When a meniscus is torn, the options for treatment can include either repair or resection. In most circumstances, we strive to repair the meniscus because it is an important shock absorber for the same compartment of the knee. The loss of the meniscus invariably leads to the development of osteoarthritis over time.
Are you a candidate for a meniscal trephination?
There are two ways to initiate a consultation with Dr. LaPrade:
You can provide current X-rays and/or MRIs for a clinical case review with Dr. LaPrade.
You can schedule an office consultation with Dr. LaPrade.
Meniscal Trephination Surgery
Meniscal trephination can be performed at the same time as other surgeries. It involves taking a small needle and puncturing into the joint lining and into the substance of the meniscus to try to stimulate a healing response at that location. The desired result from a meniscal trephination is to create a small blood clot at that area which will ultimately lead to scar tissue and healing of the small meniscus tear.
While meniscus trephination is an option for small tears, larger tears invariably need to be sutured to have the best outcomes. Meniscal tears which are unstable to arthroscopic probing should not be trephinated and instead should be repaired with meniscal sutures. We have found that vertical mattress sutures, in an inside out manner, are the gold standard meniscal repair technique and yields the best results and outcomes for patients.