27403 Arthrotomy with meniscus repair, knee

Name of the Procedure:

Arthrotomy with Meniscus Repair, Knee

Summary

Arthrotomy with meniscus repair is a surgical procedure where an incision is made into the knee joint to access and repair a torn meniscus, which is a piece of cartilage that stabilizes and cushions the knee.

Purpose

This procedure addresses a torn meniscus, which can cause pain, swelling, and impaired knee function. The goals are to repair the cartilage, alleviate symptoms, and restore full function to the knee.

Indications

• Persistent knee pain and swelling
• Knee locking or giving way
• Difficulty with knee movement
• Meniscus tear confirmed by MRI or other imaging studies

Preparation

• Fasting for at least 8 hours before the surgery
• Adjustment or cessation of certain medications as advised by the doctor
• Pre-operative diagnostics such as blood tests, ECG, and imaging studies of the knee

Procedure Description

1. Anesthesia is administered (general or regional).
2. A small incision is made in the knee to access the joint.
3. The surgeon inspects the knee and identifies the meniscus tear.
4. Sutures or anchors are used to repair the torn meniscus.
5. The joint is rinsed with saline solution to clear debris.
6. The incision is closed with sutures or staples.

Tools used may include surgical knives, arthroscopic instruments, sutures, and saline solution.

Duration

Approximately 1 to 2 hours.

Setting

Typically performed in a hospital or surgical center.

Personnel

• Orthopedic surgeon
• Nurses
• Anesthesiologist

Risks and Complications

• Infection
• Bleeding
• Blood clots
• Nerve or blood vessel damage
• Stiffness or loss of motion in the knee
• Failure of the meniscus repair resulting in the need for additional surgery

Benefits

• Reduced knee pain and swelling
• Improved knee function and mobility
• Lower risk of degenerative joint diseases like osteoarthritis if successful

Recovery

• Initial rest and limited weight-bearing on the affected leg
• Physical therapy to regain strength and motion
• Possible use of crutches for a few weeks
• Full recovery may take 3 to 6 months, depending on the extent of the repair and adherence to rehabilitation protocols

Alternatives

• Non-surgical options: rest, physical therapy, and pain management
• Arthroscopic meniscus repair: less invasive but may not be suitable for all types of tears
• Meniscectomy: removal of the damaged meniscus portion, but this may lead to future joint problems

Patient Experience

• May feel drowsy or sore after the procedure
• Pain is typically managed with medications
• Swelling and discomfort are common but usually subside over time
• Rehabilitation exercises are crucial for a successful recovery