Sharp click, something “caught,” or even a blocked knee when you squat? Common question:
“Doctor… are they going to remove it?”
My philosophy: if we can save it, we save it. The meniscus isn’t disposable—it protects your knee.
In 30 seconds
- Meniscus = shock absorber: spreads load and protects cartilage.
- If repair is possible, it’s better for the knee’s future.
- If not repairable, do partial meniscectomy (trim the minimum).
- Goal isn’t just pain today; it’s avoid arthritis tomorrow.
What is the meniscus?
A shock absorber inside the knee:
- distributes weight,
- absorbs impact,
- adds stability.
Car analogy: part of the suspension so the “chassis” (cartilage) isn’t hammered.
Typical symptoms
- Locking: can’t fully bend/extend at times.
- Painful click when twisting.
- Pain on the joint line (side of the knee).
- Swelling hours after activity.
- “Something loose” feeling.
In Quito I see it often in pickup soccer, trekking, crossfit, or fast stair descents (hills + fatigue = bad combo).
Repair vs partial meniscectomy
The real question:
Can this meniscus be repaired or not?
Removing meniscus can ease symptoms, but taking too much raises arthritis risk later.
# When repair is better
- Tear in well-vascularized zone.
- Good tissue quality (more common in younger patients).
- Repairable pattern.
- Associated with ACL tear (repair helps protect the knee).
Big advantage: keep meniscus = less wear risk long term.
# When partial meniscectomy
- Irreparable pattern or poor tissue quality.
- Unstable fragments causing constant catching.
- Degenerative tears with low healing potential.
Recovery differences
- Repair: slower at first—protect stitches. Long-term payoff: more meniscus preserved.
- Trim: faster early recovery, but protect remaining meniscus with strength/mobility.
My take in Quito
- I repair when it helps the knee long term.
- If trimming, I trim only what’s necessary.
- Rehab is tailored: strength, proprioception, and return-to-sport tests.
Bottom line
Meniscus is valuable. Save it when possible; trim only when needed. If you suspect a tear, let’s check it with a proper exam and imaging.
