Hi, thought id update this as i went in for surgery yesterday.
My knee hadn't been given me much pain, so i had some words with the surgeon before hand, and explained that it wasn't giving me much pain and only feels unstabable at times if im in a squat position, like ATG. He said within the first minute of discussing whether surgery was right or not for me, that HIS opinion was, that i don't necessarily need it done.
He said where i was unsure, it ment i wasn't symptomatic enough to proceed with the surgery, but it was entirely up to me, and gave me time to decide what to do. The physio came round before hand and tested my ROM, both extension and flexion, which was fine without pain or discomfort. She advised on getting it done as she said, it'll only take another twisting injuy and the meniscus will get caught and potentially damage the ligaments aswell. At this point i was considering just getting the surgery done.
However, i feel the surgeon was being fairly vague in what he was saying, from about 3 surgeons i have seen, they all have a similar attiude, kind of an unwillingness to speak to you directly with specific answers, no matter how many times you ask the question.
I asked, judging from the MRI, how much % wise, roughly was damaged/would they need to cut away, and i said just as a random suggestion, 10%? and he said - less than that. He said he wasn't going to remove a lot anyway as it doesn't give me much pain at all, and if he looked inside my knee and felt that he needed to remove a lot, he wouldn't proceed with the surgery.
I was thinking to myself, if there's a tear in there, it's probably doing no good anyway, and incase i don't get it done, i guess there's a risk of the tear getting bigger and causing mechanical problems, but then again, maybe it won't. He said i didn't have to have surgery, and if my knee starts to give me pain within 3 months or so, you can always op for surgery again.
In the end, i said, im happy if you have to remove a small amount, but i wasn't too keen on a lot getting removed, as it wasn't giving me much pain, as some people there were having surgery as it caused them pain. The assist anesthestist said how a family member had, had a few scopes and their knee wasn't so great, so wasn't much reassuring to go through with the op.
So in the end, he didn't to look at my knee with arthroscope, which ment i was given a general anesthetic, which if i ever have to have again, i will strongly consider my options as i can't stand it, i don't think i tolerate it well, had it done few times in the past, and when i come round it's not too good. I didn't see the surgeon afterwards, but he did briefly speak to the family member accompanying me and told them;
That there wasn't no tear at my meniscus, and that mine was a different shape. Said my meniscus was flat and that i was probably born like it. I have the images so i can post them if anyone understands what they're looking at.
But, here's the thing, there is a lot of confusion. I will try and get another appointment to speak to a surgeon and show them the images, but this is what i didn't get;
The MRI revealed a large bucket handle tear of the lateral meniscus
When i saw the OS for the pre op assessment, he filed this in his notes, and then stated ;"MRI confirms a possible bucket handle tear of the medial meniscus" With this i thought, surely he's maybe made a mistake and ment lateral meniscus?
And then when i checked over the notes it said i was due to have medial meniscus arthoscope, which was crossed out as he didn't proceed with the op. However, on the photos, there are photos of both "LM" and "MM", so i guess he must of looked at both meniscus's and stated if there was any actual tear.
Guess i'll need a follow up, but at least i have the photos for now.