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A week later, I got my MRI results and I was told that this was going to be a very long recovery, but I had other plans. The meniscus root is where the meniscus attaches to bone. This technique is fast and effective. Strength is one of the most important aspects of our lives. Takes his time with you and doesn't hurry to rush out of the room if you have questions. 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. They are connected to your tibia by meniscal roots. Continuing to train, moving it as much as I could, bearing weight as much as I could tolerate, not sitting around, and NOT just doing PT exercises 1-2x times a week. (it is still a bit swollen). 1-2 Days After Surgery: Hospitalization for meniscus surgery is typically short. Following this 6 weeks, they begin weight bearing at 25% with crutches for 1 week, and then 75% weight bearing using 1 crutch for 1 additional week. What made my recovery so fast? He listens and address every concern with appropriate solutions. 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. So the focus of physical therapy after a knee meniscus surgery is getting your motion all the way back and then getting strong enough to stand and do some walking. So its important at the very beginning its appropriate at the very beginning to make sure that all your emotions back and that you can do some simple walking to and from the house even though hurts so that youre not you know having accidents and better so youre not having emergencies happening you need the function of your leg back. His step by step explanation of surgery expectations before and after the procedure was specific, thorough, and answered all of my questions. 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. But theres still healing to be done and that 20% is really critical. This is one of the first video demonstrations of this. United States. These radial root tears are equivalent to a meniscus root tear. I never met a doctor and his team that showed some much compassion about their patient. Doctors typically provide answers within 24 hours. . So that means youre good to go after two to three months. Do minor meniscus tears require surgery or can it repair itself? 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. This can occur with turning, twisting, or pivoting activities or sports. As a result, two weeks after surgery I was able to start driving my car, which is a manual. In addition, if the medial meniscus is involved, active I kept training, modifying my squatting as needed until I could get back to proper depth. Oct 24, 2020. Medication may be needed for 2-3 weeks. What most people just dont get from their medical professionals is that the meniscus is a type of cartilage. An ACL tear commonly has a pop on the outside of the knee, whereas a patient who has meniscus root tear commonly feels a pop in the back of the knee. Highly recommended! The incisions leave scars that usually fade in time. Dr. Burnham clearly cares about his patients and their follow up care. Edina, MN 55435, EAGAN-VIKING LAKES OFFICE Often, when a meniscus root is torn, it will retract in the joint and become stuck in place. It helps to be strong, my PT remarked. The Steadman Clinic - Edwards, CO amount of, supply and beyond the age of 15 has limited healing without surgery. PHONE: (952) 442-2163 | WEB: TCOMN.COM/PHYSICIANS/KYLE- MORGENSTERN/ . I was cleared from physical therapy on May 16, 2019, about three months after my surgery, and after only six PT sessions. The American Journal of Sports Medicine. For this reason, much research has gone in to meniscus root repairs over the last several years. My surgery was at 8:30am Wednesday, February 20. The second step is to prepare a bony bed where the meniscus repair will be performed. We use the 2-tunnel technique to maximize biologic healing of the meniscus down to a broad surface. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Dr Burnham is so personable. Is this a tear? Life happens and our bodies will sometimes let us down. Had I not been training all these years, I would not have had the slightest idea of how to rehab my knee after surgery. Untreated meniscus tears can increase in size and lead to complications, such as arthritis. 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. He did a great job of explaining both the progress of my injury and the way ahead as it applied to recovery. Dr Burnhams bedside manner was exceptional. 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. Then, in September, at the Charm City Strongwoman Contest, I sprinted into the gym from the outside looking for one of my volunteers. Super knowledgeable. Types of root tears: Your subscription could not be saved. Dr. Benedict Nwachukwu, orthopedic knee surgeon has extensive experience in treating meniscus root tears and can help patients in Manhattan, Brooklyn, New York City and the surrounding New York boroughs. The study included 351 patients with knee OA and meniscus tear. When the meniscus root is repaired there will be a prolonged period of restricted weight bearing and range of motion to protect the Get answers from Family Physicians and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. Thank you Dr. Burnham and Jerrica for everything! 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. 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. My pain was gone. Other complications can include a blood clot, which is usually treated preemptively with some type of blood thinner, and irritation around the surgical button and/or surgical knot from the meniscus root tear. At the beginning of April, I was dancing at a friends wedding when I suddenly heard and felt a loud pop in my left knee. The most important thing as one gets older is the quality of the cartilage present. 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. And Im a specialist physical therapist El Paso manual physical therapy. W;5$u4Yxa_V_bm}q8=^_qbY,H(+",X'{|oMs"&A;3.E s&L=Z`)!]$],b }zb& Y@dy.Lif1:4@"Fz"U2`/h0|6^T&}56+Q:Dn{d:rqW@3 7 U. I decided right then and there I would not get the MRI. Often, a patient will be placed into an unloader brace if they are bowlegged to take some of the stress off the healing repair. And get the pain under control and recover normally the way that you should have once you start doing the right things. I did a little internet searching, and diagnosed myself with a Bakers Cyst, which I discovered was pretty common with meniscus tears. 2 0 obj Dr. Burnham & his staff are very personable & caring. Country. 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. After you have surgery to repair a meniscus tear, you may need to build up your strength in the muscles of your leg that support your knee. questions after your surgery, during business hours call 763-302-2231. 5 stars! I switched out the single leg deadlifts for trap bar deadlifts on mats, and added low step ups on the left leg. He and his staff could not have been more helpful and professional. Meniscal root repair whether isolated or in combination with valgus HTO or ACL reconstruction, when indicated, was able to improve the clinical, functional and subjective results of the patients presented in this case series. Therefore, any surgeon who performs ACL reconstruction should be well versed in performing a lateral meniscus root repair. 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. 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. Drivers: The meniscus repair surgery to prevent osteoarthritis is expected to drive market development. Well, this is not normal. I press and bench with no modifications. The posterior roots are the most important as this is where a root tear occurs most commonly. 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. Keeping each meniscus in place are two roots that attach to the tibia (shin bone). Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. Because this is a frequent question posed on Google, I will try to be modest in answering this. Therefore, most meniscus root tears need to have the scar tissue released so the meniscus can be pulled back into the joint. Therefore, we then looked at surgical techniques and due to the fact that we had multiple second look arthroscopies after bone grafting for ACL reconstructions with meniscus root tears, that the 1-tunnel technique had more of a spot welding healing of the meniscus to bone whereas the 2-tunnel meniscus root repair technique had a much better healing surface of the meniscus to bone. Physical therapy exercises can help to improve muscle strength, knee range of motion, and decrease sensitivity to the pain. Definitely a Bakers Cyst, my doctor said when I saw him. 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. Patients \50 years had outcomes similar to those of patients !50 years, as did . This may be recommended depending on the type of meniscus tear. This is because the signs of arthritis are usually pain and swelling with activities. Can you tear your meniscus again after a surgery and if you do how can you tell? The back attachment of the medial meniscus, called a posterior horn attachment, is the most common location for meniscus root tears to occur. I switched from trap bar deadlifts to barbell rack pulls, continued to lower the box for squats and switched from single leg deadlifts to RDLs. I got rid of the box for squats the end of July. 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. Being stronger is always better than being weak. Swelling and stiffness. <> It is very important for proper healing, that the placement of the root matches the original Footprint or attachment site. We validated that the 2 simple suture technique had the least amount of loosening over time, but the other techniques were stronger. 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. This can occur in up to 20% of patients, even in the best of circumstances. There can be many factors which can potentially cause pain after a meniscus root repair. Walk with crutches. And the good news is that it can be helped without another surgery. Dr. Burnham and Jerrica are AMAZING! A meniscus root repair involves reattaching the meniscus back to bone where it has been torn. He diagnosed the problem quickly and accurately. The Steadman Clinic - Frisco, CO 226 Lusher Court Ste 101 Frisco, CO 80443. Most importantly, I have not missed a single coaching or training session since my surgery. All I can say is Dr. La Prade did an amazing job and I am not limited in any of my activites. Great doctor. Dr. Burnham and Jerrica did a great job taking care of all my orthopedic needs. Patients are allowed to walk 4-6 weeks after surgery. A meniscus root tear occurs when one or both of these roots tear away from the bone. He answered all of my concerns about my knee. This allows the meniscus to heal back to the bone. For this reasons, it is crucial to identifiy and treat meniscal root tears in a timely manner. I felt very informed and well cared for. There are 2 main variants of the transtibial root repair technique. His interaction with me around my surgery calmed me, and his excellent work in the operating room speaks for itself. I am now adding 10 pounds a week to the bar for squats. And slowly, I started bending the knee more, and eventually took the box away from my bench. Stated to me , in detail, what to expect and how long my recovery will take. Dr. Robert F. LaPrade operated on my right knee in May of 2010. 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 is a surgery performed to repair a torn meniscus root. Later that summer, the left knee began to bother meagain. Deconditioning of ones quadriceps muscles can also cause similar symptoms, so it is important to determine if one has any atrophy of their thigh muscles, usually measured as the thigh circumference 15 cm above the patella and compared to the opposite leg. 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. Partial weightbearing status (<50%), unless otherwise ordered by MD. And I feel my rode to recovery will be wonderful. Most of these types of injuries, that are symptomatic, require surgery. (including injections and arthroscopic surgery), I heard Dr. La Prade was going to practice in the Twin Cities - where I live, & waited for him, based on his renown reputation. 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. If the patient is not comfortable walking without an aid, then they are usually provided with axillary crutches. 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. A written consent will be obtained from you after the surgical procedure has been explained in detail. Meniscus repair recovery While everyone's recovery is different, here's what you can typically expect with a repair surgery: You may be on crutches for four to six weeks. A meniscus root tear can occur due to a traumatic event or degeneration. Few tears will become. Im telling you right now its going to take six to 12 months just erase that number that they gave you in your head and i wouldnt go argue with them because they may not have all the knowledge and understanding behind it and truth be told surgeons oftentimes you know once they finish their surgery theyre kind of done with you. Phase I of Rehab: Surgery until 8 weeks. Two weeks today I had meniscus root repair. HSS Sports Medicine Institute West Side The left knee was feeling great up until about a year and a half ago, when I started noticing some pain. %PDF-1.5 We found that the technique was very successful at restoring function to patients and significantly reducing their pain. 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. Two cannulas are subsequently placed into the area of bone that was decorticated to allow for the transtibial 2-tunnel technique to be performed. <>>> Very professional! If the meniscus is extruded, the patient may not be having a restoration of their shock-absorbing capacity of the meniscus. Meniscal root avulsions are a challenging injury causing meniscal extrusion and loss of hoop stress distribution, which can lead to the development of knee arthritis.1 Securing the meniscus in a small bone socket has proven to be an effective means to restore hoop stresses and improve outcomes.2 The FlipCutter II reamer and meniscal root marking hook allow for a minimally invasive . Of patients treated with medial meniscal posterior root repair, 62.43% demonstrated complete healing on follow-up magnetic resonance imaging (MRI) or second-look arthroscopy. 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. Repairs have been found to delay or improve the findings of bony edema and the early onset of arthritis in many patients. So you need to just have that expectation right now if youre going to go get a surgery, or if youve already had one, if its been more than six months, or youre in that you know, past six months, six to 12 months range or longer since your meniscus surgery, then its okay as long as you dont have another tear or some other massive injury to it, you can probably get that swelling under control, regain your motion back as long as it hasnt been too long. Meniscal Repair. Call your doctor or 911 if you think you may have a medical emergency. The aftercare and recovery require postoperative protection to allow healing. PT or exercise can be useful BUT take note of these the BoneSmart view on exercise BoneSmart philosophy for sensible post op therapy 5. And most likely, a meniscus tear.. 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 daughter journey was very trying and hard but we made it through with all of their help. A patient who has a Meniscus (cartilage) repair cannot twist, pivot, squat, deep knee bends, or engage in any impact activities for four months. Dr Jeremy Burnham has a great way of interacting with his patients. Meniscal Root Repair Post-operative Rehabilitation Protocol Phase 1: 0-2 weeks post-operatively Goals . 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. Medial Patellofemoral Ligament (MPFL) Reconstruction . 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. 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. The meniscus has 3 main zones, the 1) posterior horn, the 2) body, and the 3) anterior horn. 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. If youre watching this video today, and youre considering having a meniscus surgery for your knee, then youll want to listen closely so that you dont make this mistake after you have your meniscus surgery. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. We had a wonderful experience and I highly recommend him. And they can get back to normal in about two or three months after having the surgery. Should a meniscus tear repair surgery be hurting 7 weeks post-operation? Arner, J.W., Herbst, E.. Meniscal Root Repair Article. This technique allows one to place passing stiches up the cannula, which has significantly decreased the operative time. In determining if one can have a revision root repair, one needs to determine the cause of the failure as well as the amount of underlying arthritis. It took almost a week and a half for the swelling to go down, but there was still considerable swelling in my knee. If you think you may have a meniscus tear, it is recommended that you see a sports medicine physician as soon as possible.