I have a complex tear of my posterior horn medial meniscus at the root, tricompartmental chondral thinning and gout. what are my options?

Conservative treatme: Posterior horn of the medial meniscus tear is most common .Most of the time it is treated conservatively by rest, knee brace, physical therapy, activity modification and rarely surgery. Here you have your options and you need to discuss your case options with your doctors. Gout needs to be managed with meds by your doctors as it is a coexisting condition and so is chondral thinning.

See a orthopedist: You need to be seen and evaluated by a knee specialist. At you age, conservative care should be tried first. If the cartilage thinning is significant and conservative care doesn't help, surgery will be needed. There are options, but an evaluation will help determine the best ones for you.