Repair or remove — the choice made at the time of arthroscopy determines your long-term knee health. Dr. Harjoban Singh, Mohali's only FIFA-approved orthopaedic surgeon, preserves meniscal tissue when the tear is repairable. Not because it is easier — because it is better for the patient.
📍 Gini Advanced Care Hospital · Sector 69 SAS Nagar (Mohali), Punjab 160069
When a surgeon finds a meniscal tear during arthroscopy, they face a choice: repair the meniscus (preserve it) or remove the damaged part (partial meniscectomy). Removal is faster and easier. Repair is better for the patient long-term — a preserved meniscus reduces arthritis risk by 3–4x over 10 years.
Not all tears can be repaired. Blood supply matters — the outer third of the meniscus (the "red zone") has blood supply and can heal after suture repair. The inner two-thirds (the "white zone") has no blood supply and cannot heal even if sutured. But every tear should be assessed for repairability before deciding to remove it.
Dr. Harjoban Singh's FIFA training specifically includes meniscal preservation techniques. He repairs when it can be repaired — not just when it is convenient.
| Factor | Meniscal Repair (Preservation) | Partial Meniscectomy (Removal) |
|---|---|---|
| What happens | Torn meniscus sutured back together — tissue preserved | Torn, non-repairable piece trimmed and removed |
| Recovery time | 4–6 months | 6 weeks |
| Long-term arthritis risk | Low — meniscus preserved | 3–4x higher over 10 years |
| Knee replacement risk | Significantly lower | Accelerated in proportion to tissue removed |
| Dr. Harjoban's preference | First choice when the tear is repairable | When repair is biologically not possible |
The tear type determines whether repair is possible. This is assessed at the time of MRI and confirmed at arthroscopy.
Dr. Harjoban uses specialised clinical tests — McMurray test (rotational stress with flex/extension), Thessaly test (simulated weight-bearing load), joint-line tenderness assessment. Together these provide a strong clinical impression of tear presence and location.
MRI accurately visualises the tear — its location (medial/lateral, posterior/anterior horn), pattern (bucket handle, radial, horizontal), and zone (red/white — determines repairability). Same-day MRI available at Gini Hospital.
Direct visualisation at the time of surgery. The surgeon sees the tear directly and assesses repairability in real time. This is why choosing a surgeon with repair expertise matters — the decision is made in the moment.
Small degenerative tears in older patients often respond to physiotherapy alone — rest, quadriceps strengthening, NSAIDs, activity modification. This is always the first approach when the clinical picture supports it.
When the tear is in the vascular (outer) zone and the pattern allows it, Dr. Harjoban repairs the meniscus — suturing the torn edges together and allowing biological healing.
When the tear is in the avascular (inner) zone and cannot heal — or the tear pattern is irreparable — the minimum necessary tissue is removed. The goal is always to preserve as much healthy meniscal rim as possible.
Every centimetre of meniscus removed increases the load on the articular cartilage of the knee joint and accelerates osteoarthritis. The meniscus acts as a shock absorber — distributing load across the joint surface. Without it, focal areas of cartilage bear concentrated stress they were not designed to handle.
Studies consistently show that partial meniscectomy today means significantly higher knee replacement risk in 10–15 years. This is not a small increase — in young patients, aggressive meniscectomy dramatically changes the trajectory of their knee's lifespan.
This is why meniscal preservation is not just a surgical preference — it is a philosophy. Dr. Harjoban Singh's Save the Knee approach prioritises tissue preservation at every stage: repair when possible, remove minimum necessary when not, and protect whatever remains.
Learn about the Save the Knee Programme →FIFA-Approved Meniscal Preservation Specialist — Mohali's only international-standard sports knee surgeon.
Transparent pricing. Written estimate before any procedure.
| Service | Cost |
|---|---|
| OPD Consultation — Dr. Harjoban Singh | ₹1,500 |
| Arthroscopic Partial Meniscectomy | ₹60,000 – ₹80,000 |
| Arthroscopic Meniscal Repair | ₹80,000 – ₹1,00,000 |
| Post-Op Physiotherapy Programme | Discussed at consultation |
| MRI Knee (same-day, in-house) | Discussed at consultation |
Honest answers from Dr. Harjoban Singh and the Gini orthopaedic team.
FIFA-approved. Zero revisions. Zero infections. Meniscal preservation focus. NABH Accredited. Sector 69, Mohali.