HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. He is amazing and a blessing to have in the medical industry. It was glorious. I have successfully repaired meniscus root tears in patients that were 70 and 71 years old respectively and they are some of my happiest 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. The most common root repair technique is called a transtibial technique. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. In younger patients, meniscus root tears often occur with a piece of bone being avulsed off the tibia. GREAT DOCTOR VERY CARING AND KNOWLEDGEABLE!! But theres still healing to be done and that 20% is really critical. Dr. Burnham was very helpful for my injury! By using our website, you consent to our use of cookies. The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. 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. And slowly, I started bending the knee more, and eventually took the box away from my bench. And Im a specialist physical therapist El Paso manual physical therapy. As always, Dr. Burnham and his staff were caring, knowledgeable & professional at my recent visit. And they can get back to normal in about two or three months after having the surgery. He answered all of my concerns about my knee. I can run, bike, & climb mountains. Regular assessment of gait to avoid compensatory patterns. And if we know anything about cartilage, if you want to look this up, it takes about six up to 12 months to fully heal depending on the severity of that injury on the meniscus on that cartilage. This results in premature arthritis and cartilage damage in the knee. What could you eat or do for a meniscus tear to heal faster after surgery? Highlights from the StartingStrength Community. There are 2 main variants of the transtibial root repair technique. Your doctor may give you a nerve block before surgery and will prescribe pain-relieving medications after surgery. Darin helped me understand that it was going to be a very slow recovery due to the nature of the surgery, and to be patient. A torn meniscus can result in either sudden or gradual onset of pain. Country. What made my recovery so fast? On Wednesday, February 20, 2019, I had a meniscus root repair surgery on my left knee. I was also allowed to bear weight on my leg while in the brace, which meant no more seated presses. Recommend highly. Return to Sport after Meniscus Surgery Chicago, IL | Dr. Jorge Chahla If a meniscal root tear is left untreated, meniscal extrusion can occur rendering the meniscus nonfunctional resulting in degenerative arthritis. Meniscus Repair Surgery Rehab Protocol & Recovery Time - Kevin R. Stone So getting swelling, or if its been a year since you had your meniscus surgery, and youre better overall, but youre still getting some swelling and pain, then its normal. He did a great job of explaining both the progress of my injury and the way ahead as it applied to recovery. 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. They have poor healing potential, and are extremely important to the stability and cushioning of the knee. What Is a Meniscectomy? - Healthline Later that summer, the left knee began to bother meagain. In general, one can follow the small tunnels from the transtibial technique up to where the root attachment should be. Recovery Tips After Meniscus Surgery - Kellie Middleton, MD Doctors typically provide answers within 24 hours. This answers all my questions! 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. The Steadman Clinic - Edwards, CO The transtibial meniscal root repair is emerging as the gold standard treatment due to its ability to restore a large footprint at the meniscal root's native attachment site and restore normal joint contact pressures. 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. Thank you for choosing Dr. LaPrade as your healthcare provider. Contact Dr. Nwachukwus team today! 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. I finally decided to make an appointment with a knee specialist. Treatment Outcomes of Meniscal Root Tears: A Systematic Review What to do if I have a radial meniscus tear, what's the chance of it fully healing with surgery? I kept training, modifying my squatting as needed until I could get back to proper depth. Often, when a meniscus root is torn, it will retract in the joint and become stuck in place. Many patients do not have significant joint line pain like a typical meniscus tear, so having a patient stand up and squat down is often performed during the clinical exam to validate that the patient may have a meniscus root tear. A meniscal repair or arthroscopic meniscectomy is a surgical procedure to repair a torn meniscus via keyhole surgery. The sutures are anchored to the tibia in order to stabilize the meniscus root attachment. PDF Meniscal Root Repair Post-operative Rehabilitation Protocol Two main repair techniques are described: (1) suture anchors (direct fixation) and (2) sutures pulled through a tibial tunnel (indirect fixation . 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. A meniscus root tear can occur due to a traumatic event or degeneration. When I went in arthroscopically and thoroughly released the meniscus, pulling it back into an anatomic position and revising the repair; all of these patients seemed to have much improved pain relief. This is called decortication of the medial tibial plateau (for a medial meniscus root repair). Amazing doctor, amazing family mantreats patients with the highest level of care, compassion, and quality! After a meniscus root repair, there is a prolonged period of non-weightbearing and restricted range of motion to allow proper healing. 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. They walked me through the process from beginning to end. Other factors can also be present with extrusion, including the progression of arthritis which can cause a well-done meniscus repair to extrude outside the joint. If patients put weight on the knee immediately after the repair, the forces on . questions after your surgery, during business hours call 763-302-2231. Meniscal root repair is a procedure that is performed to stabilize a torn meniscus attachment to the tibia (shinbone). 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. 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. Unlike some meniscus tears which can be observed or treated conservatively, most meniscus root tears need surgery. And then after the surgery, the focus is doing physical therapy, typically if he gets sent there, and youre going to lose some motion in the surgery so your knee wont be able to bend or straighten all the way. Weight bearing as tolerated after 6 weeks. PHONE: (952) 442-2163 | WEB: TCOMN.COM/PHYSICIANS/KYLE- MORGENSTERN/ . These are totally different. How long recovery takes depends on the type of meniscus surgery and the severity of the injury, but expect two weeks down time, at minimum. They can occur in younger patients as a result of high energy trauma, but are more common in patients between 45 and 60 as a result of degeneration of the meniscus with age. In terms of when, one should plan to perform a meniscus root repair as soon as it is diagnosed as long as ones articular cartilage is still fairly intact. A meniscus that still has extrusion present also does not function as well over the long term. I dont remember how or when I tore my meniscus. A surgical guide can then be placed in a drill tip where the cannula around it is placed into the area of the decorticated bone. Later that day, I trained. My surgery was at 8:30am Wednesday, February 20. 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. 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. Now, the focus when you go into a surgeons office, theyre looking at your MRI, theyre looking at your meniscus on the MRI, theyre telling you the tear in the way that its torn and how theyre going to repair it. Meniscus root repair vs meniscectomy or nonoperative management to prevent knee osteoarthritis after medial meniscus root tears: Clinical and economic effectiveness. He will now be caring for my hip and knee in the future. This usually presents with pain along the inside or medial portion of the joint and with swelling with activities. <> It is critical that patients following a knee joint repair refrain from squatting for at least four months after the procedure. 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. Meniscus Root Tear | Knee Doctor | Baton Rouge, LA - Jeremy Burnham, MD On Thursday, February 21, the day after my surgery, I went to work, in my brace and on crutches. With an injury like this you want the best, and Dr. Burnham is the best. PT or exercise can be useful BUT take note of these the BoneSmart view on exercise BoneSmart philosophy for sensible post op therapy 5. In our hands, because we have performed many second look arthroscopies, we have found that the 2-tunnel technique allows for a broader surface area of the meniscus against the decorticated bone and seems to allow for a more solid and secure repair. Robert LaPrade, MD, PhD 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. If a patient does have a meniscus root tear and the cartilage in that same compartment is still relatively good or normal, a meniscus root repair would be indicated. That night, I drove myself to the gym. After about two hours, I got up, crutched into the kitchen, brewed a pot of coffee and made myself some pancakes. I would highly recommend Dr Burnham and all of his surrounding colleagues at Ochsner. Doctor Burnham and his staff were so helpful providing all the pros and cons associated with having surgery. So that means youre good to go after two to three months. The best surgeon is Baton Rouge that actually care about his patients!!! 2700 Vikings Circle He is walking without a limb and is on schedule with his progress. Among them, 32.60% demonstrated incomplete healing, loosening of the construct, or excessive scar tissues formation. Life happens and our bodies will sometimes let us down. How long do you have to avoid driving after meniscus tear surgery Rehabilitation begins within a week of surgery. 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. Figure 5:: Cortical fixation of transtibial meniscal root repair. 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. - 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. Controlling inflammation and swelling is still a key in this Phase, as increased motion without proper use of cooling therapy may put your meniscus at risk for re-injury. 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. Repairs have been found to delay or improve the findings of bony edema and the early onset of arthritis in many patients. The torn meniscus is corrected via a minimally invasive procedure depending on the kind of injury. There goes my knee again.. And they can get back to normal in about two or three months after having the surgery. Posterior Meniscal Root Repair Using a Meniscal Suture Device 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. Matthias J. Feucht1,4 Received: 19 May 2022 / Accepted: 13 February 2023 The goal of a meniscus root tear repair is to locate the torn root and tack it back down to the bone using strong sutures. 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. The swelling started to go down, but there was now a lump behind my knee that felt like fluid. He has a great rapport with teenagers. And its really concerning and very disappointing for somebody whos gone through the knee surgery. While there are many factors that can go into extrusion, a maximum attempt should be made by the surgeon to try to pull the meniscus back in the joint to give the meniscus the best chance to function as a shock absorber after it heals. Meniscal Repair. We currently use UltraTape to do this. And I feel my rode to recovery will be wonderful. The first 6 weeks are a strict protection phase and the patient is non-weight bearing. The . I started Brazilian Jiu-Jitsu about four years ago. It is vital that meniscus repair patients do not squat for at least four months after the repair. 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. The meniscus is a crescent-shaped pad of cartilage located in the knee that helps stabilize and . The healing phase is long, but he does A+ work. It can also occur while bending the knee deeply. He made my daughter feel comfortable and made sure to listen to both of our concerns prior to his diagnosis. But youre also not alone. Meniscus Surgery: Who Needs It, What to Expect Before & After Are you an athlete who participates in sports that involve running and jumping? Non-anatomic root repairs do not restore normal joint biomechanics . As of August 20, 2019, it will be six months post-op. 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.
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