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Author Topic: ACL Recon 3/14, Medial Meniscectomy on order too, what does that involve?  (Read 582 times)

Offline joval

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Hi,
I'm scheduled for ACL recon this Wednesday.  I'm going over all my paper work and becoming more familar with terms used on it and here.  I didn't give much thought to seeing "Medial Meniscectomy" written on my orders a couple of days ago.  Now seeing it mentioned here in posts I'm wondering what is involved?
The OS said it was clear my ACL was gone on exam and with MRI and he said my meniscus was questionable on exam and looking at MRI.  He just said he would check it out.  Now I'm seeing posts mentioning it as it's own surgery and now I'm a tad more concerned with what he's going to do while there.
Is it a small side job or a big deal  ??? 
Thanks!
Jo
01/12  Fell
02/12  MRI ACL tear
04/12  RK ACL recon Allograft, meniscus trim

Offline DennisKnee

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Hey Jo,

I had a medial meniscectomy just over 2 weeks ago. It would have been done during my upcoming ACL & MPFLr procedures but the surgeon was already 'in there' as part of an arthroscopy and MUA so I had it done.

From my notes:

Anaes. Comm. 1445
In O.R. 1452
Out O.R. 1528
In Rec. 1530

As you can see, it was a very quick procedure but obviously, when coupled with your ACLr, it'll take longer.

Typically, your OS will take a look at the condition of your meniscus and give it a poke with a special little tool. Depending on the position of the tear (if there is one), the type and severity of the tear, he/she will then make a decision as to whether or not it needs to be trimmed.

It does seem more common that the damaged/torn piece of meniscus is removed as opposed to being left to heal as lack of good blood supply to the area prevents healing.

From my own experience and that of a few friends, it doesn't seem to be that big of a deal. Having mentioned that, none of us have had huge portions of meniscus removed. In fact, mine was the largest with 50% of my medial meniscus having to be trimmed.

Remember to ask your OS before your procedure if you have any concerns or last minute questions. I'm sure it'll be fine.
 :)
Karen


Sep 10 - confirmed ACL & medial meniscus tear
Dec 11 - chronic patellar dislocation - MPFL tear
23 Feb 12 - scope, MUA & 50% medial meniscectomy
17 Apr 12 - ACLr and MPFLr

Offline joval

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Hi Karen,
Thank you for taking the time to explain all of that to me. I googled but didn't get the hits as I did with the ACL.  What you wrote makes sense to me.  OS saying it's questionable and will check it out.  A trimming sounds a lot better than medial meniscectomy!

I saw on your thread you go back to work Monday.  I hope it goes well.  Nothing too physical I hope.

Thanks again!
Jo
01/12  Fell
02/12  MRI ACL tear
04/12  RK ACL recon Allograft, meniscus trim

 














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