Advanced Minimally Invasive Meniscus Repair by Dr. Hemendra Agrawal

Meniscus repair is a minimally invasive arthroscopic procedure performed to repair torn meniscal cartilage in the knee. The meniscus is a C-shaped cartilage that acts as a shock absorber between the thigh bone (femur) and shin bone (tibia), providing stability, load distribution, and joint lubrication.
When the meniscus is torn due to sports injuries, twisting movements, or degeneration, it can cause pain, swelling, locking, and instability of the knee joint. Unlike meniscus removal, repair focuses on preserving the natural cartilage, which is crucial for long-term joint health.
Dr. Hemendra Agrawal specializes in advanced arthroscopic meniscus repair techniques using high-definition cameras and specialized instruments through small incisions. Preserving the meniscus significantly reduces the risk of future arthritis and ensures better knee biomechanics.
The procedure is typically performed under spinal or general anesthesia and allows patients to recover faster with minimal pain, smaller scars, and quicker return to daily activities.
When is this procedure recommended?
Acute meniscus tear due to sports injury or trauma
Bucket handle tear causing knee locking
Persistent knee pain with confirmed meniscus injury on MRI
Swelling and restricted knee movement
Young or active patients where meniscus preservation is preferred
Meniscus tears in the vascular (red-red or red-white) zone
Associated ligament injuries like ACL tear
Recurrent knee instability due to meniscal damage
A detailed walkthrough of the surgical process
Clinical examination, MRI scan to assess tear pattern, blood tests, and fitness clearance. Surgical planning is done based on tear location and type.
Procedure is performed under spinal or general anesthesia. The knee is positioned and sterilized, and a tourniquet may be applied.
Small keyhole incisions (portals) are made, and an arthroscope (camera) is inserted to visualize the knee joint on a screen.
The surgeon evaluates the tear type, location, and suitability for repair instead of removal.
Special suturing devices are used to stitch the torn meniscus. Techniques include inside-out, outside-in, or all-inside repair methods.
Instruments are removed, incisions are closed with sutures, and sterile dressing is applied.
How this procedure transforms your life
Preserves natural knee cartilage
Prevents early onset arthritis
Maintains knee stability and function
Minimally invasive with small scars
Faster recovery compared to open surgery
Better long-term outcomes than meniscus removal
Reduced joint degeneration risk
Early return to sports and activities
What to expect during your recovery journey
Use of knee brace, limited weight-bearing, pain control, and swelling management.
Gradual increase in knee movement and physiotherapy exercises.
Muscle strengthening, improved mobility, and progressive weight-bearing.
Return to sports and full activity depending on healing and rehab progress.
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Get answers to common questions about this procedure
Book a consultation with Dr. Hemendra Agrawal to discuss your condition and explore the best treatment options for you.