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Treatment of Meniscus Tear

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnosis for Meniscus tear
 from  377
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
 from  3020
Orthopedic rehabilitation
 from  478.57

Academic Hospital DRK Berlin Westend

10/10
location_onGermany, Berlin

Department of Orthopedics, Traumatology and Endoprosthetics

The Hospital DRK Berlin Westend is a recognized academic hospital at the University Hospital Charité in Berlin. The hospital has more than 130 beds, 15 departments and 12 specialized centers, which represent all areas of modern medicine, including surgery, orthopedics (endoprosthetics), cardiology, etc. A team of about 1,
Diagnosis for Meniscus tear
1218
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
5177

Catholic Clinic Koblenz-Montabaur

10/10
location_onGermany, Koblenz

Department of Adult and Pediatric Orthopedics, Traumatology, Endoprosthetics

The Catholic Clinic Koblenz-Montabaur positions itself as a modern medical facility, which provides high-quality diagnostics and treatment in accordance with the international standards. The medical complex is the Academic Hospital of the University Hospital Mainz, which gives patients the opportunity to have access to the most
Diagnosis for Meniscus tear
1303
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
5763

Academic Hospital Brothers of Mercy Munich

10/10
location_onGermany, Munich

Department of Orthopedics and Traumatology

According to the Focus magazine, the Academic Hospital Brothers of Mercy Munich ranks among the top German hospitals in the Federal State of Bavaria! The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and t
Diagnosis for Meniscus tear
1261
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
5377

Orthopedic Center Munich East Munich

9.8/10
location_onGermany, Munich

Department of Orthopedics

The Orthopedic Center Munich East Munich has the status of a leading Orthopedic Clinic in Germany, which meets the high standards of medical care using state-of-the-art medical technologies. The center specializes in the prevention, diagnostics, conservative and surgical treatment of all diseases and injuries of the musculoskele
Diagnosis for Meniscus tear
1325
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
5735

Academic Municipal Hospital Karlsruhe

9.8/10
location_onGermany, Karlsruhe

Department of Adult and Pediatric Traumatology, Hand and Orthopedic Surgery

According to the prestigious Focus magazine, the Academic Municipal Hospital Karlsruhe ranks among the top German hospitals! The hospital positions itself as a modern maximum care medical facility, which combines long traditions and progressive achievements of modern medicine. The hospital operates on the basis of the University
Diagnosis for Meniscus tear
1288
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
5472

Vitos Orthopedic Clinic Kassel

9.2/10
location_onGermany, Kassel

Department of Adult and Pediatric General Orthopedics, Trauma Surgery

According to the Focus magazine, the Vitos Orthopedic Clinic Kassel ranks among the top German medical facilities specializing in the treatment of orthopedic diseases! The clinic is a specialized medical facility, which provides top-class diagnostics, treatment and rehabilitation of patients with musculoskeletal diseases. The cl
Diagnosis for Meniscus tear
1298
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
5637

University Hospital Ulm

9.2/10
location_onGermany, Ulm

Department of Adult and Pediatric Orthopedics

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnosis for Meniscus tear
1353
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
5947

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Orthopedics, Traumatology

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Diagnosis for Meniscus tear
0
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
0

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Orthopedics, Special Orthopedic Surgery and Rheumatic Orthopedics

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnosis for Meniscus tear
1297
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
5746

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Orthopedics, Traumatology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnosis for Meniscus tear
1620
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
8314

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Orthopedics

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnosis for Meniscus tear
1304
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
5737

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Orthopedics, Sports Medicine

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Diagnosis for Meniscus tear
1379
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
6334

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Traumatology and Reconstructive Surgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnosis for Meniscus tear
1370
Diagnosis for Meniscus tear
1369
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
8328

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department for Adult and Pediatric Orthopedics, Trauma Surgery

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Diagnosis for Meniscus tear
1477
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
7421

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Adult and Pediatric Orthopedics

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Diagnosis for Meniscus tear
1331
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
5992

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General Orthopedics and Orthopedic Oncology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Diagnosis for Meniscus tear
1301
Diagnosis for Meniscus tear
1374
Arthroscopic surgery for knee osteoarthritis (gonarthrosis) with meniscus tear
6422
| from Booking Health GmbH

Meniscus tear is the most common knee injury. The lateral meniscus is more often damaged. It is affected in 80-85% of cases of meniscus injuries. The medial meniscus is damaged less often, but its tears are more severe. They often lead to osteoarthritis deformans of the knee. The treatment of pathology mainly involves the use of surgical techniques. Doctors abroad perform minimally invasive surgery using arthroscopy. The preference is given to knee meniscus repair, rather than the removal of its damaged part, since in this case the best functional outcomes and the minimum risk of developing knee arthrosis are achieved.

Content

  1. Diagnostics
  2. Conservative treatment
  3. Surgical treatment
  4. What to choose: meniscal resection or repair
  5. Meniscal repair
  6. Meniscal resection
  7. Meniscal transplantation
  8. Why is it worth undergoing treatment abroad
  9. Treatment in Europe at an affordable price

Diagnostics

 

With a knee injury, these are not only the menisci that are always damaged. Ligaments are also often affected, most often the anterior cruciate ligament. Diagnostics is carried out not only to clarify the nature of the meniscus tear, but also to detect or exclude concomitant injuries.

Both invasive and non-invasive diagnostic methods can be used. The most informative method is arthroscopy. The doctor may puncture the knee to insert a tiny video camera into the joint and examine the inner side of the joint.

However, most patients undergo diagnostics with the use of non-invasive methods. The best diagnostic option is MRI. With its help, the doctors can visualize not only the meniscus, but also the knee ligaments.

The most accurate examination is magnetic resonance arthrography. It involves the use of a contrast agent. MR arthrography can be:

  • Direct – with the injection of contrast into the knee.
  • Indirect – with the injection of a contrast agent into a vein.

In case of contraindications to MRI, doctors use computed tomography (CT) scanning.

Conservative treatment

 

Conservative treatment can rarely be used. If the lateral meniscus is damaged, the gap is not more than 10 mm, it is stable, the knee is not blocked, then it can not be removed or sutured. It is highly likely that all symptoms will disappear and the patient will not need surgery in the future. However, with a longer tear and with any injury to the medial meniscus, the patient needs a surgical intervention.

Immediately after the knee injury, it often swells, blood accumulates inside. In such cases, doctors perform the knee puncture in order to eliminate hemarthrosis (blood accumulation). Anesthetics and sometimes anti-inflammatory drugs can be injected inside the knee to relieve pain. In the future, with conservative treatment provided, the patient receives pain killers. Orthoses are used to restrict movement in the knee. Physiotherapy treatments are applied a few days after the injury. They do not affect the likelihood of knee meniscus recovery, but relieve the symptoms.

Cell regenerative technologies can sometimes be used to improve the healing of damaged knee tissues. The most frequently performed procedures are injections of stem cells and platelet-rich plasma. These treatments are safe for health, minimally invasive, and allow patients to recover faster from injury.

Surgical treatment

 

Surgical treatment for meniscus injuries is used more often than conservative one. The main surgical interventions include:

  • Meniscal resection – partial removal of this cartilaginous structure.
  • Meniscal repair – its restoration.

The most commonly performed surgery in the world is the knee meniscus resection. It is technically simple and provides the patient with rapid recovery. However, this operation has a drawback: the more meniscus tissue is removed, the higher the risk of degenerative changes in the joint. They do not develop immediately, but after several years or even after several decades.

Approximately 30% of patients are considered suitable candidates for meniscus repair. In 70% of cases, it cannot be repaired, because the damage is too strong or is located in the white zone – the area of ​​the cartilaginous pad that has no blood supply. Regenerative processes in this area are impossible, and therefore after suturing, the meniscus simply does not fuse.

Almost a third of the lesions are localized in the red or pink zone – near the joint capsule. They receive blood supply and can regenerate. Such patients are candidates for repairing the damaged structure. The frequency of these operations increases in developed countries. However, in countries with poorly developed medicine, the meniscus repair accounts for only 4-10% of all operations. More often, the damaged part of this structure is removed, even if there is a possibility of its repair.

What to choose: meniscal resection or repair

 

Depending on what type of operation was performed on the meniscus, the recovery time differs. This often becomes a decisive selection criterion. Many patients tend to return to work or sports training as early as possible.

The recovery is faster after meniscal resection. The surgical interventions for its partial resection are performed abroad arthroscopically – through minimal skin punctures in the knee joint. Therefore, a person can return to his usual activity within 2-4 weeks after the operation.

With meniscal repair, it takes a long time to recover. This is due to the fact that the cartilage tissue is poorly supplied with blood and regenerates very slowly. Recovery can take several months.

Another drawback of the surgery is that it is not always successful. In 15% of cases, despite the repair, the meniscus does not heal. As a result, the patients have to undergo a second arthroscopic operation to remove a part of the meniscus.

However, meniscal repair is a more physiological method of treatment. In case of successful healing, the person can return to the previous level of physical activity, while after resection, it is usually recommended to limit the load. Menisci play an important role in the knee: they reduce the load on the hyaline cartilage. In the absence of a part of the meniscus, a person may develop arthrosis, including severe arthrosis, which will require knee replacement surgery in the future.

Thus, the main advantages of meniscal resection are:

  • Low risk of recurrent surgery due to unsuccessful treatment – about 1%.
  • Speedy recovery.

When applying meniscal repair, it takes longer to recover, the risk of failure reaches 15%, but the following advantages are achieved:

  • Maximum knee loads are possible.
  • The risk of developing knee osteoarthritis does not increase.

Meniscal repair

 

In the twentieth century, the damaged parts of the meniscus were always removed. This surgery gave excellent early results. The patients recovered quickly and did not experience pain. However, later it turned out that osteoarthritis developed in the distant period, so today all the efforts of doctors are aimed at meniscus repair.

It is possible in the following cases:

  • Tears in the red or pink (red-white) zone, which, unlike the white zone, has a blood supply and is promising for regeneration.
  • Absence of degenerative changes in the knee joint.
  • Meniscus was damaged no more than 3 months ago.
  • Age up to 45 years.
  • Good general health condition.
  • Body mass index is up to 35 kg/m2 (with obesity of 2 or 3 degrees, the load on the knee increases and the chances of successful restoration of the meniscus are lower).

At the same time, some trials refute a decrease in the likelihood of meniscus healing with age and obesity, although these patients are more likely to have concomitant pathologies and degenerative changes in the knee joint. However, with good health and no signs of arthrosis, the operation can be performed at any age and with any body weight.

When performing meniscal repair, the sutures are applied arthroscopically. The likelihood of meniscus regeneration depends on the quality of suturing. The first condition is that the sutures must be strong. The second one is that the gap between the sutures is considered to be 4-5 mm. Too frequent sutures impair blood flow and interfere with healing.

Some hospitals apply additional manipulations to increase the likelihood and rate of meniscus regeneration. For example, a synovial flap is sutured to the tear site. In this case, the blood supply to the meniscus is improved, and the inflamed synovial fluid from the knee does not flow to it.

Meniscal resection

 

Partial removal of the meniscus can be required in the following cases:

  • Severe damage.
  • Degenerative changes in the knee.
  • Tears in the white area (deprived of blood supply).
  • Unsuccessful attempt to repair the meniscus.

The arguments in favor of choosing this surgery: the patient's need for a quick recovery, low physical activity and low requirements for functional outcomes, poor health, overweight, old age.

The surgical intervention is fast and technically simple. The doctor inserts thin instruments and a tube with a video camera into the knee. He removes the torn part of the meniscus from the knee and closes the wound.

The operation becomes more complex if it is necessary to perform plastic surgery of the torn anterior cruciate ligament at the same time. Whenever possible, these two manipulations are carried out abroad within a single surgical intervention. A two-stage treatment is also possible, but in this case, the interval between the two operations should be minimal, since the risk of recurrent meniscus tear with an unrepaired cruciate ligament is approximately 1% per month.

Meniscal transplantation

 

With significant damages, it is sometimes necessary to resort to the total removal of the meniscus. After a total meniscectomy or a significant amount of the removed part of this cartilaginous structure, the patients treated abroad undergo the implantation of an artificial or donor meniscus.

Knee meniscus transplantation can be early – simultaneously with its removal, or delayed – performed only after the development of degenerative changes in the cartilage. Some doctors place a donor meniscus immediately to avoid the development of arthrosis. Other experts believe that it is worth performing the meniscus transplantation in the long term, only with the development of arthrosis, since there is so far no evidence that its early implantation reduces the risk of degenerative changes in the knee.

Meniscus allografts can be fresh, cryopreserved, fresh frozen, or lyophilized (dried). The last ones differ by the fact that they do not contain living cells. Although the donor meniscus contains foreign genetic material, experimental animal trials show that after transplantation, the donor meniscus cells are quickly replaced by the host cells. However, in some of the patients, partial rejection of the material occurs, and this complication requires additional surgery.

The transplantation is performed both arthroscopically and during open knee surgery. Doctors abroad give preference to less traumatic arthroscopic procedures. The graft can be fixed only to the joint capsule or in addition to the tibia.

Why is it worth undergoing treatment abroad

 

The treatment of knee meniscus tear in  developed countries involves the use of  minimally invasive procedures and operations, which are safe for health and result in a short recovery period. With the help of new technologies, it is possible to perform successful treatment of even the most severe injuries, including radial tears of the knee meniscus and a combination of this injury with ligament tears.

There are several reasons for you to undergo treatment in one of the developed countries of Europe:

  • The preference is always given to the repair of the meniscus before its removal in order to reduce the risk of developing osteoarthritis deformans of the knee in the long-term postoperative period.
  • Even elderly patients with poor health, overweight, and a long tear can have their meniscus repaired. 
  • To increase the likelihood of meniscus healing, doctors can use additional surgical techniques, and inject into the knee stem cells or platelet-rich plasma.
  • Successful single-stage treatment of meniscus tears and knee ligament tears.
  • Surgical procedures are almost always performed with the use of minimally invasive techniques: through minimal punctures in the knee joint instead of a large incision.
  • Speedy recovery: in some surgical options, it can only take 2-3 weeks.
  • In the case of significant irreversible damage to the meniscus, surgery to remove it is complemented by replacement surgery or meniscus transplantation to avoid the development of knee arthrosis.
  • Comprehensive rehabilitation, which allows the patients to return to their previous level of physical activity in the shortest possible time.

Treatment in Europe at an affordable price

 

To undergo meniscus tear treatment in one of the European hospitals, please use the services of the Booking Health company. On our website, you can see the cost of treatment in different hospitals and compare prices in order to book a medical care program at a favorable price. The treatment of a meniscus tear in a European hospital will be easier and faster for you, and the cost of treatment will be lower.

You are welcome to leave your request on the Booking Health website. Our specialist will contact you and provide a free consultation on treatment in Europe. The Booking Health company will take care of the organization of your trip abroad. We will provide the following benefits for you: 

  • We will select the hospital for treatment in Europe, whose doctors specialize in the treatment of knee meniscus injuries and achieve the best results.
  • We will take care of the language barrier, we will help to establish communication with your attending physician.
  • We will reduce the waiting period for the medical care program. You will undergo treatment on the most suitable dates for you.
  • We will reduce the price. The cost of treatment in European hospitals will be lower due to the lack of additional coefficients for foreign patients.
  • We will take care of all organizational issues: we will prepare the documents, meet you abroad and take you to the hospital, book a hotel, provide an interpreter.
  • We will prepare a medical care program and translate medical documents. You do not have to repeat the previously performed diagnostic procedures.
  • We will help you keep in touch with the hospital after treatment in Europe.
  • We will arrange additional diagnostic examinations and treatment in a European hospital, if required.
  • We will buy medicines abroad and forward them to your native country.

You will receive treatment from the best doctors in the world. The Booking Health specialists will help reduce the cost of treatment and take care of all organizational issues, and you will only have to focus on restoring your health.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko




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