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Meniscus repair failed
I had bucket handle tear meniscus repair in 2024 July by inside out technique and I was fine after surgery for almost 23 months but 2 days ago while playing cricket in street I hit a shot and my knee got a little bit twisted and my knee got locked and when I did mri next day it's showing bucket handle tear again so what's should I do a revision repair aur meniscectomy I had attached the report ?
Answers (6)
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Your MRI shows an intact ACL graft with well-positioned tunnels, which is reassuring. However, it also demonstrates a recurrent bucket-handle tear of the medial meniscus with a displaced fragment in the intercondylar notch. Since you have a locked knee following a twisting injury, this is unlikely to improve with conservative treatment alone. The decision between revision meniscal repair and partial meniscectomy depends on arthroscopic assessment of the tear pattern, tissue quality, vascularity, and reducibility. In a 29-year-old patient, every attempt should be made to preserve the meniscus. If the tissue is repairable, revision meniscal repair is preferred. If the tear is irreparable, selective partial meniscectomy may be necessary.
Next Steps
Consult an arthroscopy surgeon at the earliest for clinical evaluation. Since your knee is locked with a displaced bucket-handle fragment, early arthroscopy is advisable to maximize the chances of successful meniscal preservation.
Health Tips
Until reviewed, avoid sports, squatting, twisting movements, and excessive weight-bearing. Delaying treatment in a locked knee may increase cartilage damage and reduce the likelihood of a successful meniscal repair.
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Need physical examination
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You can try for non weight bearing for 6 weeks mostly it should heal if you are in willing for surgery but there is intraarticular fragments locked in the knee I suggest you get diagnostic Scopy atleast …..
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Dr. Asokan M
Orthopedist
45 yrs exp
Erode
Since you are just 30 and this is the second tear in two years an Arthroscopic surgeon's opinion matters. Also blood supply to the torn portion , tissue quality and age and activity also determine the line of treatment.
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Dr. Rakesh Kumar
Orthopedic surgeon
6 yrs exp
Coimbatore
Get personalised consultation done for better evaluation.
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Dr. Rahul Kumar Pandey
Orthopedic surgeon
10 yrs exp
Lucknow
Get person consult for better assessment
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.