With the development of medical science and technology and the improvement of the people's care for their own health, arthroscopic surgery has been jointly chosen by the majority of joint surgeons and patients with joint diseases as the preferred treatment method to solve joint diseases. Arthroscopy, due to its unique characteristics of "small window, large field of view", can clearly diagnose the degree of meniscal rupture and damage of patients under the microscope and make personalized treatment. Although different patients may have "meniscal injury", the arthroscopic performance and severity may be completely different, and there are different surgical methods.
One
Meniscal suture
If the patient's meniscal injury is relatively fresh, the blood supply to the tear opening is abundant, and it is a young adult, the first choice is of course meniscus suture surgery, as the name suggests, meniscal suture is to sew up the torn meniscus with a thread.
However, if the patient's meniscus is a compound rupture, the crack is like "rotten cotton wool, mop head", there is no blood supply, this situation can only be partially removed from the meniscus.
Meniscals are in different damaged states
If there is a meniscal damage between the above two cases, but the structure is generally intact, we weld it like an "electric welding gun" with the help of low-temperature plasma radio frequency ablation technology.
Two
Sheet plate molding
For now, most of the current meniscal surgery is plastic surgery, that is, the patient's broken angular place is cut off, and then repaired into a circular arc, which is the definition of meniscus molding, and our treatment principle is to cut less and cut less.
Three
Sheet metalplate transplantation
Meniscal transplantation is to trim the remaining meniscal edges under arthroscopy, implant the meniscal graft into the knee joint, and then use the suture technique from the inside to the outside to suture to fix the meniscus, make small incisions in the back of the knee joint, and finally fix the bone block of the transplanted meniscus.
Four
Which surgical method is better?
The first thing to state is that every patient's situation is different, and the best way for you is the best way, let's introduce it in detail.
1, meniscal suture, we know that meniscus is one of the several tissues that exist in the human body that cannot be completely "repaired" so far.
The skin is cracked and can be sewn with sutures, but the sutures are removed in about 2 weeks, because the skin is already growing well. What everyone doesn't know is that the real growth of the skin depends on the nutrition provided by the blood in the skin tissue. However, unlike other tissues and organs, the inside of the meniscus is not completely filled with blood vessels, even if the cleft of the meniscus is sutured using sutures, and the clefts of the meniscus do not really heal due to the lack of nutrition. After the patient returns to activity, the meniscus returns to a torn state.
Because there are very few meniscus that can be sutured, in line with the principle of a small number of sutures that can be sutured as much as possible; we must find a professional doctor with sufficient experience as soon as possible
2, meniscal resection, knee meniscalectomy, which has been proved to be cut in our institute of sports medicine after nearly 60 years of history, in the international community than our menisciation time is of course longer.
The experience after removing the meniscus depends entirely on two things: one is that you need to have a better doctor to do the operation for you to ensure the success rate of the operation, and the other is that the degree of your later recovery is also crucial.
If the recovery is good, and the other injuries are not too serious, it should be said that it is okay, there is no special uncomfortable experience.
3, sheet metalplate transplantation
At present, it is not a conventional treatment method in the world, and it has very strict surgical indications and contraindications. I had an average of 2-3 meniscus transplants a month during my time in Heidelberg. But the effect is not yet satisfactory to everyone. I think the most important thing is to use this technology rationally and responsibly, and not to cause unnecessary trouble to patients!
Five
What is the effect of the surgery after meniscus injury?
Many patients who do surgery in our hospital walk the next day after surgery, and then after a month they can squat, daily life is no problem, two months after surgery, some people can start playing badminton, table tennis, and so on. After the operation, do a good job of rehabilitation exercises, do not be too anxious, according to the doctor's rehabilitation plan, just go with the flow.
Six
How much does meniscal surgery cost, and is Medicare reimbursed?
This is actually a few digressions, mainly because I have asked this question in the outpatient clinic before, in fact, we clinicians only pay attention to treatment, and there is very little understanding of these, but here is a simple talk to you.
According to the specific surgical plan of meniscus surgery, the cost of surgery is also different, and the main costs include anesthesia fees, surgical fees, preoperative examinations, preoperative and postoperative medications.
Meniscal surgery medical insurance can be reimbursed, because our hospital is a top three hospital, medical insurance and rural cooperative medical reimbursement ratio is slightly lower than that of county-level hospitals and prefectural and municipal hospitals, depending on the specific policies of the medical insurance office and the rural cooperative medical office of the patient's location.