Post-Surgery Concerns: Is My Meniscus Repair at Risk? - Orthopedics

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After the repair of a discoid meniscus tear, extension is achieved?


A week after the suturing, I still cannot fully extend my knee, and it hurts when I try to straighten it.
If I forcefully attempt to straighten it and hear a popping sound, could this indicate a rupture of the meniscus sutures? I have accidentally lost my balance a few times and my foot has hit the floor; could this cause the sutures to rupture? I'm worried that my knee might get stuck, so I've been moving it frequently; could this lead to further injury?

Xiao Guo, 10~19 year old female. Ask Date: 2021/02/08

Dr. Chen Bochen reply Orthopedics


Generally, the sutures used for a meniscus repair are very strong and not easily broken; however, it ultimately depends on the circumstances during the surgery (it’s best to consult with the surgeon who performed the procedure), as each individual's condition and injury may vary.

Reply Date: 2021/02/08

More Info


After undergoing a meniscus repair surgery, it's common to have concerns about the healing process and the risk of complications. Let's address your questions and provide some insights into the recovery process.

Firstly, it's important to understand that the meniscus is a C-shaped cartilage in the knee that acts as a cushion between the femur (thigh bone) and the tibia (shin bone). Repairing a torn meniscus typically involves suturing the torn edges together, which can take time to heal properly. The recovery process can vary significantly from person to person, depending on factors such as the extent of the injury, the surgical technique used, and individual healing rates.

1. Pain and Limited Range of Motion: It's not uncommon to experience pain and difficulty fully extending your knee one week post-surgery. This can be due to swelling, inflammation, or the body's natural response to surgery. If you hear a "pop" sound when trying to extend your knee, it could be concerning, but it doesn't necessarily mean that the sutures have failed. It might be related to the movement of the knee joint or the surrounding tissues. However, if the pain is severe or if you notice significant swelling, it's essential to contact your surgeon for an evaluation.

2. Risk of Suture Failure: Engaging in activities that put stress on the knee, especially in the early stages of recovery, can potentially lead to complications, including the risk of suture failure. If you accidentally put weight on your leg or lose your balance, it could strain the repair. It's crucial to follow your surgeon's post-operative instructions, which typically include guidelines on weight-bearing and movement restrictions. If you have concerns about your stability or the risk of falling, consider using crutches or a knee brace as advised by your healthcare provider.

3. Knee Movement and Activity: While it's natural to want to keep your knee moving to prevent stiffness, excessive or improper movement can lead to further injury. Gentle range-of-motion exercises are usually encouraged, but they should be done within the limits set by your surgeon. Overdoing it or forcing the knee to move beyond its current capability can indeed lead to complications, including the risk of damaging the repair.

4. Follow-Up Care: Regular follow-up appointments with your surgeon are vital to monitor your recovery. They can assess the stability of the repair, the range of motion, and any signs of complications. If you're experiencing persistent pain, swelling, or instability, it's crucial to communicate these symptoms to your healthcare provider.

In summary, while concerns about the risk of complications after meniscus repair surgery are valid, it's essential to approach your recovery with care. Follow your surgeon's recommendations closely, engage in appropriate rehabilitation exercises, and don't hesitate to reach out for medical advice if you notice any concerning symptoms. Recovery can be a gradual process, and patience is key to achieving the best possible outcome.

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