Man and daughter walking confidently on an uneven woodland trail

Meniscus repair · Professor Lee technique

Keep the knee’snatural shock absorber.

NANO AMi is Professor Paul Lee’s meniscus-focused repair and regeneration technique. It is designed to preserve the tissue that shares load, guides movement and protects the cartilage—rather than treating the meniscus as expendable.

Meniscus preservationTissue-specific autologous cellsSeed · Soil · SignalWhole-knee planning

Clinical plate 01 · Meniscus load sharing

A crescent load distributor divided by a tear

The meniscus converts compressive load into circumferential tension. A radial or root tear can interrupt that hoop, increasing pressure on cartilage even when the damaged area looks small.

Medical illustrations showing intact menisci distributing load, a representative radial tear concentrating load, and meniscal tissue deficiency increasing pressure on adjacent cartilage
Intact load sharingTear concentrates loadTissue loss overloads cartilage

Mechanical question

Map tear stability, remaining tissue, alignment, ligaments and the adjacent cartilage surface.

Regenerative opportunity

Combine structural repair where required with biology adapted to viable meniscal tissue.

01Define the tissue before the technique

How NANO AMi is built

Biology adapted to meniscal tissue and knee mechanics

NANO AMi follows the fixed Seed · Soil · Signal principle, but the meniscus is not treated as cartilage with a new label. The tear pattern, remaining tissue and load-sharing mechanics determine whether biology is appropriate and whether structural repair is also required.

Medical illustration of the NANO AMi pathway from meniscal tear and alignment assessment through representative structural repair, micrograft preparation and biological combination to precise delivery and protected recovery
A repairable tear is shown with representative sutures because unstable meniscal tissue may need structural repair before biological support can be useful.
  1. Stage 01

    Select target tissue

    Define the tear and whole-knee mechanics

    Professor Lee maps the tear, remaining tissue, cartilage, alignment and stability before deciding whether a biological strategy belongs in the plan.

  2. Stage 02

    Harvest seed

    Autologous tissue source

    Meniscus-focused autologous micrografts prepared through Mytocel AMT provide the cellular starting material.

  3. Stage 03

    Prepare soil

    Build the local environment

    ChondroFiller collagen supplies the local soil intended to support and retain the biological preparation.

  4. Stage 04

    Add signal

    Supply the biological instruction

    ArthroZheal platelet-rich fibrin supplies the patient-derived biological signal.

  5. Stage 05

    Deliver precisely

    Deliver precisely and protect load sharing

    The planned combination is delivered to the defined target and followed by recovery that respects the repair and whole-knee mechanics.

  6. Stage 06

    Protect and measure recovery

    Let meniscus biology meet the mechanical plan

    The complete NANO AMi technique is the connection between diagnosis, structural repair where required, Seed · Soil · Signal, precise delivery and recovery.

The biological integration

Seed · Soil · Signal

The organising logic stays constant. The clinical meaning changes with the source tissue, target anatomy and mechanics of repair.

Detailed meniscus cutaway showing a sutured tear interface with locally retained biological support and magnified autologous micrograft seed, collagen soil and molecular signal

Seed

Meniscus-focused autologous micrografts prepared through Mytocel AMT provide the cellular starting material.

Soil

ChondroFiller collagen supplies the local soil intended to support and retain the biological preparation.

Signal

ArthroZheal platelet-rich fibrin supplies the patient-derived biological signal.

What the meniscus actually does

A small structure with a very large job

Each knee has two crescent-shaped menisci between the thigh bone and shin bone. They spread force across the joint, improve congruence and contribute to stability. That is why a damaged meniscus can be felt during twisting, deep flexion, uneven ground and long periods on the feet—and why losing tissue can accelerate cartilage wear.

Comparison showing an intact meniscus spreading load broadly and a damaged meniscus concentrating pressure
Intact tissue spreads loadTissue loss concentrates pressure

SHARE LOAD

Spread pressure across the joint

The meniscus enlarges the contact area between the femur and tibia so force is not concentrated on a small patch of cartilage.

GUIDE MOVEMENT

Support rotation and deep bend

Its shape helps the knee remain congruent as the bones roll, glide and rotate through movement.

PROTECT CARTILAGE

Absorb shock over time

Preserving functional meniscal tissue is part of protecting the joint surface from avoidable overload.

The preservation decision

The treatment is chosen after four questions

A meniscus tear is not a complete diagnosis. The same line on an MRI can mean something very different in a stable, well-aligned knee than it does in a knee with ligament failure or established cartilage loss.

01

Is the tear mechanically unstable?

A displaced or locking tear may need structural repair before biology can help.

02

How much viable meniscus remains?

Tissue quality, location and blood supply influence whether preservation is realistic.

03

What is the knee doing to it?

Malalignment, ligament instability and repetitive overload can keep stressing the same area.

04

What has happened to the cartilage?

The meniscus and joint surface share load; neither can be planned in isolation from the other.

Man and adult daughter gardening together while comfortably crouching beside a raised bed
The aim of preservation is practical: keeping the knee capable through bending, turning, uneven ground and the movements ordinary life asks for.

Movement worth protecting

The outcome is not an MRI. It is what the knee lets you do.

Meniscal preservation matters because real life is rarely a straight, level walk. Deep knee bend, rotation and changing ground all ask the meniscus to share load while the knee moves. That function—not simply the appearance of a tear—is what the plan seeks to protect.

Deep bendTurningUneven groundTime on your feet

The pathways are not interchangeable

Preserve first—but use the repair the knee actually needs

Pathway 01

Rehabilitation and load management

For stable symptoms without a repairable mechanical tear, strength, movement and progressive loading may be the most useful first treatment.

Pathway 02

Structural meniscus repair

Sutures, root repair or reconstruction may be required when the tissue has separated, displaced or lost its mechanical attachment.

Pathway 03

NANO AMi biological repair

A tissue-specific biological technique may be considered where the target, remaining tissue and whole-knee mechanics support that plan.

Evidence boundary

The tissue, the repair and the outcome must match

Evidence concerning autologous micrografts, collagen scaffolds or platelet-rich fibrin helps explain each biological role. NANO AMi is the complete meniscus-focused technique designed by Professor Lee. Claims for an individual component are not treated as proof of the full protocol, and a regenerative procedure cannot restore mechanical stability that has not been addressed.

FAQ

Questions about NANO AMi

Meniscus preservation starts with understanding what tissue remains and what the whole knee asks it to do.

NANO AMi is Professor Paul Lee’s tissue-specific meniscus repair and regeneration technique. It combines autologous micrografts prepared through Mytocel AMT with ChondroFiller, ArthroZheal and a planned delivery method.
The meniscus distributes load, absorbs shock and contributes to knee stability. Removing meniscal tissue can increase contact pressure on the cartilage, so Professor Lee preserves viable tissue whenever the pattern and biology make that realistic.
Not automatically. A mobile or repairable tear may need sutures to restore structure. NANO AMi is a biological technique considered within the wider preservation plan, which may include rehabilitation, surgical repair or another established approach.
Yes. Mytocel Autologous Micrografting Technology prepares the patient’s selected tissue into a point-of-care AMT micrograft solution used as the cellular seed within the wider technique.
That depends on how much tissue remains, its vascularity, the tear pattern, alignment, stability and the condition of the cartilage. Some knees need repair, meniscal replacement or an alignment procedure rather than a biological injection alone.

Preserve the meniscus before the joint pays the price

The right plan may be rehabilitation, structural repair, biological repair—or a combination

load sharingtear patternalignmentstabilitycartilage

Professor Lee brings the tear pattern, alignment, stability, cartilage and patient goals into one decision.

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