Can a meniscus tear lead to knee replacement?

Conclusions: In patients with knee osteoarthritis arthroscopic knee surgery with meniscectomy is associated with a three fold increase in the risk for future knee replacement surgery.
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Does a meniscus tear require a knee replacement?

In arthroscopy, part of the meniscus is removed. As a result, the knee has considerably less support and absorbancy. In time, osteoarthritis in the knee worsens, and the only option for successful treatment is a total knee replacement.
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What are the long term effects of a torn meniscus?

In serious cases, it can develop into long-term knee problems, like arthritis. In addition moving around with a torn meniscus could pull fragments of the cartilage into the joint causing larger knee issues which could requiring more significant surgery in the future.
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What are the signs of needing a knee replacement?

5 Signs You Might Need Knee Replacement Surgery
  • Persistent or reoccurring pain.
  • The pain prevents you from sleeping.
  • You have difficulty doing daily activities including walking or climbing stairs.
  • Your knees are stiff or swollen.
  • Knee deformity — a bowing in or out of the knee.
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What happens if you don't repair a torn meniscus?

An untreated meniscus tear can result in the frayed edge getting caught in the joint, causing pain and swelling. It can also result in long term knee problems such as arthritis and other soft tissue damage.
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Knee Osteoarthritis and Degenerative Meniscus Tears - Brian Feeley, MD



How do I know if my meniscus tear is severe?

Severe. A tear is usually labeled as severe if the meniscus has a big tear. Loose pieces may cause the knee joint to lock or catch. This level of injury may also keep you from bending or straightening your leg and can make walking difficult.
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Can a torn meniscus get worse over time?

A meniscus tear can get worse when left untreated. For example, you might have trouble managing the pain and swelling in your knee, or your knee may continue feeling like it's catching or locking. If you feel your symptoms are getting worse instead of better, it could be a sign that your tear isn't healing quite right.
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What is the best age for a knee replacement?

In summary, TKA performed between the ages of 70 and 80 years has the best outcome. With respect to mortality, it would be better to perform TKA when the patients are younger. Therefore, the authors of these studies believe that from 70 to 80 years of age is the optimal range for undergoing TKA.
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Who is a candidate for knee replacement?

You may want to consider knee replacement if your knee damage is severe, and knee pain, deformity or disability is affecting your quality of life. Common reasons for knee replacement include: Knee pain or stiffness limits your daily activities. Knee pain is present even at rest.
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What can I do instead of knee replacement?

6 alternatives to knee replacement surgery
  • Exercise to keep your joints moving. When your knees hurt and feel stiff, exercise is usually the last thing on your mind. ...
  • Lose weight to reduce pressure on your knees. ...
  • Physical therapy to target knee pain. ...
  • Joint supplements. ...
  • Injections for knee pain. ...
  • Orthobiologics.
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What percentage of meniscus tears require surgery?

Differing treatment

It's important to know the differences between the tears because usually only acute traumatic tears are surgically repairable. Less than 10 percent of meniscal tears occurring in patients age 40 or older can be repaired.
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What are 3 signs of a meniscus tear in the knee?

Symptoms
  • A popping sensation.
  • Swelling or stiffness.
  • Pain, especially when twisting or rotating your knee.
  • Difficulty straightening your knee fully.
  • Feeling as though your knee is locked in place when you try to move it.
  • Feeling of your knee giving way.
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What are two treatments for a meniscus tear?

Nonsurgical treatments, such as anti-inflammatory medications and rehabilitation with a physical therapist may help some people with a torn meniscus. Other patients will need surgery, usually either a trimming or repair of the meniscus. Treatments may also depend on whether the tear is traumatic or degenerative.
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Will my knee ever be the same after meniscus surgery?

Knee Swelling after Meniscus Surgery

Swelling is an indicator of inflammation, which is part of the normal healing process after surgeries such as a meniscus repair. It can sometimes persist for a few weeks following meniscal surgery.
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Why you should not get a knee replacement?

Increased Risk of Heart Attack, Stroke, and Bleeding Stomach Ulcers. Knee replacement patients aged 60 and up are 31 times more likely to experience a heart attack in the two weeks following surgery. When you amputate a joint from a patient, there is severe trauma to the blood vessels and bone marrow space.
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When is surgery needed for torn meniscus?

If you have a moderate to large tear at the outer edge of the meniscus (red zone), you may want to think about surgery. These kinds of tears tend to heal well after surgery. If you have a tear that spreads from the red zone into the inner two-thirds of the meniscus (called the white zone ), your decision is harder.
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How long is the hospital stay for knee replacement?

You will stay in the hospital for 1 to 3 days after having hip or knee joint replacement surgery. During that time you will recover from your anesthesia and the surgery.
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Who is not a good candidate for knee surgery?

Patients with inflammatory arthritis of the knee usually have joint damage in all three compartments and therefore are not good candidates for partial knee replacement.
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What are the disadvantages of knee replacement?

Disadvantages of Knee Replacement Surgery
  • Replacement Joints Wear Out Requiring Additional Surgery. ...
  • Deep Vein Thrombosis (DVT) ...
  • Anesthesia Complications. ...
  • Infection. ...
  • Artificial Joint Becomes Loose or Dislocates. ...
  • Differences in Leg Length. ...
  • Allergic Reactions. ...
  • Nerve Damage.
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Are knee replacements worth it?

According to research published in 2019, 82 percent of total knee replacements are still functioning after 25 years. For most people, a successful knee replacement typically leads to a higher quality of life, less pain, and better mobility. After a year, many report significant improvements in: pain.
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Is knee replacement major surgery?

A knee replacement is major surgery, so is normally only recommended if other treatments, such as physiotherapy or steroid injections, have not reduced pain or improved mobility. You may be offered knee replacement surgery if: you have severe pain, swelling and stiffness in your knee joint and your mobility is reduced.
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How long can you delay knee replacement?

If a patient decides to postpone knee replacement surgery, a doctor can recommend options to temporarily relieve arthritic knee pain. For example, a person who wants to postpone surgery for 6 to 12 months may be able to get one or more cortisone or hyaluronic acid injections to reduce his or her knee pain.
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What aggravates a torn meniscus?

Lifestyle and home remedies. Avoid activities that aggravate your knee pain — especially sports that involve pivoting or twisting your knee — until the pain disappears.
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Can you walk on a fully torn meniscus?

A torn meniscus usually produces well-localized pain in the knee. The pain often is worse during twisting or squatting motions. Unless the torn meniscus has locked the knee, many people with a torn meniscus can walk, stand, sit, and sleep without pain.
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Which is worse lateral or medial meniscus tear?

It is hard to differentiate what type of tear is worse if it is repairable. However, it is well known that if a lateral meniscus is taken out, the consequences are almost always worse than having a medial meniscus resected.
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