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. 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. The protocol is divided into phases. They explain things very well. After a meniscus root repair, there is a prolonged period of non-weightbearing and restricted range of motion to allow proper healing. You may need to leave a message. 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. They are also important to the stability and function of the knee, keeping the meniscus in place. His team is prompt, thorough, and fun - always smiles. Your knee will be swollen. Some patients may experience catching, clicking, or locking of their knee. I put a knee brace on and made it through class, but by the time I drove home I could barely bend my knee. He spent a great amount of time explaining everything to me in a way that I understood everything. I was life flighted to MCR in Loveland, CO. My orthopedic injuries were severe, but totally missesd by the orthopedic team at Poudre. 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. I switched out the single leg deadlifts for trap bar deadlifts on mats, and added low step ups on the left leg. Dr Burnham is so personable. #JimmyWinkfield is 1 of 5 men to win the prestigious twitter.com/i/web/status/1, What are #loosebodies in the #hip? If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again. 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. And thats the 80% fact is true that does happen. The next steps involve placing self-capture sutures into the end of the meniscus root and then drilling cannulas into the area that was decorticated such that the sutures placed into the meniscus can be shuttled down the cannulas and then tied over the tibia. 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. Two important criteria exist to begin driving after meniscus surgery. 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 . Life happens and our bodies will sometimes let us down. I decided right then and there I would not get the MRI. 2700 Vikings Circle 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. Two days after my surgery, Diego took me to my first PT session. And theres things that you can do, which Ill allude to here in the middle. The posterior roots are the most important as this is where a root tear occurs most commonly. drive the next day if they feel ok. 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. The meniscus is a very important piece of cartilage in the knee. A meniscus that still has extrusion present also does not function as well over the long term. The feeling that your knee is giving way, locking, or catching when you bend it. 2601 E. Yandell Drive, Suite 232 What most people just don't get from their medical professionals is that the meniscus is a type of cartilage. There goes my knee again.. My 14 year old son originally went in to see Dr. Burnham very scared (he hadn't had an injury before) and he was instantly made to feel at ease. Highly recommended! Few tears will become. The pain during my recovery has actually only been minimal, requiring no pain meds. I limped from the wedding venue to the car, and then from the car to my house. It is important to recognize that most patients who sustain isolated meniscus root tears happen with a medial meniscus root attachment. Surgical repair can successfully allow the meniscus to heal. Arner, J.W., Herbst, E.. Meniscal Root Repair Article. Dr. Burnham has an awesome bedside manner. 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. I started Brazilian Jiu-Jitsu about four years ago. very elderly patients). In particular, it is now recognized that the incidence of lateral meniscus root tears with an ACL tear is between 8% to 12%. 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. 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. And now theyre kind of back to the way they were before the surgery. endobj Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. Are you an athlete who participates in sports that involve running and jumping? I highly recommend him. 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 second step is to prepare a bony bed where the meniscus repair will be performed. For more information on meniscus root tears of the knee and meniscus root repair surgery, please contact the office of Benedict Nwachukwu, MD, orthopedic knee specialist serving Manhattan, New York City and the surrounding New York boroughs. (B) Posterior root lesion of lateral meniscus. Thanks to Dr. Burnham and his staff. If one does a meniscus root repair in that extruded position, the chance of a meniscus root repair working over the long term is very minimal. A meniscus root repair involves reattaching the meniscus back to bone where it has been torn. Why would I? I could no longer deadlift from the floor, and was having trouble squatting below parallel. I sat down and put together a training program with exercises I could do, and trained four days a week as normal. United States. (it is still a bit swollen). And they can get back to normal in about two or three months after having the surgery. General anesthesia and a nerve block. 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. Robert LaPrade, MD, PhD They walked me through the process from beginning to end. A torn meniscus can result in either sudden or gradual onset of pain. This technique allows for the meniscus to be pulled down into a broad surface area, maximizing its chance for biologic healing. 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. Matthias J. Feucht1,4 Received: 19 May 2022 / Accepted: 13 February 2023 But youre also not alone. Also, I had to make numerous visits to the Ochsner Clinic due to my injury and Dr. Burnham's team and the staff at Ochsner were always very professional and courteous. Therefore, any surgeon who performs ACL reconstruction should be well versed in performing a lateral meniscus root repair. What was going to help my knee? The most common root repair technique is called a transtibial technique. Both my children have seen Dr. Burnham with great results. A meniscus root tear can occur due to a traumatic event or degeneration. What do you suggest if my MRI says that I have a horizontal tear in the body of the lateral meniscus is shown do I need surgery? You will feel tired for several days. You can schedule an office consultation with Dr. LaPrade. During the procedure, Dr. Vidal will isolate the root, pull it against the tibia and place sutures in the meniscal attachment. Regular assessment of gait to avoid compensatory patterns. 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. If not treated, part of the meniscus may come loose and slip into the joint. A meniscal repair is a keyhole surgery technique for repairing a ripped meniscus.. What made my recovery so fast? He has a great rapport with teenagers. Realize that, as discussed above, the torn part of your meniscus was removed. 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. Each patient was randomly selected to have knee meniscus surgery followed by rehab or to simply attend physical therapy without having surgery. 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. Studies have demonstrated that this type of repair technique restores similar shock-absorbing and cushioning function as normal meniscus before it tore. GREAT DOCTOR VERY CARING AND KNOWLEDGEABLE!! When the tear is examined during arthroscopy, Dr. Hess will decide if the tear is able to be repaired . while avoiding unnecessary surgery, injections, and medications. Therefore, we found that non-anatomic meniscus root tear repairs were not successful. . The length of time until patients are able to return to driving varies . Previous attempts to make it better provided only temporary relief. Meniscus root repair vs meniscectomy or nonoperative management to prevent knee osteoarthritis after medial meniscus root tears: Clinical and economic effectiveness. 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. This mechanism of injury and the description of a pop is the classic description of one who has a meniscus root tear occur. This is important because these repairs are still quite tenuous with current technology, so it is important to try to put the meniscus back into a position where there would not be a lot of tension on the repair with knee range of motion. My repair will be later this week on my right leg. In our hands, because we have performed many second look arthroscopies, we have found that the 2-tunnel technique allows for a broader surface area of the meniscus against the decorticated bone and seems to allow for a more solid and secure repair. The recovery time for meniscus surgery depends on the type of surgery you had. As always, Dr. Burnham and his staff were caring, knowledgeable & professional at my recent visit. 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. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Identifying and properly treating meniscus tears (with or without surgery) will lead to the most rapid reduction in your symptoms and is crucial to optimize the long term health of your knee. Dr. Burnham made sure I knew what was happening and what could happen. 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. 4. When these are torn, the loading of the joint is equivalent to having no meniscus on the affected side. Dr. Jeremy Burnham did a reconstruction of my ACL on April 19th. I asked when I could start driving, and he said when I was off my pain medication. Great shoulder doc. When you put weight on your leg, it is the meniscal roots that transfer the axial loading forces of the knee into hoop stress in the meniscus. 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. 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 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. 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. Weight bearing as tolerated after 6 weeks. Full recovery from meniscus surgery can take anywhere from six weeks to three months. And I feel my rode to recovery will be wonderful. The best surgeon is Baton Rouge that actually care about his patients!!! I also started boxing sessions once a week with one of my coaches as I am not allowed to start back to BJJ until September. They are also important to the stability and function of the knee, keeping the meniscus in place. After creating two transtibial tunnels, passing sutures through the detached root of the meniscus and down the tibial tunnels, the sutures are tensioned to reduce the root of the meniscus to anatomic position. 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. The aftercare and recovery require postoperative protection to allow healing. Healing kind of goes fast the beginning and then it tapers off. His step by step explanation of surgery expectations before and after the procedure was specific, thorough, and answered all of my questions. Driving after meniscus surgery How soon can you drive after Arthroscopic Knee Surgery? If one has too much arthritis, then the chance of a meniscus root repair helping one to slow down the progression of arthritis is probably not worth having the meniscus root repaired. Meniscus root repair is most commonly performed arthroscopically under regional anesthesia. Thank you for choosing Dr. LaPrade as your healthcare provider. Dr. Burnham was very personable and explained my situation in great detail. This is one of the first video demonstrations of this. BJJ was also becoming more and more of an issue, and the warm-ups were now next to impossible. 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. <>>> Patients often report hearing a pop at the time of injury. The most common method to fix meniscus root tears is through a tibial bone tunnel. Being aware of the location of the meniscal attachments at the time of ACL and PCL surgeries is essential to minimize the chance of an iatrogenic root tear. Highlights from the StartingStrength Community. First, we performed quantitative anatomy studies, which allowed us to see exactly where a meniscus root tear should be reattached. Meniscus root repair is a surgery performed to repair a torn meniscus root. Most importantly, I have not missed a single coaching or training session since my surgery. We use the 2-tunnel technique to maximize biologic healing of the meniscus down to a broad surface. Strength. The Smith & Nephew root repair technique involves specific devices which can lower ones surgical time to perform a meniscus root repair. The healing phase is long, but he does A+ work. Great doctor. 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. I have see all three orthopedic doctors at the Grove and Jerrica is the one I see the most and the latest she's absolutely wonderful. A meniscus root tear usually will not heal on its own. 5 wks into recovery of acl/meniscus tear surgery, I am still taking pain medicine. I was training one afternoon, and I noticed some swelling, not too much, but enough for me to start keeping an eye on it. While you're recovering from your meniscus surgery, you can expect to feel pain while you heal. It was glorious. We love you! And most likely, a meniscus tear.. How long did you have to avoid driving after meniscus surgery? Your doctor put a lighted tubecalled an arthroscope or scopeand other surgical tools through small cuts (incisions) in your knee. I was told it would be about 6 weeks, but my instructions are to wear a brace at full extension for the duration of this time. I would recommend his services to anyone. Had I not been training all these years, I would not have had the slightest idea of how to rehab my knee after surgery. When one drills a tunnel and tries to place stitches up a tunnel without a cannula in place, it can be extremely technically challenging. Most root tears involve either a direct tear of the meniscus off bone or a split of the meniscus within 1 cm of the root attachment. 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. He is walking without a limb and is on schedule with his progress. A patient who has a Meniscus (cartilage) repair cannot twist, pivot, squat, deep knee bends, or engage in any impact activities for four months. This answers all my questions! 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. 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, https://www.epmanualphysicaltherapy.com/wp-content/uploads/2020/01/Logo-copy-1030x429.jpg, Shoulder Impingement: Everything You Need To Know To Get Healthy Again, Top 5 Shoulder Impingement Exercises To Help Get Healthy Again, Top 6 At Home Treatments To Begin To Naturally Heal Cervical Radiculopathy, Click Here To Schedule A Phone Call With An Expert, Click Here To Ask About Cost & Availability, Copyright 2022 - El Paso Manual Physical Therapy, How To Tell If Youve Got A Rotator Cuff Tear, Request A Virtual Visit With One Of Our Expert PTs, 28 day knee health and wellness boost program, 28-Day Knee Health & Wellness Boost Program, 28 Day Back Health & Wellness Boost Program. endobj I was cleared to drive at my followup appointment 2 weeks after surgery, which was exactly what my surgeon had told me to expect. And Im a specialist physical therapist El Paso manual physical therapy. 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. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. Dr LaPrade performed a deep root repair to my meniscus, which saved me from a knee replacement at this time. Unfortunately, I was still not allowed to bend my knee completely, so I was still doing all benching on one leg. Oftentimes, after having a meniscus surgery, people are told that they'll be fine. In addition, the other factor is if the meniscus was released significantly enough from scar tissue to pull it back into the joint. Grant H. Garcia, MD 148 subscribers Dr Garcia demonstrates his new meniscal extrusion technique to further improve meniscus root repairs. Squatting, lifting from a squat and sitting cross-legged should be avoided for 3-4 months. Dr. Burnham and his remarkable staff have been a godsend for our son. Removal Repair Example of Root Tear Repair Q: HOW DOES THE SURGEON DECIDE WHETHER TO PERFORM A REPAIR OR REMOVAL? Upon examination, the doctor told me that I most likely had a meniscus tear, and that I should get an MRI. A meniscus can become damaged due to sudden trauma. Examination of the medial compartment revealed a complete radial tear proximally 1cm medial to the posterior root insertion. Figure 5:: Cortical fixation of transtibial meniscal root repair.
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