Will the cost of meniscus repair be completely absorbed by the body, leaving no visible signs of surgery?
Hello Dr.
Tsai,
My husband underwent a meniscus repair surgery on his right knee three years ago due to a sports injury.
During a follow-up visit after the surgery, the doctor mentioned that there was laxity in the cruciate ligament and advised us to schedule another surgery.
However, considering the long recovery time and my husband's work situation, we decided to postpone it.
Recently, while at work, my husband jumped off a truck, which resulted in his right knee becoming immobile.
We consulted a different hospital for surgery, which involved autologous ligament grafting.
During the procedure, the attending physician allowed me to view the arthroscopic monitor and asked if my husband had indeed undergone meniscus repair, as the meniscus tear appeared very deep with no signs of previous surgery.
I am certain that he had the surgery, so I inquired whether the use of absorbable autologous materials could explain the absence of surgical evidence.
The doctor stated that it was impossible, as there would be signs of the previous surgery, and he also took photos before and after the operation.
Therefore, I would like to ask Dr.
Tsai if the use of self-funded absorbable materials could result in the absence of visible surgical signs.
Thank you for taking the time to respond.
Hou Ya Lan, 30~39 year old female. Ask Date: 2017/05/08
Dr. Cai Shanglin reply Orthopedics
Generally, there are two surgical methods for a meniscus tear: either suturing the torn area or excising the damaged portion.
I'm not quite sure what you mean by "self-funded autologous absorption." If you have related questions, you should consult the surgeon who performed the operation.
Reply Date: 2017/05/08
More Info
Meniscus repair surgery, like any surgical procedure, typically leaves some form of evidence, whether visible or not. The visibility of surgical signs can depend on various factors, including the surgical technique used, the materials employed, and the individual’s healing process. In your case, the question revolves around whether absorbable materials could lead to a lack of visible signs post-surgery.
Firstly, it’s important to understand that meniscus repair surgery often involves suturing the torn meniscus back together. Surgeons may use absorbable sutures, which are designed to dissolve over time, typically within a few weeks to months. These sutures are made from materials such as polyglycolic acid or polylactic acid, which are biocompatible and are absorbed by the body. While these materials do not leave permanent foreign bodies in the tissue, they can still create a healing response that may be visible in imaging studies or during a follow-up examination.
However, the absence of visible signs on the knee joint during the arthroscopy does not necessarily indicate that the surgery was not performed. The meniscus itself may have been repaired successfully, but the surgical technique and the specific nature of the injury could mean that the repair is not easily identifiable. For instance, if the meniscus was severely damaged or if the repair was performed in a way that did not disrupt the surrounding tissue significantly, it might appear as though no surgery had been done.
Additionally, the surgeon’s comments about the lack of visible signs could also relate to the depth of the meniscus tear. If the tear was deep and the repair was successful, the meniscus may have healed well, making it difficult to identify the surgical intervention from the outside. Furthermore, the use of advanced arthroscopic techniques can minimize the size of incisions and the overall trauma to the knee, which can also contribute to a less visible surgical footprint.
It is also worth noting that the healing process varies significantly among individuals. Factors such as age, overall health, and adherence to post-operative rehabilitation can influence how well the knee heals and how visible any surgical signs may be. In some cases, patients may experience a complete resolution of symptoms with minimal scarring, while others may have more noticeable signs.
In conclusion, while absorbable materials are designed to minimize long-term visibility, they do not completely eliminate the signs of surgery. The absence of visible signs in your husband’s case could be attributed to several factors, including the nature of the injury, the surgical technique used, and individual healing responses. If there are ongoing concerns about the knee's functionality or the previous surgery, it may be beneficial to seek a second opinion or further imaging studies to assess the condition of the meniscus and surrounding structures. Always consult with a qualified orthopedic surgeon for personalized advice and treatment options.
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