Arthroscopy · knee
Selective partial meniscectomy
Preserves as much functional meniscal tissue as possible and is reserved for irreparable tears that cause clinically relevant symptoms.
General guidance
When it may be considered
- an unstable, irreparable fragment
- persistent locking or other mechanical symptoms
- failure of conservative treatment in selected cases
Individual decision
How suitability is determined
It is not a routine treatment for pain caused by diffuse osteoarthritis; an accurate diagnosis and clinical correlation are essential.
An abnormal scan alone is not an indication for surgery. The symptoms, clinical examination, progression and the patient's goals must be considered together.
Surgical plan
Decisions that tailor the procedure
- confirming that the meniscal fragment accounts for the symptoms
- whether repair is genuinely possible before any tissue is removed
- preserving as much of the stable meniscal rim as possible
- assessment of the cartilage and associated injuries
Alternatives
What is discussed before surgery
For degenerative tears, rehabilitation and treatment of associated osteoarthritis take priority. Meniscectomy is reserved for an unstable, irreparable fragment that correlates with clinically relevant mechanical symptoms.
Before the procedure
Preparation and safety
- bring all investigation results, previous operative records and a complete list of medication;
- tell the medical team about diabetes, anticoagulant treatment, allergies, smoking and any active infection;
- do not stop or change long-term medication without instructions from the medical team;
- plan transport, help at home and any recommended assistive devices.
After the procedure
Rehabilitation
After an isolated procedure, mobilisation is usually quicker, but the pace depends on the condition of the cartilage and any associated procedures.
The exact protocol, permitted weight-bearing and follow-up schedule depend on the procedure performed and individual progress.
Informed consent
Risks and limitations
Risks include persistent pain, progression of joint degeneration, stiffness, infection and thromboembolism.
No procedure can guarantee complete pain relief or a return to a particular level of activity.
After surgery
Signs that require prompt medical assessment
- fever, discharge, spreading redness or worsening pain at the wound;
- sudden swelling of the calf, chest pain or difficulty breathing;
- uncontrolled pain, new numbness, or a change in the colour or temperature of the limb.
For severe symptoms or an emergency, call 112. The instructions given to you at discharge take priority over the general information on this page.
Editorial responsibility
Medically reviewed content
Dr. Răzvan Anițaș
Consultant orthopaedic and trauma surgeon; PhD in medical sciences
Last editorial update: 22 August 2026
Medical sources used for patient information
First step
Consultation, diagnosis and an individual treatment recommendation
This information does not replace a consultation. Surgery is recommended only after the individual benefits, alternatives and risks have been assessed.