{"id":22852,"date":"2025-08-18T09:35:58","date_gmt":"2025-08-18T09:35:58","guid":{"rendered":"https:\/\/coulinmedical.com\/?p=22852"},"modified":"2026-07-03T12:41:58","modified_gmt":"2026-07-03T12:41:58","slug":"chirurgie-des-menisques-quand-faut-il-intervenir","status":"publish","type":"post","link":"https:\/\/coulinmedical.com\/en\/chirurgie-des-menisques-quand-faut-il-intervenir\/","title":{"rendered":"Meniscus surgery : when is it necessary to operate?"},"content":{"rendered":"<h2 class=\"wp-block-heading\">The role of the menisci in the knee joint<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"wp-block-paragraph\">The knee has two menisci: a medial and a lateral one, located between the femur and the tibia. These small, crescent-shaped pads play an essential role in shock absorption, joint stability, and load distribution during walking, running, or sports.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In the event of a meniscal injury or tear, the knee becomes painful, unstable or locked. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If medical treatment (rest, physiotherapy, injections) is not sufficient to relieve symptoms, meniscus surgery may be considered to restore function and preserve the joint.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<blockquote class=\"instagram-media\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/DXoKy4NiR8r\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/DXoKy4NiR8r\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\">View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/p\/DXoKy4NiR8r\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\" rel=\"noopener\">A post shared by Coulin Center of Movement (@coulinmedical)<\/a><\/p><\/div><\/blockquote>\n<script async src=\"\/\/www.instagram.com\/embed.js\"><\/script>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">When should meniscus surgery be considered?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Not all meniscal injuries require surgery. Dr. Coulin always prefers a&nbsp;<strong>conservative approach<\/strong>&nbsp;initially (rest, rehabilitation, pain relief). Surgery is only indicated if symptoms persist or worsen.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Meniscus surgery is generally recommended when:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The pain persists despite several weeks of medical treatment.<\/li>\n\n\n\n<li>The joint becomes blocked or remains unstable, limiting daily movements.<\/li>\n\n\n\n<li>The tear makes it difficult to walk, play sports or do work.<\/li>\n\n\n\n<li>The meniscus is pinched, cracked or detached from a mobile segment.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The type of intervention depends on several criteria: the nature of the lesion, the patient&#039;s age, their activity level, and the overall condition of the cartilage. Each decision is made on a case-by-case basis, after a clinical examination and appropriate imaging (MRI, X-rays).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How does the procedure take place?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Meniscus surgery is performed under&nbsp;<a href=\"https:\/\/coulinmedical.com\/en\/arthroscopie-une-chirurgie-mini-invasive\/\" data-type=\"post\" data-id=\"22837\">arthroscopy<\/a>, a minimally invasive technique that allows access to the inside of the joint using a camera and very fine instruments. It is generally performed on an outpatient basis, with return home the same day.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Coulin has two main options:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Partial meniscectomy<\/strong>&nbsp;: the surgeon removes only the damaged part of the meniscus, while preserving as much healthy tissue as possible. This relieves symptoms while protecting the cartilage.<\/li>\n\n\n\n<li><strong>Meniscal suture<\/strong>&nbsp;: In some cases, particularly in young or athletic patients, the meniscus can be repaired with stitches. This technique is possible if the tear is located in a well-vascularized area, which promotes healing.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The choice between meniscectomy and suture depends on the location, the age of the lesion and the healing potential of the meniscal tissue.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What are the post-operative consequences ?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The consequences depend on the action performed:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>After a&nbsp;<strong>partial meniscectomy<\/strong>, support is authorized quickly, often the next day, with a gradual resumption of activities.<\/li>\n\n\n\n<li>After a&nbsp;<strong>meniscal suture<\/strong>, the protocol is stricter: the joint must be protected for several weeks to allow optimal healing.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In any case, the&nbsp;<strong>rehabilitate<\/strong>t<strong>ion<\/strong>&nbsp;plays a central role. It aims to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Restore knee mobility.<\/li>\n\n\n\n<li>Strengthen muscles, especially the quadriceps.<\/li>\n\n\n\n<li>Regain smooth, pain-free walking.<\/li>\n\n\n\n<li>Return to sport gradually, depending on progress (from a few weeks to several months).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What results can you expect ?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Meniscus surgery yields excellent results when performed at the right time. Patients typically experience:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A marked improvement in pain.<\/li>\n\n\n\n<li>The disappearance of blockages or mechanical discomfort.<\/li>\n\n\n\n<li>A resumption of daily and sporting activities without instability.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Coulin takes great care to preserve the meniscus as much as possible, as this tissue is essential for protecting the cartilage. Preserving the meniscus reduces the risk of secondary osteoarthritis and promotes optimal joint longevity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">A targeted and personalized approach<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Each meniscal tear is different and does not necessarily require the same treatment. This is why Dr. Coulin performs a <a href=\"https:\/\/sosgenougeneve.ch\/consultation-specialisee-genou\/\" target=\"_blank\" rel=\"noopener\">clinical examination<\/a> A thorough examination, supplemented by precise imaging analysis, is conducted to assess the location of the lesion, its extent, and its healing potential. The goal is to propose a personalized treatment strategy, whether conservative or surgical, prioritizing meniscus preservation whenever possible. This tailored approach optimizes outcomes, promotes sustainable recovery, and preserves long-term knee health.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Do you have knee pain and are you thinking about a meniscus tear?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Coulin will see you in Geneva to assess your pain, make a clear diagnosis and determine if meniscus surgery is indicated.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Thanks to expert and individualized care, he guides you towards the most suitable solution: conservative treatment, meniscal repair or partial meniscectomy.<br><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>A torn meniscus does not always mean surgery, but it can become so.<br \/>\nPain, stiffness, persistent discomfort: certain signs should raise concern. When is conservative treatment the best option? When should surgery be considered? A clear overview to help you make the right decision.<\/p>","protected":false},"author":1,"featured_media":24702,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[100,98,99],"tags":[],"class_list":["post-22852","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chirurgie","category-genou","category-traumatologie"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22852","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/comments?post=22852"}],"version-history":[{"count":14,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22852\/revisions"}],"predecessor-version":[{"id":25162,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22852\/revisions\/25162"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media\/24702"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=22852"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/categories?post=22852"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/tags?post=22852"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}