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In some cases, its important that you take away from this video today that it takes six to 12 months to heal from a meniscus surgery. And thats the 80% fact is true that does happen. 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. Then, in January of 2018, while warming up in class one morning, a sharp, nauseating pain shot through my left knee, which made me start limping. His MA Michelle was very professional and kind. 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. Unlike some meniscus tears which can be observed or treated conservatively, most meniscus root tears need surgery. Stationary biking is allowed after 6-weeks with Dr. Nwachukwus approval and assessment of healing. Two weeks today I had meniscus root repair. Everyone I was in contact with, from support staff to Dr. Burnham, was kind, friendly, competent, and generous with time and information. Dr. Jeremy Burnham did a reconstruction of my ACL on April 19th. Well, this is not normal. Towards the middle of March, I was finally given wall slides (mini squats) and step ups for the left leg by my physical therapist. I switched out the single leg deadlifts for trap bar deadlifts on mats, and added low step ups on the left leg. Meniscus root repair is a surgery performed to repair a torn meniscus root. One should assess the range of motion at that point in time that can be performed in a safe zone to make sure that the physical therapist does not flex them harder in this time frame. Medial meniscus root repair midterm results suggest excellent outcomes in a well-aligned knee with minimal degenerative change. Thank you for choosing Dr. LaPrade as your healthcare provider. 1 0 obj After about two hours, I got up, crutched into the kitchen, brewed a pot of coffee and made myself some pancakes. While there are a small number of patients who do have their meniscus root re-tear, this has been nowhere near as common as the other sources noted above. endobj It was tough, and it hurt like hell, but I took it slowly. 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. I press and bench with no modifications. The most important difference is that rehabilitation following a meniscal repair requires limiting early postoperative weight bearing and knee flexion beyond 90 degrees to . Fortunately, this is usually done arthroscopically and with good results. Country. My experience with Dr. Burnham and his staff was exceptional. (E) Horizontalized FlipCutter drill ready to drill 10-mm-deep tibial tunnel. Dr LaPrade performed a deep root repair to my meniscus, which saved me from a knee replacement at this time. 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. Therefore, the transtibial meniscus root repair technique is by far the most common procedure that is performed. So happy I found them! I sat down and put together a training program with exercises I could do, and trained four days a week as normal. 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. It has been found that one suture alone for the repair does not work well, so a minimum of 2 sutures is required to maximize meniscal healing. 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. The meniscus is a cushion of the knee joint. 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. There are two ways to initiate a consultation with Dr. LaPrade: You can providecurrentX-rays and/or MRIs for a clinical case review with Dr. LaPrade. Your knee will be swollen. The posterior roots are the most important as this is where a root tear occurs most commonly. And this channel is dedicated to helping people stay healthy, active and mobile. The menisci in the knee are two c-shaped pieces of fibrocartilage that act as shock absorbers. 4010 W. 65th St. Synopsis There is a growing body of evidence surrounding the pathology and treatment of meniscal root tears. In layman terms, I had completely torn my medial meniscus from the bone, and it had to be sewn back on. Single leg deadlifts on the good leg, reverse hypers, and dumbbell bench. The most common complication after a meniscus root repair is a re-tear. The patients are mostly allowed to walk immediately after arthroscopic knee surgeries. A meniscus root tear can occur due to a traumatic event or degeneration. 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. I kept training, modifying my squatting as needed until I could get back to proper depth. He will now be caring for my hip and knee in the future. If the patient is not comfortable walking without an aid, then they are usually provided with axillary crutches. The why answer is that the meniscus root is an important stabilizer to the meniscus to ensure that it can function as effectively as possible as a shock absorber. This is done to protect the repair and let the body heal it. At my third visit to PT, I was told that I had completely broken my PT protocol, and was better for it. 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. No swelling. He did a great job of explaining both the progress of my injury and the way ahead as it applied to recovery. Highly recommended! I limped from the wedding venue to the car, and then from the car to my house. 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 incisions leave scars that usually fade in time. Thanks to his staff for being so helpful. I continued to lower the box for squats, and started to add weight. The blood supply to the meniscus in an adolescent or adult is very poor. 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. 5 stars! He then drills a hole from the front of the tibia, into the root area and brings the sutures through the hole in order to tie them together and hold the tissue in place. I was training one afternoon, and I noticed some swelling, not too much, but enough for me to start keeping an eye on it. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. In radiologic terms, this is called a bony ossicle. The technique for a repair for a bony avulsion, called a type 5 meniscus root tear, is similar to the other techniques other than it should have the bone piece shaved down and cleaned off such that it can be pulled back into the area where it had been avulsed from. Types of root tears: An iatrogenic meniscus root tear means that a tunnel was drilled for an ACL or PCL reconstruction and hit the meniscus root and detached it from bone. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. 28323545 Additionally, preparing 2 transtibial tunnels to secure the meniscal root to its attachment site further increases the I was cleared to drive at my followup appointment 2 weeks after surgery, which was exactly what my surgeon had told me to expect. We have published on several of these, noting that a PCL tunnel which is placed too close to the joint can detach the posterior horn of the medial meniscus and lead to the development of arthritis of the medial compartment. A sports medicine specialist will examine your knee and any relevant imaging to determine which treatment you should start with first. The Steadman Clinic - Frisco, CO 226 Lusher Court Ste 101 Frisco, CO 80443. These are totally different. This allows the meniscus to heal back to the bone. 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. Surgical repair can successfully allow the meniscus to heal. Very reassuring, showed me X-rays and explained the healing process very clearly. Repair of the meniscal root significantly increased functional outcomes scores in 14 of 14 studies and the rate of conversion to TKA was considerably less than those observed following conservative treatment or partial meniscectomy. 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 2 main variants of the transtibial root repair technique. He diagnosed the problem quickly and accurately. Therefore, any surgeon who performs ACL reconstruction should be well versed in performing a lateral meniscus root repair. <>>> I chose not to use my crutches anymore. while avoiding unnecessary surgery, injections, and medications. You may need to leave a message. 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. You can't walk right after surgery. My surgery was at 8:30am Wednesday, February 20. 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. It can be very difficult to interpret an MRI after a meniscus root repair. dressing in 48 hrs and may let them drive I was referred to Dr. Burnham from my spine doc, Chambliss Harrod, MD and he turned out to be a way cool guy. Meniscal Repair. His step by step explanation of surgery expectations before and after the procedure was specific, thorough, and answered all of my questions. 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. 4 0 obj The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. Early weightbearing has been found to be the cause of meniscus root repair failure, and this has been validated by our colleagues. importance of the meniscus root has become more apparent. Meniscus root repair is a surgery performed to repair a torn meniscus root. The meniscus is a piece of cartilage in the knee, often injured in sports. A physical therapist will be assigned to you and begin a routine of light exercise to help stabilize the knee. 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. 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. I walked around the gym with the crutches, and without the crutches. 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. 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. Your subscription could not be saved. 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. 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 . 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. First, we performed quantitative anatomy studies, which allowed us to see exactly where a meniscus root tear should be reattached. If it is the right knee, the average time until the patient is able to drive is 6-9 weeks. They have poor healing potential, and are extremely important to the stability and cushioning of the knee. with time whether there is healing or not. A meniscus repair to the knee cartilage is a minimally invasive surgery that can normally be performed on an outpatient basis. The best surgeon is Baton Rouge that actually care about his patients!!! Dr. Burnham has an awesome bedside manner. I had shoulder cuff repair, involving 2 ligaments & bone spurs, only 6 weeks ago. Two weeks. amount of, supply and beyond the age of 15 has limited healing without surgery. Dr. Burnham is extremely professional, knowledgeable, understanding, kind, and precise. And Im a specialist physical therapist El Paso manual physical therapy. 2018;47:762. Dr. Burnham clearly cares about his patients and their follow up care. But its just not common knowledge to take six to 12 months to heal after a meniscus surgery. Robert LaPrade, MD, PhD Oftentimes, after having a meniscus surgery, people are told that they'll be fine. Meniscal root repairs and radial tear repairs should be progressed slowly because the tear involves complete disruption of the circumferential fibers of the meniscus. The feeling that your knee is giving way, locking, or catching when you bend it. For these, please consult a doctor (virtually or in person). 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. That was day one. If there is tissue there, it usually means that the meniscus root repair has healed down to bone. 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. 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. It hurt like hell. The most important thing as one gets older is the quality of the cartilage present. MENISCAL ROOT REPAIR POST-OPERATIVE ORDERS . This usually presents with pain along the inside or medial portion of the joint and with swelling with activities. 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 28 day knee health and wellness boost program you can also find that in the link and as a link in the description below. Meniscus root repair surgery recovery Most patients can return to full activity 4-6 months after a meniscus root repair. This may be recommended depending on the type of meniscus tear. It helps to be strong, my PT remarked. . 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. Jerrica, Dr. Burnham, and the therapy staff (Luke and Joey )were awesome. Please help. And I feel my rode to recovery will be wonderful. When a tear of the meniscal root, or even a tear near the root, occurs, the meniscus can no longer convert axial loading forces into hoop stresses. This technique allows one to place passing stiches up the cannula, which has significantly decreased the operative time. 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. And Im a specialist physical therapist El Paso manual physical therapy. 3 0 obj Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. All I can say is Dr. La Prade did an amazing job and I am not limited in any of my activites. In the end he offered the best treatment for me.This is the first time in months that I have felt myself. The therapists were a little surprised to see me so soon after my surgery, but I really wanted to know how much range of motion I had post-surgery. They moved my knee a bit, and I had decent ROM, better than expected. Appreciate the attention and time spent during office visits. Wednesday: 8:00 am 5:00 pm Dr. La Prade had just moved to Vail and I was his 2nd patient @ The Steadman Clinic. Strength. There was a large grade 4 chondral defect involving the central aspect of the trochlea, approximately 30mm in width by 25mm in length. What could you eat or do for a meniscus tear to heal faster after surgery? 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.

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