Dr. Peatman's "The Meniscus" Patient Information

The Meniscus is a fibrocartilage wedge within the knee joint. The menisci assist with the rotational stability of the knee joint. The menisci also act as a shock absorber within the knee.

Mensical blood supply is limited. Because of this many meniscal tears do not heal. The meniscus in the knee is usually torn, in young adults, by a twist occurring on a slightly flexed knee. In the older adult, the tear may be due to a natural degeneration of the menisci that occurs with age. A meniscal tear that is symptomatic (painful with activities of daily living) needs to be addressed surgically. Surgery is performed arthroscopically to either resect a tear or repair a tear. Less than 5% of meniscus tears are actually repairable.

Before Your Surgery

You will be seen in the office 1-2 weeks before surgery. At this pre-op visit you will be examined one final time before surgery. Any lab work or tests necessary before surgery will be ordered and you may be instructed to obtain medical clearance from your primary doctor. We will obtain consent for surgery and take the time to answer any questions you may have. We will also give you your post operative pain medications and a prescription for post-op physical therapy at this visit.

Day of Surgery
  1. Report as instructed to the surgery center
  2. The anesthesiologist will meet with you to discuss management of your pain during surgery and immediately after surgery
  3. You will have sutures placed and a dressing applied to your knee at the end of surgery
  4. When you are stable in the recovery room you will be released to go home
Post-Op: Day of Surgery / Back At Home
  1. Ice and elevation
  2. Take pain medication as instructed
  3. Do not remove dressings for 48 hours – keep wounds clean and dry
  4. Weight bearing as tolerated with crutches
Post-Op: Day 1
  1. Continue ice and elevation
  2. Range of motion exercises 3–5 times per day
  3. Begin quad sets and straight leg raises
Post-Op: Days 2–7
  1. Remove dressings after 2 days and replace with clean dry dressing – leave steri strips in place. You may shower.
  2. You may wean from your crutches as you are able to tolerate
  3. Continue ice and ROM exercises
  4. Make a follow up appointment with Dr. Peatman for 7–10 days following your surgery date
Post-Op: Weeks 1–3
  1. You will be seen in the office for a post operative visit post op day 7–10. At this time your wound will be checked as will your motion. Any external sutures will be removed.
  2. Continue pain medicine as prescribed. You should require less and less pain medication, transitioning to over-the-counter pain relievers.
  3. You may begin driving when you no longer require pain medication and when your quadricep's function returns
  4. Continue ROM exercises and begin progressive strengthening and walking on flat surfaces for exercise
  5. You may be referred to physical therapy if needed for ROM or strengthening
Post-Op: Weeks 3–6
  1. You will be seen in the office approximately one month after surgery
  2. Continue all exercises and return to full activities when range of motion and strength have normalized
Dr. Thomas Peatman
Webster Orthopedics | 80 Grand Avenue #400 | Oakland, CA 94610
Clinic Phone: 510-238-1200 | Appointments: 800-943-8099

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