By far the best orthopedic team I have ever met. You can't walk right after surgery. If one does have quite a bit of arthritis of the same compartment, which we would call Kellgren-Lawrence grades 3 or 4, in most circumstances, other than possibly in very young patients, a root repair would generally not be indicated. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Do minor meniscus tears require surgery or can it repair itself? 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. I have now biked five to six days each week since my surgery. He was outstanding. The protocol is divided into phases. There is often swelling of the knee and severe pain with walking, running, twisting, or moving the knee. More diffuse pain over the inside of the knee which becomes progressive over time can be particular ominous because this may mean that the cartilage is wearing out fast or that one has an insufficiency fracture or spontaneous osteonecrosis of the knee, occurring due to the fact that the meniscus is such an important shock absorber. El Paso, Texas 79903. If a meniscal root tear is left untreated, meniscal extrusion can occur rendering the meniscus nonfunctional resulting in degenerative arthritis. But if we are stronger, we are harder to break, and we most certainly recover faster and better. Lateral meniscus root tears can lead to arthritis, but they also result in the ACL being a little looser and the clunk that comes with an ACL tear (pivot shift) being more unstable. 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. amount of, supply and beyond the age of 15 has limited healing without surgery. So happy I found them! 1) You must be off narcotic medications for a . Placing sutures or UltraTape on each side of the tear and pulling it down into tunnels should be a safe and reliable method for a bony avulsion root repair. The most important aspect to assess when one is looking at a root repair is to ensure that ones cartilage surfaces are still fairly normal. Arner, J.W., Herbst, E.. Meniscal Root Repair Article. 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. 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. He has repaired both of my shoulders and he is awesome to the max. Driving After A Meniscus Repair : MeniscusInjuries - reddit Oftentimes, after having a meniscus surgery, people are told that theyll be fine. Thanks to his staff for being so helpful. The arthroscopic meniscus repair is a procedure done to repair torn knee cartilage, usually for athletes. Non-anatomic root repairs do not restore normal joint biomechanics . Realize that, as discussed above, the torn part of your meniscus was removed. Arrange for someone to drive you home as you will not be able to drive yourself after surgery. Dr. Robert F. LaPrade operated on my right knee in May of 2010. very elderly patients). Most patients will also have some numbness around the surgical incision, but this is not a true complication and is anticipated with any type of surgical incision. Thursday: 8:00 am 5:00 pm, What causes #runners knee or patellofemoral pain syndrome? Steadman Clinic, 181 W Meadow Drive, Suite 400, Vail, CO 81657, USA (email: drlaprade . Patients are allowed to initiate weightbearing at 6 weeks, but should avoid any significant squatting, squatting and lifting, or sitting cross-legged for a minimum of 5-6 months. Very positive experience at Bone and Joint Clinic in Baton Rouge. I decided to continue with my usual four day split with two upper body days and two lower body days, although I did also incorporate a few extra upper body exercises as my lower body work was not that intense. Often the best medicine to take is NSAIDs like naproxen and ibuprofen. It was glorious. I asked when I could start driving, and he said when I was off my pain medication. <> Rehabilitation Following Meniscal Root Repair: A Clinical Commentary With an injury like this you want the best, and Dr. Burnham is the best. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. 4. It helps to be strong, my PT remarked. Sutures are passed through the meniscus, and then pulled down into a bone tunnel located at the same site as the root attachment before it tore. For these, please consult a doctor (virtually or in person). We love you! In fact 2 years ago I finished climbing the top 100 peaks in CO. Ill def refer friends and family! From April 22 until May 1, my program changed again, slowly becoming more like my regular training. My name is Dr. David Middaugh. In between the big lifts and the accessory work, I did some of my PT exercises: leg lifts, quad sets (quad squeezes), heel pumps. Proper fixation of the meniscal root can prevent or slow down the development of arthritis in that area of the knee. Sit at home on the couch and watch T.V.? . My repair will be later this week on my right leg. And if youve already had your meniscus surgery, then you know what to do so that youre not getting more swelling, pain and not losing motion than that knee and youre staying out of the surgeons office, so you dont have to go back again for another knee surgery. If so, you may be at risk of tearing the root of your meniscus. Torn Meniscus | Meniscus Tear Treatment Options | Duke Health The next steps involve placing self-capture sutures into the end of the meniscus root and then drilling cannulas into the area that was decorticated such that the sutures placed into the meniscus can be shuttled down the cannulas and then tied over the tibia. We are so grateful and thankful. Early weightbearing has been found to be the cause of meniscus root repair failure, and this has been validated by our colleagues In general, almost all meniscus root tears require a 6-week period of being nonweightbearing to maximize the healing potential. Dr. Ahmad M Hadied and another doctor agree, is on the left leg i let some patients It takes longer for a meniscus repair to heal than a meniscectomy. I was worried for my future with my legs letting me walk but she put me at ease letting me know she will do everything in her power to fix me or send me to whatever specialist I need to see to make sure I have a good chance walking in my future, and they all truly fantastic doctors. It is our goal to provide the highest level of care and service to our patients. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you b. This is because a lack of meniscus attachment at the root causes extra stress to be placed on an ACL graft and it can also result in the patient having more instability, both with anterior tibial translation, and with twisting and turning activities during the pivot shift, when there is a concurrent lateral meniscus root tear. Monday: 8:00 am 5:00 pm - Privacy Policy - Louisiana Retina, Dr. Jeremy Burnham, MD - Sports Medicine, Orthopedic Surgeon, Knee Doctor, Jeremy Burnham, MD - Sports Medicine & Orthopedic Surgeon, __CONFIG_colors_palette__{"active_palette":0,"config":{"colors":{"f3080":{"name":"Main Accent","parent":-1},"f2bba":{"name":"Main Light 10","parent":"f3080"},"trewq":{"name":"Main Light 30","parent":"f3080"},"poiuy":{"name":"Main Light 80","parent":"f3080"},"f83d7":{"name":"Main Light 80","parent":"f3080"},"frty6":{"name":"Main Light 45","parent":"f3080"},"flktr":{"name":"Main Light 80","parent":"f3080"}},"gradients":[]},"palettes":[{"name":"Default","value":{"colors":{"f3080":{"val":"rgb(23, 23, 22)"},"f2bba":{"val":"rgba(22, 23, 22, 0.5)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"trewq":{"val":"rgba(22, 23, 22, 0.7)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"poiuy":{"val":"rgba(22, 23, 22, 0.35)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"f83d7":{"val":"rgba(22, 23, 22, 0.4)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"frty6":{"val":"rgba(22, 23, 22, 0.2)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"flktr":{"val":"rgba(22, 23, 22, 0.8)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}}},"gradients":[]},"original":{"colors":{"f3080":{"val":"rgb(23, 23, 22)","hsl":{"h":60,"s":0.02,"l":0.09}},"f2bba":{"val":"rgba(23, 23, 22, 0.5)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.5}},"trewq":{"val":"rgba(23, 23, 22, 0.7)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.7}},"poiuy":{"val":"rgba(23, 23, 22, 0.35)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.35}},"f83d7":{"val":"rgba(23, 23, 22, 0.4)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.4}},"frty6":{"val":"rgba(23, 23, 22, 0.2)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.2}},"flktr":{"val":"rgba(23, 23, 22, 0.8)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.8}}},"gradients":[]}}]}__CONFIG_colors_palette__, Cartilage Damage: Symptoms, Causes, & Treatment, Elbow Rehabilitation and Postoperative Protocols. Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. A meniscus root tear usually will not heal on its own. He made my daughter feel comfortable and made sure to listen to both of our concerns prior to his diagnosis. I kept training, modifying my squatting as needed until I could get back to proper depth. I would recommend his services to anyone. I press and bench with no modifications. Created for people with ongoing healthcare needs but benefits everyone. Meniscal Ramp Lesions. A meniscal repair or arthroscopic meniscectomy is a surgical procedure to repair a torn meniscus via keyhole surgery. It hurt like hell. I was also allowed to bear weight on my leg while in the brace, which meant no more seated presses. Doctors typically provide answers within 24 hours. We use the 2-tunnel technique to maximize biologic healing of the meniscus down to a broad surface. Highly recommended! I have see all three orthopedic doctors at the Grove and Jerrica is the one I see the most and the latest she's absolutely wonderful. When I said I was not on any medication, he said when I could bend my leg 90 degrees. In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. The most common root repair technique is called a transtibial technique. Swelling and stiffness. How long did you have to avoid driving after meniscus surgery? Thus, when one does sustain a lateral meniscus root tear with an ACL tear, consideration should be given to having a concurrent lateral meniscus root repair so the ACL graft does not stretch out. I was adding 10 pounds a week for deadlifts but have now switched to pause deadlifts on Tuesday and add only 5 pounds a week to the heavy deadlift. He is walking without a limb and is on schedule with his progress. while avoiding unnecessary surgery, injections, and medications. Ibuprofen (Advil, Motrin) Naproxen (Aleve) Dr. La Prade had just moved to Vail and I was his 2nd patient @ The Steadman Clinic. Keeping each meniscus in place are two roots that attach to the tibia (shin bone). 1 doctor answer 2 doctors weighed in Dr. Jeffrey Sider answered Sports Medicine 41 years experience Depends: If surgery is on the left leg i let some patients drive the next day if they feel ok. Each horn is anchored to the bone at the meniscus root (anterior and posterior). The meniscus has 3 main zones, the 1) posterior horn, the 2) body, and the 3) anterior horn. A physical therapist will be assigned to you and begin a routine of light exercise to help stabilize the knee. What most people just don't get from their medical professionals is that the meniscus is a type of cartilage. Ive dealt with other knee doctors in prior injuries, but Dr. Burham and his team clearly stood out. If one has fairly normal cartilage of that side, the success rate is going to be better than those patients that have mild to moderate chondromalacia (arthritis) of the same compartment as the root repair. 5 wks into recovery of acl/meniscus tear surgery, I am still taking pain medicine. What made my recovery so fast? Meniscus Repair Surgery Rehab Protocol & Recovery Time - Kevin R. Stone Phase 1: 0-2 weeks post-operatively Goals Protect repair Minimize pain Minimize swelling . But the next day, I woke up and literally ran down my stairs. Specializes in Orthopedic Reconstructive Surgery. Eventually, as I get into the mid 100s again, I will start adding five pounds a week. He diagnosed the problem quickly and accurately. The pain is usually located one the sides or front of the knee, although it can occasionally be located in the back of the knee. What is the Recovery Time for Meniscus Tear Surgery? - SportsMD Appreciate the attention and time spent during office visits. Synopsis There is a growing body of evidence surrounding the pathology and treatment of meniscal root tears. Meniscus tears & repairs - Overview - Mayo Clinic Orthopedics & Sports The second step is to prepare a bony bed where the meniscus repair will be performed. (C, D) Arthrex MU (multiuse) guide with 6-mm FlipCutter drill positioned on footprint of posterior root of lateral meniscus. And cartilage is one of the slowest healing tissues in the body. Therefore, most meniscus root tears need to have the scar tissue released so the meniscus can be pulled back into the joint. This is one of the first video demonstrations of this. One patient was noted to have an insufficiency fracture and spontaneous osteonecrosis of the knee (SONK) as part of the root tear and came in in a wheelchair and she has had6 years of successful return to activities after her meniscus root repair, including hiking and cycling. Dr. Burnham and Jerrica did a great job taking care of all my orthopedic needs. (it is still a bit swollen). I left my visit feeling very comfortable with where I was and what needed to happen next. Does having a cortisone shot help a meniscus tear or is surgery the only option? A torn meniscus can result in either sudden or gradual onset of pain. This can occur in up to 20% of patients, even in the best of circumstances. Hands down would recommend him!! The following Tuesday, I saw my doctor. This is important because these repairs are still quite tenuous with current technology, so it is important to try to put the meniscus back into a position where there would not be a lot of tension on the repair with knee range of motion. Patients often report hearing a pop at the time of injury. The most common method to fix meniscus root tears is through a tibial bone tunnel. He and his staff could not have been more helpful and professional. If I could give more than 5 stars, I would. In general, one can follow the small tunnels from the transtibial technique up to where the root attachment should be. The average pain levels after a meniscus root repair fit between a basic knee arthroscopy (minimal pain) and an ACL reconstruction (more severe pain). Partial weightbearing status (<50%), unless otherwise ordered by MD. Previous attempts to make it better provided only temporary relief. Had a meniscus root repair yesterday and the surgery was successful. <> Dr. Nwachukwu and his team will have an individualized recovery program for the best healing success after your meniscal root repair. I also started boxing sessions once a week with one of my coaches as I am not allowed to start back to BJJ until September. There are some isolated reports of using suture anchors to repair a meniscus root repair, but this area of the knee is very difficult to access and the suture anchors can leave large knots which could subsequently interfere with the cartilage surfaces in the knee. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. A meniscus root repair involves reattaching the meniscus back to bone where it has been torn. The meniscus is a very important piece of cartilage in the knee. But now I know more about the body, about rehab, and about what being stronger really means. The posterior roots are the most important as this is where a root tear occurs most commonly. The study included 351 patients with knee OA and meniscus tear. This hoop stress is resisted by fibers that run circumferentially through the meniscus. If not treated, part of the meniscus may come loose and slip into the joint. This allows the meniscus to heal back to the bone. 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. One of the most common is in patients who may have some underlying arthritis and the arthritis is causing the pain or the arthritis has progressed further after the meniscus root repair. Therefore, our surgical technique, using specific guides to avoid the eminences to ensure that one can place the guide exactly where one wants to have a cannula come out in the joint, using cannulas to allow for placement of passing sutures quickly and efficiently, having 2 separate cannulas with 2 separate tunnels for the meniscus repair, releasing the meniscus thoroughly to pull it back in the joint so it functions most effectively, and then having self-capture suture devices, which can place suture or tape into the meniscus substance, shuttle them down the tibia, and then tie them over a metal button on the tibia. Nothing. Meniscal Root Repair | Knee Specialist | Minnesota When a torn fragment is floating in the joint, patients will feel a sudden, sha twitter.com/i/web/status/1, According to an injury study done in 2021, #Pickleball has been deemed safer than #tennis and better for individual twitter.com/i/web/status/1, Cysts Acetabular Paralabral and Subchondral, ACL Anterior Cruciate Ligament Injury of the Knee, Patellofemoral Pain Syndrome Runners Knee, PVNS of the Knee Pigmented Villonodular Synovitis, Osteochondral Allograft Transplantation Surgery (OATS), Patellofemoral Arthroscopy Runners Knee Treatment, Stabilization for Instability-Arthroscopic, Subacromial Decompression for Impingement, How to prevent common skiing and snowboarding injuries | Ski Injury Doctor Manhattan, BICMD Co-Founder and Co-CEO Announces Expansion of Services, Patients are partial weight bearing for the first 4 weeks and then during weeks 4-6 are progressed to full weight-bearing. The . We will determine during your consultation whether general or regional anesthesia would be appropriate - either way, no pain will be experienced during the procedure itself. Historically, these root tears are often treated with benign neglect and either ignored or trimmed out. MRI is used to look more closely at the meniscus and determine if it is something that needs surgical treatment, although not all meniscus root tears show up on MRI. In particular, it has been found that one of the most common reasons why younger patients need total knee replacements is because of a neglected or undiagnosed meniscus root tear leading to the development of osteoarthritis. Thank you Dr. Burnham and Jerrica for everything! How Long After Meniscus Repair Can I Walk? - Dr. Ramakant Kumar My surgery was at 8:30am Wednesday, February 20. If I had not spent the last several years of my life squatting, benching, pressing and deadlifting, I would not have had the strength to continue to be as active as I was after my surgery, and I most certainly would not have known how to rehab my knee on my own. Dr. Burnham was very thorough and took the time to explain what he thought my root problem may be, why, and how he suggested we proceed with my care. Oftentimes, after having a meniscus surgery, people are told that they'll be fine. repair to heal. Please subscribe to this channel and turn on your notifications so that you dont miss a single video with great tips and advice that we put out every single week. 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. They might have a follow up visit or two but its really physical therapy that suppose take over at that point in physical therapy just has you for two to three months and once theyre done with you same thing once youre back to walking and bending your knee all the way and straightening out your knee all the way. Patient Testimonials - Meniscus Root Repair Everett | OCD Repair of the Knee Kirkland X Accessibility View Book An Appointment (206) 784-8833 Wallingford Office (206) 633-8100 Ballard Office (206) 784-8833 Home My Practice Practice Expertise Patient / Medical Resources Educational Resources Videos Radio/podcasts News Contact Dr. Garcia Facebook Meniscus root repair is a surgery performed to repair a torn meniscus root. Edina, MN 55435, EAGAN-VIKING LAKES OFFICE Two cannulas are subsequently placed into the area of bone that was decorticated to allow for the transtibial 2-tunnel technique to be performed. At the end of March, my doctor told me I could take my brace off completely, and use crutches for another week if I needed to. The incisions leave scars that usually fade in time. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. As a result, two weeks after surgery I was able to start driving my car, which is a manual. with time whether there is healing or not. 2 0 obj Most meniscus root tears occur very close to the root near the meniscus itself and are called radial root tears. Heres the third practical tip if youre if you dont know where to go Ive got some exercises that i put on videos here for free on YouTube its linked in the description below theres one video in particular that i want you to take a look at its called top five glute exercises for knee problems go check out that video start doing those exercises youve got to exercise the heck out of your glutes if you got a meniscus injury if youve had a meniscus surgery in the past you need to get your glutes worked out. The study, " Patients Who Undergo Rotator Cuff Repair Can Safely Return to Driving at 2 Weeks Postoperatively ," was published online on July 21, 2022 in the Journal of Bone & Joint Surgery. When I returned home around 1pm that day, I sat in my living room for a bit, emailing and texting people to let them know I was alive and well. Video chat with a U.S. board-certified doctor 24/7 in a minute. Dr Garcia demonstrates his new meniscal extrusion technique - YouTube I went to Dr. Burnham for issues I was having with my shoulders. By using our website, you consent to our use of cookies. In addition, because of studies from our biomechanical studies showing significant stress on the meniscus with deep flexion, as well as the fact that many meniscus root tears occur with deep flexion, we have patients avoid squatting, squatting and lifting and sitting cross-legged (which puts extra stress on a root repair) for a minimum of 4 months postoperatively to maximize the healing potential. I had a traumatic knee injury that he performed surgery on. Meniscus Root Repair & Recovery | Emily Socolinsky - Starting Strength Had I not been training all these years, I would not have had the slightest idea of how to rehab my knee after surgery. Amazing Doctor and wonderful staff!! Heavy lifting, manual labor, strenuous exercise/activity, and sports should all be restricted until 3-6 months after surgery. After sutures are placed arthroscopically into the meniscal attachment, a small diameter tunnel, usually 5 millimeters in size, is reamed to the meniscal root attachment site, the sutures are pulled down the tunnel, and tied over a button on the anterior cortex of the tibia. 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 He listens and address every concern with appropriate solutions. Conclusion: Outcomes after posterior meniscal root repair significantly improved postoperatively and patient satisfaction was high, regardless of age or meniscal laterality. In particular, these younger patients have to look at a meniscus root repair as soon as possible to ensure that they dont develop arthritis. Return to driving after surgery is okay once narcotic pain medication has been stopped and you are cleared by your surgeon. Eagan, MN 55121, I struggled with my knee for 18 months - having gone from 10,000 steps a day to only walking as needed. Outcomes after Surgical Repair of Medial Meniscal Root Tears - PubMed Meniscal Root Repair Alone or Combined with Different Procedures After 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. dressing in 48 hrs and may let them drive
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