treatment of Meniscus ruptures
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- เผยแพร่เมื่อ 2 พ.ย. 2024
- Treatment.
Happily, not all meniscal tears require surgery.
Degenerative tears often improve over time with treatment of the arthritis,
so surgery usually isn't indicated.
Many traumatic meniscus tears will not need immediate surgery.
If your symptoms do not persist and you have no locking or swelling of the knee, your doctor may recommend nonsurgical treatment.
Avoid activities that aggravate your knee pain.
using crutches.
Use cold packs.
Oral nonsteroidal anti-inflammatory medications (Nsaids.
wear an elastic compression bandage.
A physical therapy treatment.
The outer one-third of the meniscus has a rich blood supply.
A tear in this zone may heal on its own,
or can often be repaired with surgery.
In contrast, the inner two-thirds of the meniscus lacks a significant blood supply.
tears in this zone with limited blood flow cannot heal.
symptomatic tears in this zone that do not respond to conservative treatment are usually trimmed surgically.
we try to exhaust conservative management options before referring the patient for surgery.
if the knee is locked or motion is severely restricted,
if the tear associated anterior cruciate ligament tear,
or if there is little improvement in symptoms after three to six weeks despite proper conservative treatment,
the surgery is indicated.
These instruments allow careful trimming of the torn meniscal fragments or, for some cases, a repair of the meniscal tear with sutures.
Partial meniscectomy.