Specializes in Orthopedic Reconstructive Surgery. Surgical knee will be in a hinged rehab brace locked in FULL EXTENSION for 4 weeks postop. Dr. Burnham and Jerrica are AMAZING! Each patient was randomly selected to have knee meniscus surgery followed by rehab or to simply attend physical therapy without having surgery. Oct 24, 2020. Eventually, as I get into the mid 100s again, I will start adding five pounds a week.
Meniscus Root Tear | Orthopedic Knee Specialist | Vail, Aspen, Denver Upon examination, the doctor told me that I most likely had a meniscus tear, and that I should get an MRI. Prior to that, they are recommended to use crutches. Nothing. We love you! In general, in our practice, most patients who do have pain after a meniscus root repair fit into this category. The arthroscopic meniscus repair is a procedure done to repair torn knee cartilage, usually for athletes. Meniscus Repair. Prior to Starting Strength, I would have simply gone to physical therapy, done my exercises like the therapist told me to do, and that would have been it. Heel lift in opposite shoe to normalize gait. He was outstanding. In addition, the other factor is if the meniscus was released significantly enough from scar tissue to pull it back into the joint. As of August 20, 2019, it will be six months post-op. In particular, it is now recognized that the incidence of lateral meniscus root tears with an ACL tear is between 8% to 12%. Often the best medicine to take is NSAIDs like naproxen and ibuprofen. I was referred to Dr. Burnham from my spine doc, Chambliss Harrod, MD and he turned out to be a way cool guy. I am a coach, and I have two boys playing sports, the best thing I can say is that my sons will go see Dr. Burnham in the event they are injured, and I will always recommend him to my athletes. Just its a big deal to take your time and let that cartilage heal at the rate that it heals you generally can go faster than what it heals, And the question that i get often is do i take any supplements glucosamine chondroitin those types of supplements and you know the answer to that is its not going to hurt we the research is kind of mixed on it sometimes it helps sometimes it doesnt help what we know is that it generally doesnt hurt it doesnt make it worse so youre not going to youre not going to make things worse if you decide to take those supplements are generally safe to take but some people report no difference. That means that the remaining meniscus is smaller, but still taking the same pressure. They are connected to your tibia by meniscal roots. Therefore, any surgeon who performs ACL reconstruction should be well versed in performing a lateral meniscus root repair. The knee buckled and I thought, Shit. I have now biked five to six days each week since my surgery. 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 helps to be strong, my PT remarked. In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. 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. 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.
Meniscus Repair Surgery Rehab Protocol & Recovery Time - Kevin R. Stone The left knee was feeling great up until about a year and a half ago, when I started noticing some pain. Yet, if you feel discomfort, you can take over-the-counter pain medication. 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. I was training one afternoon, and I noticed some swelling, not too much, but enough for me to start keeping an eye on it. 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. The most common complication after a meniscus root repair is a re-tear. Meniscal root repair is a procedure that is performed to stabilize a torn meniscus attachment to the tibia (shinbone). 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. Ibuprofen (Advil, Motrin) Naproxen (Aleve) 2018;47:762. This is one of the first video demonstrations of this. You'll likely regain your previous muscle strength in the leg by. I asked when I could start driving, and he said when I was off my pain medication. Never disregard or delay professional medical advice in person because of anything on HealthTap. Dr. Ahmad M Hadied and another doctor agree, is on the left leg i let some patients
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. Meniscal Ramp Lesions. Two days after my surgery, Diego took me to my first PT session. Fig 1 (A) Meniscus 4 A-II device. Right Knee Surgery After Auto Bicycle Accident, Medical Second Opinion Service MRI/X-ray Review. Meniscus root tears usually occur in patients with deep flexion such as skiers, or home gardeners, plumbers, or carpet layers or people doing similar activities. Oftentimes, after having a meniscus surgery, people are told that theyll be fine.
Meniscal Repair - Physiopedia Meniscus Root Repair The most common method to fix meniscus root tears is through a tibial bone tunnel.
Can You Walk Immediately After Meniscus Surgery? - eMedicineHealth 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. Therefore, one should attempt a meniscus root repair whenever possible in most patients up to age 70. Healing kind of goes fast the beginning and then it tapers off. A meniscus that still has extrusion present also does not function as well over the long term. 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. Most patients will have pain with squatting and deep knee flexion with a root tear because a meniscus root tear occurs in the back of the knee. 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. Therefore, it is strongly recommended to proceed with a meniscus root repair whenever possible, with patients up to the age of 70 being reported as having excellent return of function. 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. Two weeks to the day, I got on my spin bike at the gym and did what I could do. So go check out that video on how to exercise your glutes theres five exercises in there that you can start doing them i would do them every day i do them a couple times a day even more if you can i would do what you can tolerate without it being too much soreness and your glute muscles and they should all generally be okay on your knee theres some where you got to kneel you can adjust it you can not do that exercise if you want. What to do if I have a radial meniscus tear, what's the chance of it fully healing with surgery? This step involves making a surgical incision or extending a previous surgical incision (such as with an ACL reconstruction) and ensuring that one is dissected down directly to bone. I press and bench with no modifications. . I really like and appreciate the time and effort he commits to research. 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. The other aspect that needs to be evaluated is the amount of extrusion of the meniscus. 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. Had I not been training all these years, I would not have had the slightest idea of how to rehab my knee after surgery. I was very pleased seeing Dr. Burnham, however I was not pleased to learn I was expected to pay an additional co- pay within the same week to receive the results of my MRI. 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. This is done to protect the repair and let the body heal it. Stated to me , in detail, what to expect and how long my recovery will take. 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. The technique of a meniscus root repair involves isolating the root, placing a minimum of 2 sutures in the remaining meniscal attachment, and trying to reposition it back to a more anatomic position. He is walking without a limb and is on schedule with his progress. 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. 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. 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. Should a meniscus tear repair surgery be hurting 7 weeks post-operation? Types of root tears: What most people just dont get from their medical professionals is that the meniscus is a type of cartilage. I asked him about biking, and he told me that he allowed his patients to start biking two weeks after surgery.
PDF Meniscal Root Repair Post-operative Rehabilitation Protocol I'm able to run and exercise without pain. 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. 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. EDINA- CROSSTOWN OFFICE The surgery performed was a knee partial meniscectomy, a common surgical procedure used to repair a torn meniscus. 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. 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. Thank you, Dr. LaPrade, for treating me with the care, focus, and expertise as if I was an Olympic athlete!- From your 63 year old very appreciative patent ~. Patients are allowed to walk 4-6 weeks after surgery. I dont remember how or when I tore my meniscus. 181 West Meadow Drive Suite 400 Vail, CO 81657. 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. By using our website, you consent to our use of cookies. The sutures are anchored to the tibia in order to stabilize the meniscus root attachment. Medication may be needed for 2-3 weeks. I think my clients thought I had lost my mind, but what else was I going to do? I would have relied strictly on physical therapy. The healing phase is long, but he does A+ work. 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. Meniscus root tears are a particularly troublesome type of meniscus tear, because a failure to treat them can often result in the rapid development of osteoarthritis. Iatrogenic meniscus root tears have been described for all 4 meniscal attachments in the knee. He has a great rapport with teenagers. Driving after meniscus surgery How soon can you drive after Arthroscopic Knee Surgery? 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. Unfortunately, I was still not allowed to bend my knee completely, so I was still doing all benching on one leg. 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.
PDF Posterior Meniscal Root Repairs Strength. There was also proliferative synovitis present throughout the patellofemoral joint, including the medial and lateral gutters. The second step is to prepare a bony bed where the meniscus repair will be performed. 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. 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. Synopsis There is a growing body of evidence surrounding the pathology and treatment of meniscal root tears. Often, a patient will be placed into an unloader brace if they are bowlegged to take some of the stress off the healing repair. Two weeks today I had meniscus root repair. My daughter recovered fully from a total knee reconstruction and now she able to return to sports. Fortunately, this is usually done arthroscopically and with good results. 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. 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. 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. There are 2 main variants of the transtibial root repair technique.
Outcomes after Surgical Repair of Medial Meniscal Root Tears - PubMed Meniscus root repair is most commonly performed arthroscopically under regional anesthesia. The blood supply to the meniscus in an adolescent or adult is very poor. Arrange for someone to drive you home as you will not be able to drive yourself after surgery. very elderly patients). Very 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. 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. It can be very difficult to interpret an MRI after a meniscus root repair. 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. Regular assessment of gait to avoid compensatory patterns. 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. Unlike some meniscus tears which can be observed or treated conservatively, most meniscus root tears need surgery. MENISCAL ROOT REPAIR POST-OPERATIVE ORDERS . This technique allows for the meniscus to be pulled down into a broad surface area, maximizing its chance for biologic healing.
Posterior Meniscal Root Repair Using a Meniscal Suture Device And theres things that you can do, which Ill allude to here in the middle. 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. Repairs have been found to delay or improve the findings of bony edema and the early onset of arthritis in many patients. Meniscus root repair rehab will usually start 1-2 days after surgery. He listens and address every concern with appropriate solutions. repair to heal. 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. Normally, you should refrain from driving for at least 1 week after an arthroscopic knee operation, until the swelling reduces and the knee motion improves, but you should establish with your doctor when it is safe to start driving. I would recommend his services to anyone. This allows the meniscus to heal back to the bone. Video chat with a U.S. board-certified doctor 24/7 in a minute. According to a new study, it is safe for patients who underwent rotator cuff repair to safely return to driving two weeks after surgery. And the good news is that it can be helped without another surgery. (Please keep reading below for more information on this treatment.). It hurt like hell. 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. Other non-medical modalities may help, such as using ice and elevating the leg.
Rehabilitation Following Meniscal Root Repair: A Clinical - JOSPT 5 wks into recovery of acl/meniscus tear surgery, I am still taking pain medicine. I hope that you found hope now that if you got if you had a meniscus surgery in the past and youre dealing with these problems of swelling the pain the loss of motion please start doing this this taking this advice that i gave you start doing the exercises and get better it is possible to get that swelling down and to get your motion back and to recover and be normal. Often, when a meniscus root is torn, it will retract in the joint and become stuck in place. Then I trained. (C, D) Arthrex MU (multiuse) guide with 6-mm FlipCutter drill positioned on footprint of posterior root of lateral meniscus. Your subscription could not be saved. The pain during my recovery has actually only been minimal, requiring no pain meds. 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. Your doctor may give you a nerve block before surgery and will prescribe pain-relieving medications after surgery. And its a lot slower for the remaining, you know, six to nine months after the first two or three months. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Two main repair techniques are described: (1) suture anchors (direct fixation) and (2) sutures pulled through a tibial tunnel (indirect fixation . To accomplish this goal, Dr. Nwachukwu drills a small hole from the outside of the tibia (shin bone) into the knee joint next to the natural attachment of the meniscus root. The Smith & Nephew root repair technique involves specific devices which can lower ones surgical time to perform a meniscus root repair. 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. The procedure can be a complete meniscectomy where the meniscus and the . These radial root tears are equivalent to a meniscus root tear. The swelling started to go down, but there was now a lump behind my knee that felt like fluid.
Patient Testimonials - Meniscus Root Repair Everett | OCD Repair of the Do minor meniscus tears require surgery or can it repair itself? In terms of how, the transtibial technique has been felt to be the most effective way to pull the meniscus root back to its normal attachment site.
Rehabilitation Following Meniscal Root Repair: A Clinical Commentary 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. drive the next day if they feel ok. 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. One should not look at age as a factor for meniscus root repairs. The feeling that your knee is giving way, locking, or catching when you bend it. You can schedule an office consultation with Dr. LaPrade. Created for people with ongoing healthcare needs but benefits everyone. It is very important for proper healing, that the placement of the root matches the original Footprint or attachment site. The American Journal of Sports Medicine. A possible cause for knee pain 1 year after meniscus surgery would be a re-tear of the meniscus. Doctors typically provide answers within 24 hours. Some patients may experience catching, clicking, or locking of their knee. The RICE (rest, ice, compression, elevation) principle can be useful in the first several days after a meniscus tear to help reduce inflammation, swelling, and pain. 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 . General anesthesia and a nerve block. Historically, these root tears are often treated with benign neglect and either ignored or trimmed out. And I feel my rode to recovery will be wonderful. 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. The average pain levels after a meniscus root repair fit between a basic knee arthroscopy (minimal pain) and an ACL reconstruction (more severe pain). As a result, two weeks after surgery I was able to start driving my car, which is a manual.