Menisectomy vs Mensical Repair
March 17, 2015

Menisectomy vs Mensical Repair
If you are a Bull’s fan or Chicagoan in general the news of Derrick Rose’s recurring meniscal tear has already sent you into the first stage of grieving. So, now what? A lot of medical professionals and former athletes will be on the airwaves today comparing and contrasting injuries, surgical techniques, and prognoses. The main questions will be: 1. Repair vs removal and 2. Will Rose ever be the same?
The meniscus is a C-shaped cartilage that sits on the top of the tibia. Its primary responsibility is to provide a cushion between the femur and tibia. The meniscus is generally injured by a compression and twisting injury. When injured, people can feel pain, lost range of motion, popping, and occasionally locking of the knee.
A meniscal repair is an arthroscopic procedure where the surgeon will suture down the injured tissue to allow it to heal. This type of surgery only occurs if the tear is a clean longitudinal tear on the periphery of the tissue because this area has blood flow to allow healing. A menisectomy, on the other hand, is an arthroscopic procedure where 10% of the meniscus is removed.
Meniscal Repair Considerations:
Advantage Disadvantage
Decreased arthritis Slower healing time: Months
Improved mechanics Very specific tear
Non-weight bearing for 4-6 weeks

Menisectomy Considerations:
Advantage Disadvantage
Healing time: 4-6 weeks Increased risk of arthritis
Common tears Altered mechanics
Simple procedure

Physical Therapy for either procedure includes improving range of motion, controlling swelling, increasing strength, and fixing any movement faults that could have predisposed the injury. In addition, physical therapy has been shown to be just as effective as surgery in patients with meniscal tears. A Functional Movement Screen should be used before returning any client to sports to decrease the chance of re-injury.
In regards to if Rose will be doing this again. The injury itself and the general rehabilitation should be easy enough. However, the psychological hurdle will be the most difficult. Rose will need to again be explosive, with great jumping and landing mechanics, without hesitation. This is no simple feat, and as anyone who watched Rose at the first of the year knows, it was a work in progress.
For more information or to schedule physical therapy visit www.makovickapt.com or call (402) 933-3036.

– Dan McCutchen, PT, DPT, OCS

The Makovicka Difference

Each of our clinics have board certified specialists on staff. This means you receive the highest level of care that will maximize your recovery, and get you back to your game. Our dedicated therapists will take the time to get to know you. We will listen, evaluate your symptoms and create a personalized physical therapy program to meet your needs. Together, we will improve your function, strength, and mobility.

Up Next:

Getting to the Point, Dry Needling vs. Acupuncture

Muscle pain affects almost everyone at some point in their lives. This pain can be a nuisance or can be debilitating to the sufferer. This pain can lead to “knots”, or trigger points, in the muscle which may ......

Read More

Tracking Your Activity With a Fitness Tracker

Your body is made to move. There are over 300 joints in a human body that gives you the ability to twist, turn, and bend in multiple directions. If you are looking to get all those joints moving, digital fitness ......

Read More

Get Back In The Game

When it comes to feeling better, there is no time like the present. Our expert therapists will help create a customized program of strengthening exercises and therapies to help you get you back in the game. Let us help you become one of the many Makovicka success stories.

Get Back In Game

  • This field is for validation purposes and should be left unchanged.