Justin D. Saliman, MD
Orthopaedic Surgeon located in Beverly Grove, Los Angeles, CA
SAVE YOUR MENISCUS! Living with a meniscus tear or allowing a surgeon to remove the torn parts significantly increases your risk for arthritis and knee replacement. Anterior horn tears commonly cause pain in the front of the knee and are often ignored or removed by doctors. Don’t let someone “trim”, “debride” or “clean up” your meniscus or temporarily mitigate your symptoms with cortisone, PRP or stem cells. Have it sewn back together by the best! Justin D. Saliman, MD invented the Circumferential Stitch for meniscus repair which is ideal for anterior horn tears. Nobody has more experience passing this revolutionary stitch!
Anterior Horn Tear Q & A
Why repair anterior horn meniscus tears?
And why with the Circumferential Stitch?
Meniscus repair has been around a long time, but traditional techniques have had somewhat high failure rates and were only possible for a limited number of tear types. The meniscus spreads forces evenly within the knee joint and, without its full function, the knee becomes arthritic.
So why are we now able to sew anterior horn meniscus tears in every age range? Because we can now sew using Circumferential Stitches. These stitches align the tear edges and compress them together during healing. They allow the top and bottom of the tear to be anatomically sewn together at the same time and can be placed through the same two minimally invasive portals that a surgeon uses to remove the meniscus.
Am I too old to have my meniscus repaired?
NO! Studies have shown that patient age is not a factor, and that the meniscus can heal in patients of all ages provided the knee is not already arthritic
I was told my tear was “degenerative” and could not heal because there was not a good enough blood supply?
Traditional techniques inadequately approximated the torn edges, leading to poor healing. Surgeons often blame the blood supply even though there is excellent medical literature evidence that the avascular zones heal if adequately held together during the healing process. See the videos on this site for additional proof!
See the following article, The Circumferential Compression Stitch for Meniscus Repair, for a better understanding of why repair your meniscus and to see the various tear types
What is an anterior horn meniscus tear?
Your menisci are two C-shaped pieces of cartilage that cushion your knee joints and act as shock absorbers every time you take a step. The front of the C is called the anterior horn, which, when torn, causes pain in the front of your knee. These tears can occur slowly over time or due to sudden twist or trauma. Your menisci are critical to the long term health of your knee. Without the full function of your meniscus, your knee joint becomes arthritic. The only definitive treatment for an arthritic knee is total knee replacement – so, SAVE YOUR MENISCUS!
Symptoms of an anterior horn meniscus tear may include one or more of the following:
- Pain in the front of the knee
- Limited range of motion
- Stiffness and swelling
- The feeling of instability in your knee
You may still be able to walk after you tear your meniscus, and in fact, many athletes continue to play with a meniscal tear.
How are meniscal tears treated?
Leaving a torn meniscus within your knee increases your risk of arthritis and the eventual need for knee replacement surgery. Similarly, removal of part of your meniscus (often called “trimming”, “cleaning up” or “partial meniscectomy”) also results in significantly reduced effectiveness of your meniscus resulting in arthritis and the possible eventual need for total knee replacement. Injecting the knee with cortisone, PRP or even stem cells, has not been shown to heal meniscus tears. There are simply too many knee forces on the meniscus tear constantly pulling it apart for it to heal well without stitches holding the tear in place to resist those forces during the 6 weeks that it takes for the meniscus to heal (similar to a cast for a broken bone).
Your best option is to have your anterior horn meniscus tear sewn back together rather than removed. However, traditional meniscus repair techniques only worked for a small fraction of the tear types, hence most orthopaedic surgeons have unfortunately embraced meniscus removal surgery. But now there’s a new option – THE CIRCUMFERENTIAL STITCH! This stitch anatomically aligns the tear edges and uniformly compresses them together during the healing process in a way never before possible. This is the secret sauce that Dr. Saliman brought to the world.
What is the NovoStitch Pro Meniscal Repair System?
Dr. Saliman invented the NovoStitch Pro Meniscal Repair System in 2008 and then founded the start-up Ceterix® Orthopaedics in 2010 to develop the technology. The NovoStitch was approved by the FDA in 2012, received a Silver Award in the 2015 Edison Awards in the surgical tools category, and was recently purchased by a well known medical device company called Smith & Nephew.
Dr. Saliman uses his NovoStitch device to place circumferential compression stitches around meniscus tears to hold the torn edges together during healing. There is no need for removal of the tissue, which has been shown to increase the risk of future knee problems. Nobody has more experience sewing meniscus tears back together with circumferential stitches than Dr. Saliman.
For the best care of your meniscal tear from the inventor of the procedure that sews your meniscus with Circumferential Stitches, call the office of Justin D. Saliman, MD, or request an appointment online today.