Meniscal Repair in Bristol: Advanced Arthroscopic Surgery

Sven Putnis, Consultant Knee Surgeon in Bristol, offers advanced arthroscopic meniscal repair. Learn about the procedure, recovery timeline, and how to book.

Overview

The menisci are two important C-shaped discs of cartilage that sit inside the knee joint, acting to distribute load between the two sides of the knee joint. When a meniscus tears, preserving the tissue through expert meniscal repair is the primary goal. Tears can occur from a sudden sports injury or gradual degeneration and wear over time. Sven Putnis offers highly specialised arthroscopic (keyhole) surgical management using the innovative suture devices and techniques. These are designed to repair and preserve the meniscus, protecting the underlying cartilage and ensuring long-term knee health.

Meniscal Repair

The Procedure

  • Initial consultation and MRI scan review
  • Arthroscopic assessment of the meniscal tear type (e.g., bucket handle, radial, root)
  • Preparation of the tear site to stimulate a biological healing response
  • Precise anatomical reduction of the torn tissue
  • Application of advanced keyhole suturing techniques to secure the repair
  • Aspiration of bone marrow from within the joint to stimulate a healing response
  • Post-operative protection and structured rehabilitation protocol

Benefits

  • Preserves natural protection within the knee
  • Significantly reduces the risk of early-onset osteoarthritis (cartilage damage and wear)
  • Restores normal joint mechanics and stability
  • Minimally invasive keyhole approach
  • Biologically optimised healing environment
  • Long-term protection of the articular cartilage
  • Facilitates a safe return to high-impact sports

Who Is This For?

  • Active individuals who have suffered an acute twisting injury
  • Athletes wanting to return to pivoting sports
  • Patients experiencing mechanical symptoms like knee locking or catching
  • Patients with repairable meniscal tears
  • Preservation of joint health to avoid arthritis
  • Often seen in combined injuries (e.g. ACL rupture with a meniscal tear)

Recovery Timeline

  • Week 0-2:
    • Full weight bearing as tolerated with crutches (unless restricted by specific repairs such as radial or root tears)
    • Avoid any loaded flexion/squats beyond 90 degrees (right angles). This will be for 3 months
    • Knee elevation up to the level of the heart and full ankle movements to activate calf muscles
    • Cryotherapy such as ice and cold presses to reduce inflammation, pain and swelling
    • Bulky dressing can be reduced the next day, adhesive dressings are splashproof for careful washing/showering. Dressings can be touched and surrounding tissue massaged
    • Start to work towards regaining full range of movement
    • Active muscle recruitment
  • Week 2-6:
    • All dressings should have been removed by 2 weeks.
    • When all surgical incisions have healed, hydrotherapy can begin if required
    • Swelling is still common so continue elevation and cryotherapy
    • Once normal gait (walking without a limp) has been achieved walking aids can be stopped
    • Continue to regain full range of movement especially once swelling has settled
    • Continue to avoid any loaded squats beyond 90 degrees (right angles)
    • Start on an exercise bike – initially resistance free and gradually build from there
    • Gym work with specialist physiotherapy guidance
  • Week 6-12:
    • Clinical review in Outpatient Clinic with Sven Putnis
    • Continue to avoid any loaded squats beyond 90 degrees (right angles)
    • Increased intensity of strengthening once swelling settles and full motion achieved
    • Ensure maximum range of movement including symmetrical deep flexion and hyperextension has been achieved. Often deepest flexion is missed.
    • Start regular gym work (walking on a treadmill/rowing/spinning/step climber/leg press)
    • Swimming – freestyle and backstroke legs, breaststroke best avoided as can create a pivoting moment in the knee
    • Road cycling (adjust the seat height for comfort and remain seated, no peddle cleats)
  • Month 3-6:
    • You can now start to gradually, symmetrically load the knees into a deep squat
    • Continue fitness/ aerobic work
    • Continue proprioceptive control work
    • Commence a return to running programme ensuring good eccentric quads control and ability to control repetitive single leg hops
    • Ensure limb symmetry as straight line jogging becomes easier and more natural
    • Return to sport-specific training

Frequently Asked Questions

Can a torn meniscus heal without surgery?

Some minor meniscal tears, particularly those located in the outer ‘vascular’ zone where blood supply is rich, may heal over time. The environment for healing needs to be right. Larger, displaced or complex tears typically require surgical intervention to heal properly. However, there are many tears that don’t need surgery as the torn tissue may wear down naturally.

The procedure is usually performed as a day case under general anaesthetic and typically takes between 30 and 60 minutes, depending on the complexity of the tear and the specific repair techniques required.

With the majority of tears Sven Putnis allows full weightbearing without a brace. Wearing a brace can lead to muscle wasting and deconditioning. This delays physiotherapy and recovery. However, care needs to be made to avoid loading the knee when it is bent beyond 90 degrees (right angles), this restriction is usually for three months.

Yes, preserving the meniscus is almost always preferred. Removing the meniscus (meniscectomy) significantly increases the stress on the articular cartilage, which can lead to the early onset of osteoarthritis. A successful repair protects the long-term health of the joint. There are meniscal tears that cannot be repaired and in these situations, Sven Putnis is skilled at ensuring that any remaining functional meniscus remains.

Yes, a structured physiotherapy programme is essential following a meniscal repair. It ensures that the knee regains its full range of motion, restores muscle strength, and helps guide a safe return to everyday activities and sports.

Treatment Details

Recovery Time

4–6 months (for full return to sport)

Success Rate

High (Dependent on tear type and rehabilitation adherence)

Ready to Get Started?

Book a consultation to discuss if this treatment is right for you.

  • 15+ years specialist experience
  • Expertise in complex repair techniques (e.g. bucket-handle, root and ramp tears)
  • Commitment to meniscus repair and preservation over resection
  • Comprehensive, phased rehabilitation support

Ready to Take the Next Step?

Book your consultation today and begin your journey to recovery with expert knee care in Bristol.