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It can create another problem later on youve got to listen to your knee youve got to listen to your body and make sure that you only go with what you can tolerate without making it worse without swelling pain or definitely not losing motion and you might consider staying in physical therapy longer than they want you to or finding something to help you out. Healing kind of goes fast the beginning and then it tapers off. I had a traumatic knee injury that he performed surgery on. Sit at home on the couch and watch T.V.? The pain during my recovery has actually only been minimal, requiring no pain meds. Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. I would highly recommend Dr Burnham and all of his surrounding colleagues at Ochsner. Meniscus root repair vs meniscectomy or nonoperative management to prevent knee osteoarthritis after medial meniscus root tears: Clinical and economic effectiveness. In fact 2 years ago I finished climbing the top 100 peaks in CO. This was devastating news after being a top triathlete (3rd in the world in my age group in 1989 & 1st nationally in my age group) and a big marathon runner. It can be very difficult to interpret an MRI after a meniscus root repair. And theres things that you can do, which Ill allude to here in the middle. The healing phase is long, but he does A+ work. Malempati C. Bonasia DE, Pellegrino P, DAmelio A, Cottino U, Rossi R. Meniscal Root Tear Repair: Why, When and How? Easy to talk to and will answer any questions of your care. We validated that the 2 simple suture technique had the least amount of loosening over time, but the other techniques were stronger. And this channel is dedicated to helping people stay healthy, active and mobile. The next day, my left knee blew up to the size of a grapefruit. The arthroscopic meniscus repair is a procedure done to repair torn knee cartilage, usually for athletes. 4 0 obj Two cannulas are subsequently placed into the area of bone that was decorticated to allow for the transtibial 2-tunnel technique to be performed. I chose not to use my crutches anymore. The length of time until patients are able to return to driving varies . Often the best medicine to take is NSAIDs like naproxen and ibuprofen. Begin passive range of motion exercises Start physical therapy or home exercise program 1-3 days after surgery Work on quad recruitment Brace/Crutch Use 25% weight bearing with crutches, brace 0-90 when ambulating and sleeping, can remove . Highlights from the StartingStrength Community. The knee buckled and I thought, Shit. 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. Your doctor may give you a nerve block before surgery and will prescribe pain-relieving medications after surgery. Thank you for choosing Dr. LaPrade as your healthcare provider. The American Journal of Sports Medicine. Oftentimes, after having a meniscus surgery, people are told that theyll be fine. General anesthesia and a nerve block. Monday: 8:00 am 5:00 pm Meniscus root repair is a surgery performed to repair a torn meniscus root. His extensive schooling, research, and commitment to his craft shined through at every turn as he evaluated my injury, presented all my options (clearly explaining non-surgical options and expected outcomes), and helped me plan my course of treatment and recovery. Historically, most root tears were treated with meniscectomies because the importance of the meniscus root as a shock absorber was not well known. One of the main portions of the system is a guide that can be placed inside the joint that fits around the tibial eminences and allows the surgeon to place the tip of the guide right at the area that has been decorticated of bone, where one wants to perform the root repair tunnel. Two weeks. In this procedure, the torn meniscus is sewn back together using arthroscopy to place small stitches. I also found that there were patients being referred to me who had meniscus root repairs that were done well, but the meniscus was not pulled back in the joint and these patients continued to have pain. I was cleared to drive at my followup appointment 2 weeks after surgery, which was exactly what my surgeon had told me to expect. I have been very pleased with him at each visit..It's been almost 2 years since my meniscus root tear surgery and I have to say my knee feels great. I would have relied strictly on physical therapy. Robert LaPrade, MD, PhD Jerrica, Dr. Burnham, and the therapy staff (Luke and Joey )were awesome. 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. But if we are stronger, we are harder to break, and we most certainly recover faster and better. Later that summer, the left knee began to bother meagain. 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. 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. Protect repair Minimize pain Minimize swelling #12. And Im a specialist physical therapist El Paso manual physical therapy. Patients are usually kept non-weight bearing for the first 4-6 weeks, then advance gradually. Very thorough, knowledgeable and courteous. At my third visit to PT, I was told that I had completely broken my PT protocol, and was better for it. When the meniscus root is repaired there will be a prolonged period of restricted weight bearing and range of motion to protect the My daughter injured her ankle in cross country practice and we were able to get in the next day to see Dr. Burnham. 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. My name is Dr. David Middaugh. I wont ever go anywhere else. 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. He answered all my questions satisfactorily and his entire staff were polite and professional. Other common symptoms include limping, a change in the patients gait and the inability to put weight on the affected knee. An ACL tear most commonly occurs from a turning, twisting, or deceleration mechanism in a noncontact mode. I am so glad I did! The surgery performed was a knee partial meniscectomy, a common surgical procedure used to repair a torn meniscus. 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. If it is your right knee, it will be at least a week before you can drive, as it would be risky to have to hit the break too soon after surgery, and you would be a risk to yourself and everyone else on the road. %PDF-1.5 It was glorious. After about five minutes, the wheels were spinning. He has a great rapport with teenagers. 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 If not even worse. Most of these types of injuries, that are symptomatic, require 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. In the early stages of your meniscus tear you can take these conservative and essential treatments which are as follows: Rest Ice every 15 minutes in every 4-6 hours Compression with an ACE wrap or sleeve Elevation of the leg Nonsteroidal anti-inflammatory medications (NSAIDs) for pain. Multiple large loose bodies were removed from my knee joint, the largest of which measured approximately 20mm. And if youve never worked out your glutes if you went through physical therapy never really targeted your glutes ever you better start quick because chances are youve got a muscle imbalance thats caused extra pressures inside your knee thats led to that meniscus tear to begin with thats been the root problem and glute strength is what offsets that forces inside the knee so that your meniscus can heal all the way. 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. A meniscus repair to the knee cartilage is a minimally invasive surgery that can normally be performed on an outpatient basis. Untreated meniscus tears can increase in size and lead to complications, such as arthritis. The posterior roots are the most important as this is where a root tear occurs most commonly. 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. Then I trained. What could you eat or do for a meniscus tear to heal faster after surgery? The meniscus has 3 main zones, the 1) posterior horn, the 2) body, and the 3) anterior horn. Heel lift in opposite shoe to normalize gait. Keeping each meniscus in place are two "roots" that attach to the tibia (shin bone). Everyone I was in contact with, from support staff to Dr. Burnham, was kind, friendly, competent, and generous with time and information. This is one of the first video demonstrations of this. The average pain levels after a meniscus root repair fit between a basic knee arthroscopy (minimal pain) and an ACL reconstruction (more severe pain). I plan to squat 135 pounds for three sets of five on this day and am scheduled to deadlift 200 pounds on August 23. Meniscal Repair. Right Knee Surgery After Auto Bicycle Accident, Medical Second Opinion Service MRI/X-ray Review. During our biomechanical testing, we found that if we tied the sutures directly over bone, with cyclic loading, the sutures would cut into the bone and the repair would become loose over time. Meniscus root repair rehab will usually start 1-2 days after surgery. Identifying and properly treating meniscus tears (with or without surgery) will lead to the most rapid reduction in your symptoms and is crucial to optimize the long term health of your knee. I highly recommend him. Arrange for someone to drive you home as you will not be able to drive yourself after surgery. My right knee was totally destroyed; ACL, MCL, PCL all severely torn; the patella was the only thing intact in my right knee. My calf swelled up into my ankles. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. 3 0 obj These two steps are considered to be the two main preparation steps, where the release of adhesions to be able to allow the meniscus to be pulled back in the joint and also decortication of bone to prepare a bony bed to repair the meniscus back to the tibia. Usually, pain is minimal after this type of surgery. A meniscal repair or arthroscopic meniscectomy is a surgical procedure to repair a torn meniscus via keyhole surgery. GREAT DOCTOR VERY CARING AND KNOWLEDGEABLE!! Many meniscus tears can be treated successfully without surgery. This is called decortication of the medial tibial plateau (for a medial meniscus root repair). Had a meniscus root repair yesterday and the surgery was successful. There was absolutely no knee pain. So if thats your feeling youve taken them and it hasnt really made a difference for you dont take them if you feel like to help you out please take them but dont just take the supplements in hopes of that replacing doing the right exercises and having the right expectations youve got to do them both together give us a like if you thought this video was helpful and please drop a comment if you have any questions and i hope that you get better real soon have a wonderful day guys. Both my children have seen Dr. Burnham with great results. Can you tear your meniscus again after a surgery and if you do how can you tell? Being aware of the location of the meniscal attachments at the time of ACL and PCL surgeries is essential to minimize the chance of an iatrogenic root tear. When the meniscus root becomes detached, the meniscus can extrude out of the joint and lead to effectively having no functional meniscus. It took almost a week and a half for the swelling to go down, but there was still considerable swelling in my knee. There was also proliferative synovitis present throughout the patellofemoral joint, including the medial and lateral gutters. We have published and validated our results in the peer-reviewed literature, which was at the time the largest series of meniscus root repairs reported. In addition, if the medial meniscus is involved, active 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. 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. Dr. Burnham and his staff were/are amazing. Takes his time with you and doesn't hurry to rush out of the room if you have questions. There was a large grade 4 chondral defect involving the central aspect of the trochlea, approximately 30mm in width by 25mm in length. 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. This can occur in up to 20% of patients, even in the best of circumstances. (C, D) Arthrex MU (multiuse) guide with 6-mm FlipCutter drill positioned on footprint of posterior root of lateral meniscus. The study included 351 patients with knee OA and meniscus tear. In some severe cases, they cant fully extend their knee out or bend their knee all the way. You will begin to focus on regaining your ROM and begin more in muscle strengthening. Studies comparing repair with either meniscectomy or conservative treatment found greater improvement and slower . The system also involves a drill with a cannula whereby one can drill through the tibial guide, see the drill bit come out inside the knee, and then pull the drill bit out and leave the cannula in place. And the good news is that it can be helped without another surgery. Patients \50 years had outcomes similar to those of patients !50 years, as did . A meniscus that still has extrusion present also does not function as well over the long term. 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. 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. I was life flighted to MCR in Loveland, CO. My orthopedic injuries were severe, but totally missesd by the orthopedic team at Poudre. Conservative treatment methods are typically reserved for patients who would not recover well with surgery (i.e. Meniscus root repair surgery recovery Most patients can return to full activity 4-6 months after a meniscus root repair. If one does a meniscus root repair in that extruded position, the chance of a meniscus root repair working over the long term is very minimal. We are so grateful for you both! 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. 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. 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 . The patients are mostly allowed to walk immediately after arthroscopic knee surgeries. I was told by one of the orthopedic surgeons that I worked with that I would never run again and would be lucky if I could ever hike again. My wait time for office visits has always been less than 10 minutes. Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture, What Does an Orthopedist Do? I would recommend his services to anyone. Wednesday: 8:00 am 5:00 pm This technically challenging procedure should only be done by an orthopedic knee expert like Dr. Nwachukwu who has had extensive experience in performing the meniscal root tear repair correctly. In general, almost all meniscus root tears require a 6-week period of being nonweightbearing to maximize the healing potential.