after sucvh surgery, is there possibilty of future recurrence? should she stop t

Recurrence after arthroscopic partial meniscectomy is possible but generally occurs at a relatively low rate, especially when the torn meniscal fragment is adequately removed. However, the risk of future knee issues, including degenerative changes, increases with age and pre-existing joint pathology. Older patients, such as a 69-year-old, have a higher likelihood of degenerative meniscal tears and osteoarthritic progression post-surgery compared to younger individuals, which may contribute to symptom recurrence or functional decline over time NICE CKS Mąkosza et al. 2025.

Regarding resumption of tennis and physical activity, current evidence supports continued participation in moderate, low-impact activities even in older adults after meniscal surgery, provided symptoms are well controlled and rehabilitation goals are met. Regular physical activity, including tennis, can enhance joint function, muscle strength, and overall health, with tailored guidance to avoid excessive joint loading or injury NICE CKS Yajima et al. 2025. Importantly, careful progression of activity and adherence to physiotherapy recommendations reduce the risk of further injury.

In summary, while there is a risk of meniscal pathology recurrence and potential progression of degenerative joint disease after surgery, stopping tennis is not generally necessary in a 69-year-old who desires to remain active, assuming recovery is adequate and pain or mechanical symptoms do not recur. The benefits of physical activity for quality of life and joint health outweigh the risks, especially if the patient avoids overloading the joint and seeks prompt assessment of any new symptoms NICE CKS Yajima et al. 2025.