Everyone I was in contact with, from support staff to Dr. Burnham, was kind, friendly, competent, and generous with time and information. My surgery was at 8:30am Wednesday, February 20. Because this is a frequent question posed on Google, I will try to be modest in answering this. Keeping each meniscus in place are two roots that attach to the tibia (shin bone). Early weightbearing has been found to be the cause of meniscus root repair failure, and this has been validated by our colleagues. Get answers from Family Physicians and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. If scar tissue is present, Dr. Nwachukwu will clean up the area so the knee is allowed to move through its entire range of motion. El Paso, Texas 79903. Recommend highly. In younger patients, meniscus root tears often occur with a piece of bone being avulsed off the tibia. 5 wks into recovery of acl/meniscus tear surgery, I am still taking pain medicine. Patients who have an ACL tear have a 10% chance of having a lateral meniscus root tear. I got a lift home, and returned to the gym later that evening for more coaching. Meniscal Root Repair Kirkland | Meniscal Root Tear Seattle, Everett Thank you for choosing Dr. LaPrade as your healthcare provider. But its just not common knowledge to take six to 12 months to heal after a meniscus surgery. Rehabilitation Following Meniscal Root Repair: A Clinical Commentary If the patient has or has developed significant arthritis, which is usually designated at Kellgren-Lawrence grades 3 or 4, it is felt that a revision root repair may not be indicated. I press and bench with no modifications. Torn Meniscus | Meniscus Tear Treatment Options | Duke Health If the lateral meniscus root tear is not repaired at the same time as an ACL reconstruction, it is now recognized that this could lead to ACL graft failure or loosening over time. It took almost a week and a half for the swelling to go down, but there was still considerable swelling in my knee. 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. %PDF-1.5
I have two good arms, and a good leg. Removal Repair Example of Root Tear Repair Q: HOW DOES THE SURGEON DECIDE WHETHER TO PERFORM A REPAIR OR REMOVAL? Meniscus Root Repair & Recovery | Emily Socolinsky - Starting Strength 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. It is vital that meniscus repair patients do not squat for at least four months after the repair. 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 ~. These include 1-tunnel and 2-tunnel techniques. 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. Dr. Burnham made sure I knew what was happening and what could happen. According to a new study, it is safe for patients who underwent rotator cuff repair to safely return to driving two weeks after surgery. short distances based on their motion and
And I feel my rode to recovery will be wonderful. Next, sutures are placed in the meniscal attachment and threaded through the hole in the tibia. In particular, it has been found that one of the most common reasons why younger patients need total knee replacements is because of a neglected or undiagnosed meniscus root tear leading to the development of osteoarthritis. 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. As surgical techniques are being developed and refined, rehabilitation protocols for meniscal root repairs must be defined and tested. The arthroscopic meniscus repair is a procedure done to repair torn knee cartilage, usually for athletes. A possible cause for knee pain 1 year after meniscus surgery would be a re-tear of the meniscus. Meniscus root repair is a surgery performed to repair a torn meniscus root. That was day one. Well, this is not normal. The biggest mistake that people make after having a meniscus surgery is theyre doing too much way too soon. 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. Swelling and stiffness. Life happens and our bodies will sometimes let us down. Range of motion exercises occur more slowly than a standard meniscus repair and will continue for the first 4 weeks. Dr Burnham is so personable. But youre also not alone. 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. Specializes in Orthopedic Reconstructive Surgery. How Long Will My Knee Hurt After Meniscus Surgery If you're an athlete needing a doctor that understands; this is the guy. 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. Patients are allowed to walk 4-6 weeks after surgery. Dr. Burnham clearly cares about his patients and their follow up care. Dr. Nwachukwu and his team will have an individualized recovery program for the best healing success after your meniscal root repair. Patients \50 years had outcomes similar to those of patients !50 years, as did . Yet, if you feel discomfort, you can take over-the-counter pain medication. Synopsis There is a growing body of evidence surrounding the pathology and treatment of meniscal root tears. 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. Dr Burnhams bedside manner was exceptional. Torn Meniscus - Repair and Post Op Instructions 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. It can be very difficult to interpret an MRI after a meniscus root repair. I left my visit feeling very comfortable with where I was and what needed to happen next. Being stronger is always better than being weak. - 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. Eagan, MN 55121, I struggled with my knee for 18 months - having gone from 10,000 steps a day to only walking as needed. Two important criteria exist to begin driving after meniscus surgery. It is important to recognize that most patients who sustain isolated meniscus root tears happen with a medial meniscus root attachment. There can be many factors which can potentially cause pain after a meniscus root repair. I wont ever go anywhere else. This happens way more often than I like to admit. 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 . Dr. Burnham took his time and answered all my questions with explanations. In addition, if the medial meniscus is involved, active I felt very informed and well cared for. The second tip i need you to take home today is you need to listen to your knee because after youre on your own and youre youre supposed to be 80% better theres things that youll be able to do and go ahead and do those as long as they dont hurt or bother you or cause some effects later on that day or the next day then theyre generally going to be okay things for you to do you can probably do some walking but walking you know a few miles maybe not very comfortable for you that may set off the swelling that may hurt you more. 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. In general, in our practice, most patients who do have pain after a meniscus root repair fit into this category. 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. 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. Will Walking on a Torn Meniscus Make It Worse? Injury Care - Healthline 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. I was life flighted to MCR in Loveland, CO. My orthopedic injuries were severe, but totally missesd by the orthopedic team at Poudre. After a meniscus root repair, there is a prolonged period of non-weightbearing and restricted range of motion to allow proper healing. For these, please consult a doctor (virtually or in person). Meniscus Root Repair Northeast Philadelphia, PA | Meniscal Root Tears The meniscus is a cushion of the knee joint. Steadman Clinic, 181 W Meadow Drive, Suite 400, Vail, CO 81657, USA (email: drlaprade . They may start the use of a stationary bike, and may slowly wean off crutches starting at 6 weeks post-operatively. It is felt that most meniscus root tear repairs are sufficiently healed to start these activities between 5 and 7 months postoperatively. I finally decided to make an appointment with a knee specialist. He made my daughter feel comfortable and made sure to listen to both of our concerns prior to his diagnosis. 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. This may be recommended depending on the type of meniscus tear. The meniscus has 3 main zones, the 1) posterior horn, the 2) body, and the 3) anterior horn. Meniscus Root Repair - Joint Replacement Patient Forum First, we performed quantitative anatomy studies, which allowed us to see exactly where a meniscus root tear should be reattached. Posterior horn medial meniscus root tears have been particularly noted to be a problem with a large number of patients developing arthritis rather quickly. Hey - if he is good enough for Olympic and professional athletes..he's good enough for me! There was a large grade 4 chondral defect involving the central aspect of the trochlea, approximately 30mm in width by 25mm in length. In particular, making sure the meniscus has a thorough release from scar tissue and making sure that ones sutures or UltraTape are placed into the best substance possible for the meniscus root repair, are important considerations to maximize the chance of healing of the revision root repair procedure. 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. Are you an athlete who participates in sports that involve running and jumping? And they can get back to normal in about two or three months after having the surgery. Walk with crutches. How Long Is Recovery After a Meniscus Repair? xYIoH8(Jr@fI)/_U}|xW&JDIraqm I could not bear weight on my right side though I tried repeatedly, but finally I went and got an MRI and one of the orthopedic surgeons that I worked with was shocked when he saw the MRI result. Meniscus Root Repair - Joint Replacement Patient Forum Therefore, addressing a meniscus root tear prior to the development of osteoarthritis would be indicated. If you break down what most healthcare provision professionals tell their patients, it could be an orthopedic surgeon, or even a physical therapist, its telling somebody whos just had a meniscus surgery, theyll say, well, 80% of healing is done in the first two to three months. Hands down would recommend him!! 5 stars! Arthrex - Meniscal Root Repair Thanks to Dr. Burnham and his staff. Phase I of Rehab: Surgery until 8 weeks. First, one needs to ensure that the meniscus root is repairable and that there is not too much arthritis on that affected portion of the joint such that a meniscus root repair would not be recommended. Dr. Burnham & his staff are very personable & caring. There are two menisci in the knee, medial and lateral. Meniscus repair is usually done with arthroscopic surgery. 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. The menisci in the knee are two c-shaped pieces of fibrocartilage that act as shock absorbers. A meniscus root tear occurs when one or both of these roots tear away from the bone. Thank you. Historically, these root tears are often treated with benign neglect and either ignored or trimmed out. His MA Michelle was very professional and kind. 181 West Meadow Drive Suite 400 Vail, CO 81657. He diagnosed the problem quickly and accurately. On Wednesday, February 20, 2019, I had a meniscus root repair surgery on my left knee. Many meniscus tears can be treated successfully without surgery. Multiple large loose bodies were removed from my knee joint, the largest of which measured approximately 20mm. And they can get back to normal in about two or three months after having the surgery. They moved my knee a bit, and I had decent ROM, better than expected. The next step involves using a self-capture device to place either sutures or tape into the substance of the meniscus body. Historically, most root tears were treated with meniscectomies because the importance of the meniscus root as a shock absorber was not well known. <>
Ive dealt with other knee doctors in prior injuries, but Dr. Burham and his team clearly stood out. Matthias J. Feucht1,4 Received: 19 May 2022 / Accepted: 13 February 2023 Little information has been published regarding specific rehabilitation parameters for meniscal root repairs through all phases of rehabilitation. Rehabilitation Guidelines for Meniscal Repair of Root and Complex Tears I was also allowed to bear weight on my leg while in the brace, which meant no more seated presses. 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. Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. A meniscal repair or arthroscopic meniscectomy is a surgical procedure to repair a torn meniscus via keyhole surgery. Posterior Meniscal Root Repair Using a Meniscal Suture Device Most meniscus root tears require surgery. You'll likely regain your previous muscle strength in the leg by. 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. Meniscal Root Tears - Dr. Chris Jones Colorado Springs, CO As always, Dr. Burnham and his staff were caring, knowledgeable & professional at my recent visit. 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. Immediate and intense knee pain can signal a meniscus root tear, especially with pain at the back of the knee. 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. 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. It has now been demonstrated that the results of meniscectomies are almost the same as not treating the meniscus root tear at all with a large number of patients within 5 years proceeding to needing a total knee arthroplasty. After repairing the meniscus root, it is imperative that the patient remain 100% non-weight bearing for 6 weeks. I have looked many times for answers on my tibial tubercle osteotomy and never found any as detailed as i needed. Outcomes after Surgical Repair of Medial Meniscal Root Tears - PubMed
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