Conclusion: Outcomes after posterior meniscal root repair significantly improved postoperatively and patient satisfaction was high, regardless of age or meniscal laterality. Dr. Burnham was very thorough with his examination and diagnosis. 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. Two weeks. When I woke up I was in significant pain but the nurses had it under control by the time I left. Well, this is not normal. Therefore, we found that non-anatomic meniscus root tear repairs were not successful. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. His step by step explanation of surgery expectations before and after the procedure was specific, thorough, and answered all of my questions. 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. Highlights from the StartingStrength Community. The length of time until patients are able to return to driving varies . My repair will be later this week on my right leg. They are connected to your tibia by meniscal roots. You may need to leave a message. 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. My name is Dr. David Middaugh. Life happens and our bodies will sometimes let us down. Really a national leader in sports medicine! This specific type of tear makes up 90% of all meniscal root tears. (B) Posterior root lesion of lateral meniscus. At my third visit to PT, I was told that I had completely broken my PT protocol, and was better for it. 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. Non-anatomic root repairs do not restore normal joint biomechanics . You may need surgery to restore full knee function. We love you! 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. Early weightbearing has been found to be the cause of meniscus root repair failure, and this has been validated by our colleagues. 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. If patients put weight on the knee immediately after the repair, the forces on . 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. Each horn is anchored to the bone at the meniscus root (anterior and posterior). Should a meniscus tear repair surgery be hurting 7 weeks post-operation? Meniscus root repair surgeon, Doctor Benedict Nwachukwu provides diagnosis as well as surgical and nonsurgical treatment options for patients in Manhattan, New York City, NY who need meniscus root repair surgery. Recommend highly. Because this is a frequent question posed on Google, I will try to be modest in answering this. 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 goal of a meniscus root tear repair is to locate the torn root and tack it back down to the bone using strong sutures. Most patients with meniscal root tears will ultimately need surgical fixation of the root. Ill def refer friends and family! Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. Most of these types of injuries, that are symptomatic, require surgery. The second step is to prepare a bony bed where the meniscus repair will be performed. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again. endobj
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I would highly recommend Dr Burnham and all of his surrounding colleagues at Ochsner. Definition/Description. There are 2 main variants of the transtibial root repair technique. Meniscal Ramp Lesions. A meniscal repair or arthroscopic meniscectomy is a surgical procedure to repair a torn meniscus via keyhole surgery. Medial Patellofemoral Ligament (MPFL) Reconstruction . So that means youre good to go after two to three months. Dr. Nwachukwu and his team will have an individualized recovery program for the best healing success after your meniscal root repair. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. This is because the signs of arthritis are usually pain and swelling with activities. If there is tissue there, it usually means that the meniscus root repair has healed down to bone. The healing phase is long, but he does A+ work. And thats the 80% fact is true that does happen. Some patients may experience catching, clicking, or locking of their knee. For these, please consult a doctor (virtually or in person). The meniscus is a piece of cartilage in the knee, often injured in sports. Your doctor may give you a nerve block before surgery and will prescribe pain-relieving medications after surgery. Right Knee Surgery After Auto Bicycle Accident, Medical Second Opinion Service MRI/X-ray Review. By using our website, you consent to our use of cookies. With an injury like this you want the best, and Dr. Burnham is the best. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 12 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
Full recovery usually takes 6 months but can take up to 1 year. Dr. Burnham & his staff are very personable & caring. And get the pain under control and recover normally the way that you should have once you start doing the right things. As surgical techniques are being developed and refined, rehabilitation protocols for meniscal root repairs must be defined and tested. These results reveal that, since all the variables and possible concomitant injuries are investigated and addressed, MRR . (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. Meniscal Root Repair Post-operative Rehabilitation Protocol Phase 1: 0-2 weeks post-operatively Goals . PHONE: (952) 442-2163 | WEB: TCOMN.COM/PHYSICIANS/KYLE- MORGENSTERN/ . If the surgery is on the right leg i change to
For potential or actual medical emergencies, immediately call 911 or your local emergency service. Sit at home on the couch and watch T.V.? 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. Doctor Burnham and his staff were so helpful providing all the pros and cons associated with having surgery. Heavy lifting, manual labor, strenuous exercise/activity, and sports should all be restricted until 3-6 months after surgery. The protocol is divided into phases. I have now biked five to six days each week since my surgery. We had a wonderful experience and I highly recommend him. 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. What most people just dont get from their medical professionals is that the meniscus is a type of cartilage. 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. . Your subscription could not be saved. I wasnt taking any pain medication either, so I was alert. This can occur with turning, twisting, or pivoting activities or sports. 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. What was going to help my knee? 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. And cartilage is one of the slowest healing tissues in the body. And the good news is that it can be helped without another surgery. A meniscus root tear can occur due to a traumatic event or degeneration. A friend of mine picked me up, and took me to the gym, where I coached my clients, sometimes sitting, sometimes standing. This may be recommended depending on the type of meniscus tear. They moved my knee a bit, and I had decent ROM, better than expected. 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. I got a lift home, and returned to the gym later that evening for more coaching. On Wednesday, February 20, 2019, I had a meniscus root repair surgery on my left knee. Currently, there are mini First-Pass devices that curve to the right and the left, which allows increased access to a root tear, especially since most root tears tend to squirt to the back part of the joint and can be more difficult to access with a straight biter. It involves removal of some or all of a meniscus from the tibio-femoral joint of the knee using arthroscopic (keyhole) surgery. But its just not common knowledge to take six to 12 months to heal after a meniscus surgery. Can you tear your meniscus again after a surgery and if you do how can you tell? Browse archives. 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. For this reasons, it is crucial to identifiy and treat meniscal root tears in a timely manner. Definitely recommend. Protect repair Minimize pain Minimize swelling Meniscus root repair is most commonly performed arthroscopically under regional anesthesia. And theres things that you can do, which Ill allude to here in the middle. Other sources of pain can include scarring within the joint that occurs as a normal part of a surgical procedure, or pain from other pathology and joint, such as arthritis under the kneecap. 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. Dr. Robert F. LaPrade operated on my right knee in May of 2010. It was press/bench day, so I set up for some seated presses and dragged a stool over to prop my left leg up while I benched. I would have relied strictly on physical therapy. Upon examination, the doctor told me that I most likely had a meniscus tear, and that I should get an MRI. As of August 20, 2019, it will be six months post-op. 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. 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. The next step involves using a self-capture device to place either sutures or tape into the substance of the meniscus body. Two important criteria exist to begin driving after meniscus surgery. 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. Dr. Burnham performed my hip pin surgery and it all went extremely well. Thus, the entire weight of the body is transmitted through the femur into the cartilage of the knee. Two weeks today I had meniscus root repair. Never disregard or delay professional medical advice in person because of anything on HealthTap. Your care after surgery may involve: Crutches to take stress off the knee as it heals. We have published and validated our results in the peer-reviewed literature, which was at the time the largest series of meniscus root repairs reported. Fortunately, this is usually done arthroscopically and with good results. Progression of range of motion is more limited than for a standard meniscus root repair, usually limiting patients to 0-60 or 0-90 degrees range of motion for the first 4 weeks and then slowly increasing range of motion as tolerated. You'll likely regain your previous muscle strength in the leg by. Multiple large loose bodies were removed from my knee joint, the largest of which measured approximately 20mm. My pain was gone. Heel lift in opposite shoe to normalize gait. A possible cause for knee pain 1 year after meniscus surgery would be a re-tear of the meniscus. Most meniscus root tears require surgery. The next day, my left knee blew up to the size of a grapefruit. A meniscus root tear usually will not heal on its own. Meniscal repairs offer the benefit of preserving the native meniscus, but they require a longer rehabilitation protocol as compared to a meniscectomy. Untreated meniscus tears can increase in size and lead to complications, such as arthritis. I got rid of the box for squats the end of July. A meniscus can become damaged due to sudden trauma. HSS Sports Medicine Institute West Side . He has repaired both of my shoulders and he is awesome to the max. 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. 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. I sat down and put together a training program with exercises I could do, and trained four days a week as normal. Thank you for choosing Dr. LaPrade as your healthcare provider. Is this normal? 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. Two weeks to the day, I got on my spin bike at the gym and did what I could do. This happens way more often than I like to admit. In this procedure, the torn meniscus is sewn back together using arthroscopy to place small stitches. GREAT DOCTOR VERY CARING AND KNOWLEDGEABLE!! 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. It was tough, and it hurt like hell, but I took it slowly.
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