And this channel is dedicated to helping people stay healthy, active and mobile. short distances based on their motion and 5 wks into recovery of acl/meniscus tear surgery, I am still taking pain medicine. They have poor healing potential, and are extremely important to the stability and cushioning of the knee. Therefore, addressing a meniscus root tear prior to the development of osteoarthritis would be indicated. 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. The blood supply to the meniscus in an adolescent or adult is very poor. This results in premature arthritis and cartilage damage in the knee. Arrange for someone to drive you home as you will not be able to drive yourself after surgery. The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. How long recovery takes depends on the type of meniscus surgery and the severity of the injury, but expect two weeks down time, at minimum. Meniscus Root Repair The most common method to fix meniscus root tears is through a tibial bone tunnel. After a pretty serious car accident, Dr. Burnham performed knee surgery on me. If I had not spent the last several years of my life squatting, benching, pressing and deadlifting, I would not have had the strength to continue to be as active as I was after my surgery, and I most certainly would not have known how to rehab my knee on my own. Figure 5:: Cortical fixation of transtibial meniscal root repair. It is felt that most meniscus root tear repairs are sufficiently healed to start these activities between 5 and 7 months postoperatively. That was day one. What made my recovery so fast? So lets get to it. 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. 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. I got a lift home, and returned to the gym later that evening for more coaching. I sat down and put together a training program with exercises I could do, and trained four days a week as normal. If patients put weight on the knee immediately after the repair, the forces on . The most important aspect to assess when one is looking at a root repair is to ensure that ones cartilage surfaces are still fairly normal. The therapists were a little surprised to see me so soon after my surgery, but I really wanted to know how much range of motion I had post-surgery. 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. His MA Michelle was very professional and kind. Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. The procedure can be a complete meniscectomy where the meniscus and the . He had knee surgery a few months ago and is recovering remarkably well. Browse archives. But its just not common knowledge to take six to 12 months to heal after a meniscus surgery. He provided a thorough explanation without wasting time. And then after the surgery, the focus is doing physical therapy, typically if he gets sent there, and youre going to lose some motion in the surgery so your knee wont be able to bend or straighten all the way. So if youre sitting at home right now, and you just had your meniscus surgery a month or two ago, and youre thinking, gosh, why arent I much better already. These include 1-tunnel and 2-tunnel techniques. And its really concerning and very disappointing for somebody whos gone through the knee surgery. Therefore, most meniscus root tears need to have the scar tissue released so the meniscus can be pulled back into the joint. 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. His step by step explanation of surgery expectations before and after the procedure was specific, thorough, and answered all of my questions. The patients are mostly allowed to walk immediately after arthroscopic knee surgeries. I have looked many times for answers on my tibial tubercle osteotomy and never found any as detailed as i needed. repair to heal. Knows his stuff. When the tear is examined during arthroscopy, Dr. Hess will decide if the tear is able to be repaired . I started Brazilian Jiu-Jitsu about four years ago. Recommend highly. A physical therapist will be assigned to you and begin a routine of light exercise to help stabilize the knee. Ive already talked about this but I cant drive the point home enough if youve gone to the doctor. A meniscus root tear can occur due to a traumatic event or degeneration. 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. They are also important to the stability and function of the knee, keeping the meniscus in place. Return to driving after surgery is okay once narcotic pain medication has been stopped and you are cleared by your surgeon. Early weightbearing has been found to be the cause of meniscus root repair failure, and this has been validated by our colleagues. <>/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>> Created for people with ongoing healthcare needs but benefits everyone. You'll begin a graduated rehabilitation protocol. I would highly recommend him. They moved my knee a bit, and I had decent ROM, better than expected. 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. It can also occur while bending the knee deeply. On Thursday, February 21, the day after my surgery, I went to work, in my brace and on crutches. Is this normal? 1-2 Days After Surgery: Hospitalization for meniscus surgery is typically short. Dr. Jeremy Burnham did a reconstruction of my ACL on April 19th. 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. Unfortunately, I was still not allowed to bend my knee completely, so I was still doing all benching on one leg. Removal Repair Example of Root Tear Repair Q: HOW DOES THE SURGEON DECIDE WHETHER TO PERFORM A REPAIR OR REMOVAL? And Im a specialist physical therapist El Paso manual physical therapy. I walked around the gym with the crutches, and without the crutches. 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. This technique allows for the meniscus to be pulled down into a broad surface area, maximizing its chance for biologic healing. He diagnosed the problem quickly and accurately. Meniscus Root Repair; Meniscus Transplantation; Partial Meniscectomy; Patellofemoral Joint Repair. And cartilage is one of the slowest healing tissues in the body. In general, one can follow the small tunnels from the transtibial technique up to where the root attachment should be. (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. Are you an athlete who participates in sports that involve running and jumping? 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. More diffuse pain over the inside of the knee which becomes progressive over time can be particular ominous because this may mean that the cartilage is wearing out fast or that one has an insufficiency fracture or spontaneous osteonecrosis of the knee, occurring due to the fact that the meniscus is such an important shock absorber. His staff is very friendly and upbeat, knowledgeable and thorough. Kyle D. Morgenstern, MD . It can be very difficult to interpret an MRI after a meniscus root repair. 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. (it is still a bit swollen). 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. And then they lose motion. 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. At the end of March, my doctor told me I could take my brace off completely, and use crutches for another week if I needed to. 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. Driving after meniscus root repair depends on which knee it is. HSS Sports Medicine Institute West Side Meniscus root repair is a surgery performed to repair a torn meniscus root. And slowly, I started bending the knee more, and eventually took the box away from my bench. I highly recommend Dr Burnham for your orthopedic needs hands down. The posterior roots are the most important as this is where a root tear occurs most commonly. 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. Then I trained. Arner, J.W., Herbst, E.. Meniscal Root Repair Article. This is called decortication of the medial tibial plateau (for a medial meniscus root repair). 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. Some patients may experience catching, clicking, or locking of their knee. I asked him about biking, and he told me that he allowed his patients to start biking two weeks after surgery. Little information has been published regarding specific rehabilitation parameters for meniscal root repairs through all phases of rehabilitation. The Steadman Clinic - Edwards, CO 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. 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. If you think you may have a meniscus tear, it is recommended that you see a sports medicine physician as soon as possible. Partial weightbearing status (<50%), unless otherwise ordered by MD. We currently use UltraTape to do this. When I said I was not on any medication, he said when I could bend my leg 90 degrees. 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. We validated that the 2 simple suture technique had the least amount of loosening over time, but the other techniques were stronger. What most people just don't get from their medical professionals is that the meniscus is a type of cartilage. In general, almost all meniscus root tears require a 6-week period of being nonweightbearing to maximize the healing potential. In particular, it is now recognized that the incidence of lateral meniscus root tears with an ACL tear is between 8% to 12%. Definition/Description. Dr Burnham is so personable. Therefore, any surgeon who performs ACL reconstruction should be well versed in performing a lateral meniscus root repair. There is often swelling of the knee and severe pain with walking, running, twisting, or moving the knee. A meniscus root tear occurs when one or both of these roots tear away from the bone. 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. drive the next day if they feel ok. My daughter journey was very trying and hard but we made it through with all of their help. I was cleared from physical therapy on May 16, 2019, about three months after my surgery, and after only six PT sessions. 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. By using our website, you consent to our use of cookies. A possible cause for knee pain 1 year after meniscus surgery would be a re-tear of the meniscus. Diego has an automatic and it was my left knee that was incapaciated, not my right, so the next day, I hobbled into his car and practiced driving around the block. I left my visit feeling very comfortable with where I was and what needed to happen next. He spent a great amount of time explaining everything to me in a way that I understood everything. El Paso, Texas 79903. The following Tuesday, I saw my doctor. United States. We love you! 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. And unless you have been following my Instagram page and know about my rehab, you would never even know that I had knee surgery. Please help. dressing in 48 hrs and may let them drive We had a wonderful experience and I highly recommend him. Studies have demonstrated that this type of repair technique restores similar shock-absorbing and cushioning function as normal meniscus before it tore. Medial Patellofemoral Ligament (MPFL) Reconstruction . Timeline: 1 week to 5 weeks after Surgery. 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. In cases the patients undergo meniscus repair or ligament reconstruction, they are given a brace to support the knee in full extension. In addition, the other factor is if the meniscus was released significantly enough from scar tissue to pull it back into the joint. If so, you may be at risk of tearing the root of your meniscus. As a result, two weeks after surgery I was able to start driving my car, which is a manual. And people are often disappointed to find out that as they begin to get back to normal, as theyve been told that they probably could and should they start to get swelling in the knee, they start to get a pain, of course. 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. This technique allows one to place passing stiches up the cannula, which has significantly decreased the operative time. When a torn fragment is floating in the joint, patients will feel a sudden, sha twitter.com/i/web/status/1, According to an injury study done in 2021, #Pickleball has been deemed safer than #tennis and better for individual twitter.com/i/web/status/1, Cysts Acetabular Paralabral and Subchondral, ACL Anterior Cruciate Ligament Injury of the Knee, Patellofemoral Pain Syndrome Runners Knee, PVNS of the Knee Pigmented Villonodular Synovitis, Osteochondral Allograft Transplantation Surgery (OATS), Patellofemoral Arthroscopy Runners Knee Treatment, Stabilization for Instability-Arthroscopic, Subacromial Decompression for Impingement, How to prevent common skiing and snowboarding injuries | Ski Injury Doctor Manhattan, BICMD Co-Founder and Co-CEO Announces Expansion of Services, Patients are partial weight bearing for the first 4 weeks and then during weeks 4-6 are progressed to full weight-bearing.

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