The meniscus is an important shock-absorber within the knee joint that helps distribute load, provide stability, and protect the underlying cartilage from wear and tear. Each knee contains two menisci – the medial meniscus on the inside and the lateral meniscus on the outside. Meniscus tears are common knee injuries and can significantly impact knee function if left untreated. (See Meniscus Tears under Knee Conditions for more details.)



Dr Free prioritizes meniscus repair whenever possible to preserve this essential shock-absorbing function and reduce the risk of long-term joint degeneration. Using advanced keyhole (arthroscopic) surgery techniques, he offers effective, minimally invasive meniscus repair tailored to each patient’s injury.
Meniscus repair surgery begins with a diagnostic arthroscopy. During this minimally invasive procedure, Dr Free makes two to three small incisions (less than 1 cm each) to insert a tiny camera and specialised surgical instruments into the knee joint. This allows a thorough inspection of the meniscus and other knee structures to identify any additional injuries that may not have appeared on preoperative MRI scans.
The torn meniscus is then repaired with sutures. Depending on the type and location of the tear, Dr Free employs various repair techniques:
If the meniscal tissue is too damaged or fragile for repair, Dr Free performs a partial meniscectomy, carefully trimming only the damaged portion while preserving as much healthy meniscus as possible to maintain knee function.
Recovery following modern arthroscopic meniscus repair is typically faster and less painful than traditional open surgery. Most patients can return home the same day as their procedure. Depending on the complexity of your meniscus tear and repair, you may need to use crutches and wear a knee brace for up to six weeks to protect the repair during healing.
Dr Free will provide a customised rehabilitation plan, which usually includes gradual weight-bearing, physiotherapy to restore range of motion, strength, and stability, and guidance on returning to sports and daily activities safely.
See meniscal repair rehabilitation protocol for further information.
Dr Free has extensive experience in meniscus surgery and utilises the latest evidence-based meniscus repair techniques to maximise healing potential and preserve long-term knee function.
Keep your dressings in place until your first follow-up appointment with Dr Free, usually 2 weeks post-surgery. If a dressing becomes wet or soaked with blood, it may be changed as needed. To minimise infection risk, try to limit dressing changes. The Tubigrip compression sleeve can be removed briefly for icing and showering but should be worn at all other times.
The need for crutches depends on the type of meniscus tear and repair performed. Dr Free will advise you accordingly. In most cases, crutches are required for approximately 6 weeks.
Certain tear types necessitate wearing a knee brace for up to 6 weeks. If prescribed, the brace should be worn continuously, including overnight, and can only be removed for showering.
You should avoid driving until you are off strong pain medications, able to walk without crutches, and have good, pain-free knee motion. Return to driving timelines vary; for left knee surgeries in automatic vehicles, this may be sooner. Generally, plan to refrain from driving for up to 6 weeks. Always confirm with Dr Free before resuming driving.
Return-to-work timing depends on your tear severity and job demands. Office-based roles with minor tears may allow a return in 3 to 4 weeks. For physically demanding jobs or more complex tears, full return may take up to 3 months. Dr Free will work with you to tailor a safe, realistic plan.
Running should only commence once you have achieved full, pain-free knee range of motion, no swelling, and adequate quadriceps and hamstring strength. This typically occurs around 3-4 months post-operation but will be guided by Dr Free and your rehabilitation team.
Return to sport depends on your tear type, rehabilitation progress, and the physical demands of your sport. Key milestones include absence of pain and swelling, full range of motion, and strength symmetry. For simple tears, return is often possible by 3 to 4 months; complex tears may require up to 6 months.
Dr Matthew Free offers expert, personalised solutions for every step of the journey.