Meniscus Root Repair - Joint Replacement Patient Forum dressing in 48 hrs and may let them drive After Meniscus Surgery: What To Expect In The First Few Days And Weeks Dr. Burnham and his staff were/are amazing. General anesthesia and a nerve block. How Long After Meniscus Repair Can I Walk? - Dr. Ramakant Kumar We found that the technique was very successful at restoring function to patients and significantly reducing their pain. This happens way more often than I like to admit. I did a little internet searching, and diagnosed myself with a Bakers Cyst, which I discovered was pretty common with meniscus tears. Being stronger is always better than being weak. Meniscal Root Repair Post-operative Rehabilitation Protocol Phase 1: 0-2 weeks post-operatively Goals . It can also occur while bending the knee deeply. The thoughtful, open communication and treatment was everything I could have asked for pre-, during, and now post surgery. The meniscus root is where the meniscus attaches to bone. Next, we performed biomechanical studies to show the effects of varying sizes of radial meniscus root tears, validating that a meniscus root tear within a centimeter of its attachment site functions as a meniscus root tear and can be treated the same. When you put weight on your leg, it is the meniscal roots that transfer the axial loading forces of the knee into hoop stress in the meniscus. I limped from the wedding venue to the car, and then from the car to my house. This is one of the first video demonstrations of this. From April 22 until May 1, my program changed again, slowly becoming more like my regular training. Crutches will be used until the patient can walk without a limp on the repaired knee, which takes about 2 weeks after surgery. Two cannulas are subsequently placed into the area of bone that was decorticated to allow for the transtibial 2-tunnel technique to be performed. A lateral meniscus root tear involves a tear of the meniscus either at or close to the root attachment in the back part of the lateral meniscus. I highly recommend Dr Burnham for your orthopedic needs hands down. Life happens and our bodies will sometimes let us down. They are also important to the stability and function of the knee, keeping the meniscus in place. I was referred to Dr. Burnham from my spine doc, Chambliss Harrod, MD and he turned out to be a way cool guy. It was tough, and it hurt like hell, but I took it slowly. I continued to lower the box for squats, and started to add weight. In general, patients have to develop good quadriceps strength to allow for maximum absorption with activities prior to returning back to any significant hiking, jogging or running activities. Takes his time with you and doesn't hurry to rush out of the room if you have questions. Now my intent on this video is not to throw anybody under the bus surgeons are doing the best they can with what they know and saw our physical therapists in any health care providers that you may be seeing for your meniscus problem. Their sense of compassion and understanding is more than we have ever experienced. And get the pain under control and recover normally the way that you should have once you start doing the right things. 2601 E. Yandell Drive, Suite 232 The drill tip can then be pulled out, leaving the cannula in place, which allows one to place a passing stich up it to subsequently shuttle sutures down the tibial tunnel. He made my daughter feel comfortable and made sure to listen to both of our concerns prior to his diagnosis. The meniscus root attachment is important because if the meniscus becomes detached, it can squirt out of the joint, called extrusion, which can lead to the meniscus not being functional. I hung on to this MRI referral for a good month or so, because the knee was starting to feel better, and I was still able to train and attend my BJJ classes. Request Case Review or Office Consultation, Lateral Patellotibial Ligament Reconstruction, Anatomic Analysis of the Posterior Root Attachments of the Menisci, Posterior Root Avulsion Fracture of the Medial Meniscus, Not Your Fathers (or Mothers) Meniscus Surgery, Anterior Intermeniscal Ligament of the Knee An Anatomical Study, Popliteomeniscal Fascial Tears Causing Symptomatic Lateral Compartment Knee Pain, Prospective Outcomes Study of Meniscal Allograft Transplantation. He is walking without a limb and is on schedule with his progress. I was life flighted to MCR in Loveland, CO. My orthopedic injuries were severe, but totally missesd by the orthopedic team at Poudre. His step by step explanation of surgery expectations before and after the procedure was specific, thorough, and answered all of my questions. Unlike some meniscus tears which can be observed or treated conservatively, most meniscus root tears need surgery. Do minor meniscus tears require surgery or can it repair itself? My name is Dr. David Middaugh. On Wednesday, February 20, 2019, I had a meniscus root repair surgery on my left knee. Super knowledgeable. Eventually, as I get into the mid 100s again, I will start adding five pounds a week. Most root tears involve either a direct tear of the meniscus off bone or a split of the meniscus within 1 cm of the root attachment. HSS Sports Medicine Institute West Side Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. As always, Dr. Burnham and his staff were caring, knowledgeable & professional at my recent visit. How Soon Can I Return to Work After Meniscus Surgery? And slowly, I started bending the knee more, and eventually took the box away from my bench. Protect repair Minimize pain Minimize swelling Dr Burnham is so personable. We recognized that meniscus root tears were a problem over 10 years ago and set out to perform a comprehensive research program to help us figure out how to diagnose the problem, where to place the meniscus repair, and how best to fix the meniscus tear to allow for maximal healing capability. Very thorough, knowledgeable and courteous. Meniscus root tears - a devastating injury - Dr. Bu Balalla I decided right then and there I would not get the MRI. It took almost a week and a half for the swelling to go down, but there was still considerable swelling in my knee. My MRI showed an extensive radial tear adjacent to the medial meniscus root insertion, as well as evidence of high-grade chondral loss involving the central trochlea. There are many factors that go into this, including a patients weight, with overweight patients putting more stress on the meniscus root tear, ones alignment, where one being bowlegged with a medial meniscus root repair putting extra stress on the repair, and also the amount of underlying arthritis present prior to the root repair. Therefore, any surgeon who performs ACL reconstruction should be well versed in performing a lateral meniscus root repair. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. The meniscus is a very important piece of cartilage in the knee. Treatment Outcomes of Meniscal Root Tears: A Systematic Review Unfortunately, as we have developed more scientific evidence for this, including several studies in my lab, we found that the lateral meniscus root is extremely important to both prevent the development of osteoarthritis over time and also to protect a concurrent ACL reconstruction graft. Patients who have an ACL tear have a 10% chance of having a lateral meniscus root tear. When the tear is examined during arthroscopy, Dr. Hess will decide if the tear is able to be repaired . I am so glad I did! Many surgeons will tie the meniscus root repair with the knee bent, so that one can start motion right after surgery and not have to worry about the meniscus root repair being stretched out. The most common complication after a meniscus root repair is a re-tear. A meniscus can become damaged due to sudden trauma. But youve got to figure out a way to get your butt muscles stronger if youre looking for a more comprehensive plan for making your knee better and getting your glutes stronger we also have a program called the, https://www.epmanualphysicaltherapy.com/wp-content/uploads/2020/01/Logo-copy-1030x429.jpg, Shoulder Impingement: Everything You Need To Know To Get Healthy Again, Top 5 Shoulder Impingement Exercises To Help Get Healthy Again, Top 6 At Home Treatments To Begin To Naturally Heal Cervical Radiculopathy, Click Here To Schedule A Phone Call With An Expert, Click Here To Ask About Cost & Availability, Copyright 2022 - El Paso Manual Physical Therapy, How To Tell If Youve Got A Rotator Cuff Tear, Request A Virtual Visit With One Of Our Expert PTs, 28 day knee health and wellness boost program, 28-Day Knee Health & Wellness Boost Program, 28 Day Back Health & Wellness Boost Program. Knee popping after meniscus surgery can occur due to fluid accumulation, scar tissue, swelling and stretching of the tendon and ligaments, weakened leg muscles, changes in patellar tracking, underlying knee arthritis, unstable meniscus, and inflamed plica. Two main repair techniques are described: (1) suture anchors (direct fixation) and (2) sutures pulled through a tibial tunnel (indirect fixation . Can you tear your meniscus again after a surgery and if you do how can you tell? Malempati C. Bonasia DE, Pellegrino P, DAmelio A, Cottino U, Rossi R. Meniscal Root Tear Repair: Why, When and How? I was going to rehab myself, and keep training as normally as I could. Meniscus root repair | Knee Problems | Forums | Patient Meniscal Repair. Question: Can You Bend Your Knee After Meniscus Repair While regular functionality isn't immediate, patients will be asked to move the knee within 1-2 days after surgery. My MRI showed an extensive radial tear adjacent to the medial meniscus root insertion, as well as evidence of high-grade chondral loss involving the central trochlea. And Im a specialist physical therapist El Paso manual physical therapy. Diego has an automatic and it was my left knee that was incapaciated, not my right, so the next day, I hobbled into his car and practiced driving around the block. Hence, that remaining meniscus is more and not less likely to tear again. Currently, there are mini First-Pass devices that curve to the right and the left, which allows increased access to a root tear, especially since most root tears tend to squirt to the back part of the joint and can be more difficult to access with a straight biter. I sat down and put together a training program with exercises I could do, and trained four days a week as normal. I went to Dr. Burnham for issues I was having with my shoulders. Prior to that, they are recommended to use crutches. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. This may be recommended depending on the type of meniscus tear. You should also be able use your leg for driving after one to two weeks, as long as you're not taking opiate pain medication. Dr. Burnham and Jerrica did a great job taking care of all my orthopedic needs. And Im a specialist physical therapist El Paso manual physical therapy. Rehabilitation Guidelines for Meniscal Repair of Root and Complex Tears Other non-medical modalities may help, such as using ice and elevating the leg. Thus, these patients can often have early onset arthritis, the development of bony edema, insufficiency fractures, and the failure of concurrent cruciate ligament reconstruction grafts. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you b. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. 1-2 Days After Surgery: Hospitalization for meniscus surgery is typically short. We currently use UltraTape to do this. Repetitive motions, overuse, and muscular imbalances ar twitter.com/i/web/status/1, Digging Deeper into the Data: Is Suture Bridge Repair + #PRP really the best technique for #rotatorcuffrepair? twitter.com/i/web/status/1, Wild Life of the Last #BlackJockey to Rule the #KentuckyDerby Meniscus Root Repair - Joint Replacement Patient Forum I was cleared to drive at my followup appointment 2 weeks after surgery, which was exactly what my surgeon had told me to expect. In this technique, sutures are placed into the torn meniscus root and then shuttled down tunnels in the tibia to tie the repair into place. The feeling that your knee is giving way, locking, or catching when you bend it. <> In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. I would recommend his service to any recreational athlete. Later that day, I trained. Surgical knee will be in a hinged rehab brace locked in FULL EXTENSION for 4 weeks postop. There is often swelling of the knee and severe pain with walking, running, twisting, or moving the knee. Weight bearing as tolerated after 6 weeks. But youre also not alone. 4 0 obj The left knee was feeling great up until about a year and a half ago, when I started noticing some pain. Great doctor. Keeping each meniscus in place are two "roots" that attach to the tibia (shin bone). Dr. Ahmad M Hadied and another doctor agree, is on the left leg i let some patients In patients who have open growth plates, consideration may be necessary to either plan to remove the sutures after the meniscus root repair heals or to consider placing the tunnels and suture repair above the growth plate such that is does not cross the growth plate and have a theoretical chance of causing a growth plate arrest. Meniscus root repair is most commonly performed arthroscopically under regional anesthesia. A possible cause for knee pain 1 year after meniscus surgery would be a re-tear of the meniscus. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 12 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Conclusion: Outcomes after posterior meniscal root repair significantly improved postoperatively and patient satisfaction was high, regardless of age or meniscal laterality. amount of, supply and beyond the age of 15 has limited healing without surgery. I was still taking aspirin to prevent clotting after surgery, and I also tried to put as much weight on the left leg as I was allowed, and then more. Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture from Jeremy Burnham, Ochsner-Andrews Sports Medicine Institute, Copyright 2022Jeremy Burnham, M.D. Then, in September, at the Charm City Strongwoman Contest, I sprinted into the gym from the outside looking for one of my volunteers. While you're recovering from your meniscus surgery, you can expect to feel pain while you heal. How long did you have to avoid driving after meniscus surgery? Oftentimes healthcare providers will tell you go walk your knees operated on its good youre the we took out the chunk that was you know causing your need to lock up the meniscus we did a meniscectomy or we repaired the meniscus and its all sewn together now so you can go ahead and walk all you want and some people take that to heart and to go walk you know three miles a day or even 10-20 miles a week and their meniscus just doesnt heal enough and they get that swelling. If you're an athlete needing a doctor that understands; this is the guy. This is probably due to many factors, including the chronicity of the tear, the quality of the tissue, if the meniscus was released from scar tissue and pulled back in the joint, ones age, ones weight, and ones alignment. The first 6 weeks are a strict protection phase and the patient is non-weight bearing. I would highly recommend him. For more information on meniscus root tears of the knee and meniscus root repair surgery, please contact the office of Benedict Nwachukwu, MD, orthopedic knee specialist serving Manhattan, New York City and the surrounding New York boroughs. And people are often disappointed to find out that as they begin to get back to normal, as theyve been told that they probably could and should they start to get swelling in the knee, they start to get a pain, of course. We are so grateful for you both! I would highly recommend Dr Burnham and all of his surrounding colleagues at Ochsner. The mini First-Pass device allows placement of either a suture or an UltraTape through the substance of the meniscus, capturing the end of the stitch as it is placed through the meniscus and then it can be pulled out of the joint. The next portion of the Smith & Nephew root repair device is a mini First-Pass device. Thursday: 8:00 am 5:00 pm, What causes #runners knee or patellofemoral pain syndrome? Easy to talk to and will answer any questions of your care. MENISCAL ROOT REPAIR POST-OPERATIVE ORDERS . Monday: 8:00 am 5:00 pm Meniscal repair may be performed either by open surgery under direct vision or minimally invasively using an arthroscope that can be inserted into the knee through a very small key-hole incision to locate and repair the damaged meniscus. We had a wonderful experience and I highly recommend him. I have no issues taking the stairs, just a little knee discomfort here and there. Is this normal? The Smith & Nephew root repair technique involves specific devices which can lower ones surgical time to perform a meniscus root repair. 5 stars! Meniscal repairs offer the benefit of preserving the native meniscus, but they require a longer rehabilitation protocol as compared to a meniscectomy. In addition, we looked at varying suture techniques through the meniscus, including 2 simple sutures, as well as other configurations of meniscus suture techniques, which are more complex. PDF Rehabilitation Guidelines for Meniscal Repair of Root and Complex Tears Procedure for Meniscus Root Repair. Call your doctor or 911 if you think you may have a medical emergency. In addition, there is no low age for meniscus repairs, with some root repairs being done in patients as young as 6 or 7 years old. His surgery and recovery has been perfect! Dr. Robert F. LaPrade operated on my right knee in May of 2010. Also, I had to make numerous visits to the Ochsner Clinic due to my injury and Dr. Burnham's team and the staff at Ochsner were always very professional and courteous. Full recovery usually takes 6 months but can take up to 1 year. I have two good arms, and a good leg. In particular, making sure the meniscus has a thorough release from scar tissue and making sure that ones sutures or UltraTape are placed into the best substance possible for the meniscus root repair, are important considerations to maximize the chance of healing of the revision root repair procedure. I wasnt taking any pain medication either, so I was alert. Dr. Burnham was very thorough with his examination and diagnosis. Robert LaPrade, MD, PhD It is shaped like a C and it serves to cushion and stabilize the knee. Ill def refer friends and family! Fortunately, this is usually done arthroscopically and with good results. And the good news is that it can be helped without another surgery. These radial root tears are equivalent to a meniscus root tear. That was day one. I had shoulder cuff repair, involving 2 ligaments & bone spurs, only 6 weeks ago. I am 5-months post surgery, and am doing great, stationary biking and exercising every day, no pain.You know you are seeing the best when you find out he has written over 500 medical journal articles - among many other accomplishments. Therefore, we strongly advocate using a button to fix the meniscus sutures or tape on the tibia to minimize the chance of loosening over time. <>>> very elderly patients). At my third visit to PT, I was told that I had completely broken my PT protocol, and was better for it. 5 wks into recovery of acl/meniscus tear surgery, I am still taking pain medicine. However, we felt that with a 6-week period of being nonweightbearing important for all meniscus root tears, that the 2 simple suture technique was valid. It is important to recognize that most patients who sustain isolated meniscus root tears happen with a medial meniscus root attachment. Medial Patellofemoral Ligament (MPFL) Reconstruction . The procedure can be a complete meniscectomy where the meniscus and the . He listens and address every concern with appropriate solutions. When I said I was not on any medication, he said when I could bend my leg 90 degrees. Phase 1: 0-2 weeks post-operatively Goals Protect repair Minimize pain Minimize swelling . Everyone made us feel comfortable, and they were all polite and professional. So go check out that video on how to exercise your glutes theres five exercises in there that you can start doing them i would do them every day i do them a couple times a day even more if you can i would do what you can tolerate without it being too much soreness and your glute muscles and they should all generally be okay on your knee theres some where you got to kneel you can adjust it you can not do that exercise if you want. If scar tissue is present, Dr. Nwachukwu will clean up the area so the knee is allowed to move through its entire range of motion. Typically begins 3-5 days after surgery; Precautions Toe touch weight bearing with brace; Gradually unlock brace for 6 weeks; after 6 weeks no brace After meniscal surgery, rehabilitation with a physical therapist or athletic trainer is needed to restore range of motion, strength, movement control and guide the athlete's return to sport. This specific type of tear makes up 90% of all meniscal root tears. endobj Meniscal root repair is a procedure that is performed to stabilize a torn meniscus attachment to the tibia (shinbone). During the procedure, Dr. Vidal will isolate the root, pull it against the tibia and place sutures in the meniscal attachment. If you had a knee surgery if youve been seen physical therapy or any other health care professionals and theyre telling you youll be fine in three months back to normal youll be dancing youll be exercising youll be playing with the grandkids again just smile and remember this video. Many patients who do have a meniscus root tear note that they feel a pop in the back of the knee when they are doing squatting activities, such as cleaning floors, gardening, placing down carpet or plumbing. After hours 763-520-7870 Address Maple Grove 9630 Grove Circle N., Suite 200 Maple Grove, MN 55369 Minnetonka 15450 Highway 7, Suite 100 Minnetonka, MN 55345 Robbinsdale 3366 Oakdale Ave. N Suite 103 Robbinsdale, MN 55422 Knee Meniscus Root . Recovery Tips After Meniscus Surgery - Kellie Middleton, MD When these are torn, the loading of the joint is equivalent to having no meniscus on the affected side. Types of root tears: He had knee surgery a few months ago and is recovering remarkably well. They have poor healing potential, and are extremely important to the stability and cushioning of the knee. I rate him 5stars. My pain was gone. There are 2 main variants of the transtibial root repair technique. Dr. Burnham and Jerrica are AMAZING! A Guide to Orthopedic Care, Pediatric & Adolescent Sports Medicine Injuries, Get the Perfect Grip on Your Next Game: Adaptive Golf Gloves, Healthcare Journal of Baton Rouge Mentions Dr. Burnham Performing New Surgery to Repair Torn ACL, Sports Medicine Near Me: Finding the Right Doctor for You, When to See a Doctor for Knee Pain When Bending: The Complete Guide, 11 Benefits of Exercise: It Can Change Your Life, Knee Bursitis: Causes, Symptoms, and Treatment Options, Your Childs Knocked Knees: Everything You Need to Know, BioUni OATS Procedure Cartilage Replacement for the Knee, Capsulorraphy Shoulder Stabilization Procedure. Iatrogenic meniscus root tears have been described for all 4 meniscal attachments in the knee. It helps to be strong, my PT remarked. Had I not been training all these years, I would not have had the slightest idea of how to rehab my knee after surgery. Meniscal repair may be performed either by open surgery under direct vision or minimally invasively using an arthroscope that can be inserted into the knee through a very small key-hole incision to locate and repair the damaged meniscus.

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