Meniscus Repair
How is a Meniscus Repair performed?
A meniscus repair is a minimally invasive arthroscopic procedure that aims to preserve and restore the function of the meniscus — the tissue that cushions and stabilizes the knee joint. Unlike a meniscectomy, where torn tissue is removed, a repair involves suturing the torn edges of the meniscus back together to allow it to heal.
The surgery is performed through small incisions using an arthroscope (a small camera) and specialized instruments. The type of repair technique used depends on the location and pattern of the tear. Tears near the outer “red zone” of the meniscus have better blood supply and heal more effectively after repair. In some cases, biological augmentation (such as fibrin blood clot) may be used to promote healing. Some patterns, such as a meniscus root tear, require bone tunnels to be drilled and anchors/buttons to fix the meniscus.
The procedure generally takes 45–60 minutes and is performed under general or spinal anaesthesia. Most patients go home the same day.
What Is the Recovery in the Immediate Postoperative Period?
Hospital stay: Most patients are discharged the same day after surgery.
Weight bearing: Depending on the meniscus tear morphology, you will either bear full weight right away or be non weight bearing for 6 weeks. You will need crutches for the early rehab phase of your recovery.
Brace: You will typically wear a brace for 6 weeks after surgery
Range of motion: Early motion starts right away.
Ice and elevation: Used frequently to control pain and swelling. You should ice for 20 minutes, 3–4 times per day right after surgery.
How Is the Wound Managed?
Bulky dressings will be removed 1–2 days after surgery.
A waterproof underlay dressing should be left on for 1 week.
Incisions typically heal within 2 weeks.
Showers are permitted while wounds are covered with waterproof dressings during the first 2 weeks.
Do not submerge incisions in water (baths, pools, or ocean) for 6 weeks.
A wound check with your GP, allied health provider, or our clinic is recommended at 2 weeks.
Absorbable sutures are usually used and do not require removal, though small remnants may surface naturally during healing.
How Do I Prevent Blood Clots (DVT/PE)?
Blood clots (deep vein thrombosis or pulmonary embolism) can occur after surgery.
You can reduce the risk by:
Moving your foot and ankle regularly while resting.
Walking early with assistance.
Avoiding long periods of sitting or immobility.
You will likely take aspirin for 2–6 weeks to prevent DVT/PE. If you have a history of blood clots or risk factors, a stronger blood thinner may be prescribed.
If you plan any long-distance travel within 6 weeks of surgery, please inform our clinic for preventative medication.
Seek immediate medical attention if you develop calf pain, swelling, chest pain, or shortness of breath.
How Do I manage my pain after a Meniscus Repair Procedure?
Local anaesthetic will be injected into the knee during surgery.
Use ice regularly (20 minutes, 3–4 times per day). An ice machine may be hired from a third party.
Take prescribed pain medication as directed. Opioids may be used short-term but have known side effects (nausea, constipation, dependence). Non-opioid medications are preferred when tolerated.
Use a compression dressing on the knee for 6–12 weeks to manage swelling.
Begin gentle range-of-motion and muscle activation exercises as soon as recommended.
Use walking aids for stability while recovering your gait.
What Issues Should I Call the Clinic Regarding?
You should contact your surgeon or clinic immediately if you notice:
Increasing redness, swelling, or drainage from the wound.
Persistent or worsening pain not controlled by medication.
Fever, chills, or night sweats.
Calf pain or swelling (possible blood clot).
Any acute injury to your operative knee.
Prompt review allows early management of potential complications.
When Can I Return to Normal Activities After Meniscus Repair?
Return to activities depends on the nature and intensity of the activity.
General guideline:
Walking: Start immediately after surgery.
Running: Start when knee swelling and pain has improved, typically 3-6 months
Stationary cycling: Can start right away and is encouraged. Road cycling can take 6–12 weeks.
Light gym exercise (Pilates, pool work, yoga): 6–12 weeks.
Sport: Typically 3-6 months, depending on sport intensity and tear morphology.
Because the meniscus needs time to heal, your surgeon may limit deep squatting, pivoting, or twisting activities for the first 3–6 months. Running and high-impact activities are generally avoided early to protect the repair.
When Can I Drive?
You can usually drive once you can safely control the vehicle and perform an emergency stop comfortably.
This is typically 4–6 weeks after right knee surgery, and 2–3 weeks for the left knee.
You must not drive while taking strong pain medication (e.g., opioids).
When Can I Return to Work?
Return to work depends on your occupation and the type of surgery you received. In general, the following time are followed:
Office or sedentary work: 1–2 weeks (once you can commute safely).
Light manual work: 4–6 weeks.
Heavy manual labour: 3–4 months or longer, depending on recovery.
Should I See a Physiotherapist?
Yes. Physiotherapy is essential for optimal recovery and long-term success after patella stabilization.
Your physiotherapist will:
Guide you through a structured rehabilitation program.
Focus on restoring range of motion, strength, balance, and gait mechanics.
Progress exercises gradually from early mobility to functional activity and low-impact sport.
Most patients continue physiotherapy for 6–12 weeks to achieve full functional recovery.
What Are the Complications After a Meniscus Repair Procedure?
While meniscus repair is a safe and effective procedure, potential complications include:
Infection (superficial or deep)
Blood clots (DVT/PE)
Knee stiffness or limited motion
Persistent pain or swelling
Failure of the meniscus to heal (re-tear or non-healing)
Nerve irritation or numbness around the incision
Fluid accumulation in the knee (effusion)
Recurrent clicking or catching sensations
Progression of knee arthritis
Numbness near incisions