It does serve as a type of cushion & support between the rounded ends of the femur and those flat ends of the tibia. Back in the day, they simply removed the whole thing, putting a lot of pressure on the ends of the bone. Now they remove just the torn part, so the effect is not as great.
Yes, that can still lead to more wear and tear on the bones, but you have to consider your age. You already have knee issues, so the damage has started already.
It’s a good conversation to have with your surgeon just to be 110% sure of your decision. I personally would go with the removal at this age. If you/I were younger, more consideration should be placed on the repair. Also ask the surgeon if you were to have the repair, what the accepted failure rate is now as that still is a possibility.
Personally, I miss running/jogging (I really shouldn’t), but there are alternatives that are more knee friendly.
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