovery expectations.
  • Reviews: Check online reviews and patient testimonials to assess the surgeon’s reputation.

By choosing a qualified surgeon and following the recommended treatment plan, most patients can return to their normal activities with minimal complications.

Can a meniscus tear on its own? How does the injury occur?

video- how does a meniscus tear happen)

Recovery of meniscus tear surgery – ( pt video)

 

Why Choose Us for ACL Surgery

  • Our surgeon Dr S.K Gupta is a world renowned knee and shoulder surgeon with extensive experience of Multi Ligament and meniscus surgeries.
  • He has over 21 years of focused work-experience in knee and shoulder arthroscopy and12000 + successful surgeries.
  • He has experience of successful treatment of hundreds of International and national sports persons.
  • His highest level of qualifications and mastery in his work, is the reason of making him first choice for LCL Meniscus treatment by patients from across the country.
  • The hospital is dedicated Arthroscopy Centre with highest number of LCL and meniscus surgeries.
  •  This makes every member of the team in your service, highly competent and experienced for LCL and Meniscus surgery pre-op, intra-op, post-op and rehabilitation management.
  • The hospital is well known for affordable cost and cashless facility with combination of best surgeon, best equipments, best implants, and specially trained team for knee and shoulder surgery care.
  • The successful result of surgery depends very much on the detailed and focused expertise of surgeon and his team.
  • Experience and skills of your surgeon is the most important factor for successful result.
  • You must research well about it, as the primary surgery is the most important chance.
  • Hi-Tech modular operation theatres, high precision International equipments for arthroscopy, world class OT machinery specific for knee and shoulder surgery
  • Protocol based and highly skilled OT team with focussed work in knee and shoulder arthroscopy plays a vital role in surgical success.
  • All our operation theatres are well equipped with planum with HEPA filters. High efficiency HEPA filters can remove 99.97 to 99.99% of airborne particles including smallest bacteria to the size of 0.3 microns. This helps to safeguard our patient from infections.
  • The hospital has well defined “infection control guidelines” to be followed by all team members. This helps in reducing the infection rate to less than 0.1%.
  • “Triple Level checks” for sterility and disinfection of implants and OT support materials is strictly followed.
  • “WHO surgical Safety protocol” for Sign-IN, Time-Out, Sign-Out is adhered to In 100% patients.
  • “High pressure autoclave with Pre-Vac” and “ETO sterilization” procedures are used.
  • Wheeling in, Wheeling out and anaesthesia safety protocols are strictly followed. One Way Traffic protocol is followed.
  • Central Medical gases oxygen and nitrous supply And central suction systems are in place.
  • Pressure Dampeners are active to maintain OR pressures. Humidity Checks are done to maintain evidence based recommended guidelines.

KPI (Key Performance Indicators) are being regularly caught, audited and analyzed. Team Galaxy takes utmost care and as a result the captured para are between 0 to 0.13%. This practice is one of the central reasons for our very high success rate. The para captured and assessments done are like-

  1. CAUTI
  2. PVC IR
  3. SSIR
  4. BTRI
  5. Med EI
  6. Fall Risk assessment
  7. Vulnerability Score
  8. Pain Score
  9. Pressure Sore vulnerability Assessment
  10. Patient Satisfaction Index

Post Op care team is regularly following Care Bundles like-

  1. PVC insertion Care Bundle
  2. PVR Daily Care Bundle
  3. Catheter Insertion Care Bundle
  4. Catheter Daily Care Bundle
  5. SS care Bundle
  6. WHO Hand Hygiene Protocol
  7. Universal Precautions

Patient Safety Protocols being followed are like-

  1. “7 Level Check” for Side identification
  2. Pre-Operative Checklist
  3. BT prep and safety protocol
  4. Belongings and Material Handover Protocol
  5. Surgical Site Marking Protocol
  6. Patient Identification Protocol
  7. Admission and Discharge Protocol
  8. Checklist for shifting from OR to Recovery SICU
  9. Checklist for shifting from SICU to Ward
  • The finest details of immediate post-op depends on the expertise of medical, nursing and rehabilitation team.
  • Since our hospital serves only for these surgeries, every member is extensively trained, as compared to any other general Orthopaedic Hospital serving many types of surgeries.
  1. The team follows “Surgical age-based assessments and reassessments” to formulate the customized care.
  2. Rehab is planned “One-O-One as per the milestones achieved” by the patient till visit date.
  3. Phases of Rehab are scientifically based on division into Macrocycle, Mesocycle and Microcycles of care, the Pre-Injury level of activity, the Surgical details of patient as per the surgeon; and “not one size fits all” method.
  4. The “5-Staged Plan of Care” of post op rehabilitation is followed for holistic recovery of patients –
  5. Protection & Activation
  6. Recovery of Range
  7. Strength Development
  8. Functional Integration Inclusion
  9. RTS If Sports Person
  10. Sports-Persons’ prolonged follow up to Return To Sports after RTS Testing is followed.
  11. Regular skill upgrade training of team is done as per new international guidelines.
  • Our Physiotherapy team serves large number of ACL and meniscus surgery post operative patients, with close follow up, for return to normal and return to Sports.
  • This huge experience in knee and shoulder surgery rehabilitation is the reason for their best results.
  •  Our successful results are the reason, why our old patients send other patients for similar results.

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