Operation
Plica Resection — Procedure & Aftercare
A plica is a congenital synovial fold (a fold of the joint lining) within the knee joint, present in many people and causing no symptoms whatsoever. However, if the fold becomes irritated through overuse or trauma, it can thicken and scar — resulting in what is known as plica syndrome, with pain, a snapping sensation and at times a feeling of catching, usually on the inner side of the knee.
Conservative treatment with activity modification, physiotherapy and anti-inflammatory measures always comes first. If symptoms persist despite consistent conservative treatment, the irritated fold can be removed during a knee arthroscopy.
Surgical procedure
The plica resection is performed arthroscopically, that is, minimally invasively through the smallest of incisions. The thickened, scarred synovial fold is located and removed sparingly. Any accompanying changes in the knee joint can be assessed during the same procedure.
Procedure & aftercare
- Procedure: arthroscopic, minimally invasive
- Thrombosis prophylaxis: for around 2 weeks
- Suture removal: after 12–14 days
- Walking aids: crutches as needed for a few days
- Weight-bearing: early-functional; pain-adapted weight-bearing is usually possible quickly
This information provides an overview and does not replace a personal medical consultation. I will be glad to discuss the individual approach and all alternatives with you at the practice.
