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. I have looked many times for answers on my tibial tubercle osteotomy and never found any as detailed as i needed. The exception is a patient that has contra-indications to surgery or already has too much cartilage wear and tear for the root repair to be beneficial. He spent a great amount of time explaining everything to me in a way that I understood everything. Doctors typically provide answers within 24 hours. It was tough, and it hurt like hell, but I took it slowly. You may need to leave a message. Did you have any meniscus surgery in the past and youre still dealing with pain, swelling and possibly even losing motion in your knee? The knee buckled and I thought, Shit. The Steadman Clinic - Frisco, CO 226 Lusher Court Ste 101 Frisco, CO 80443. 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. What most people just don't get from their medical professionals is that the meniscus is a type of cartilage. Two days after my surgery, Diego took me to my first PT session. I asked when I could start driving, and he said when I was off my pain medication. I was also allowed to bear weight on my leg while in the brace, which meant no more seated presses. 2601 E. Yandell Drive, Suite 232 Malempati C. Bonasia DE, Pellegrino P, DAmelio A, Cottino U, Rossi R. Meniscal Root Tear Repair: Why, When and How? Medial Patellofemoral Ligament (MPFL) Reconstruction . Driving after meniscus surgery This may be recommended depending on the type of meniscus tear. 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. The pain is usually located one the sides or front of the knee, although it can occasionally be located in the back of the knee. <>>> My MRI showed an extensive radial tear adjacent to the medial meniscus root insertion, as well as evidence of high-grade chondral loss involving the central trochlea. 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. 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. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. We use the 2-tunnel technique to maximize biologic healing of the meniscus down to a broad surface. The back attachment of the medial meniscus, called a posterior horn attachment, is the most common location for meniscus root tears to occur. Patients who have an ACL tear have a 10% chance of having a lateral meniscus root tear. 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. I'm taking pain meds regularly to try and ease pain. Highlights from the StartingStrength Community. Meniscus root repair vs meniscectomy or nonoperative management to prevent knee osteoarthritis after medial meniscus root tears: Clinical and economic effectiveness. 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. Patients are usually kept non-weight bearing for the first 4-6 weeks, then advance gradually. Dr Garcia demonstrates his new meniscal extrusion technique - YouTube 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. Meniscus repair rehab protocol. My MRI showed an extensive radial tear adjacent to the medial meniscus root insertion, as well as evidence of high-grade chondral loss involving the central trochlea. If a meniscal root tear is left untreated, meniscal extrusion can occur rendering the meniscus nonfunctional resulting in degenerative arthritis. 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. 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. We have published on several of these, noting that a PCL tunnel which is placed too close to the joint can detach the posterior horn of the medial meniscus and lead to the development of arthritis of the medial compartment. The pain during my recovery has actually only been minimal, requiring no pain meds. Rehabilitation Guidelines for Meniscal Repair of Root and Complex Tears 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. I did a little internet searching, and diagnosed myself with a Bakers Cyst, which I discovered was pretty common with meniscus tears. Ill def refer friends and family! I wont ever go anywhere else. In fact 2 years ago I finished climbing the top 100 peaks in CO. Range of motion exercises occur more slowly than a standard meniscus repair and will continue for the first 4 weeks. Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture from Jeremy Burnham, Ochsner-Andrews Sports Medicine Institute, Copyright 2022Jeremy Burnham, M.D. My day is pretty much elevate the leg, ice the leg, do the exercises permitted twice a day. This is called decortication of the medial tibial plateau (for a medial meniscus root repair). Upon examination, the doctor told me that I most likely had a meniscus tear, and that I should get an MRI. 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. 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. Next, sutures are placed in the meniscal attachment and threaded through the hole in the tibia. 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. Is this normal? What was going to help my knee? And unless you have been following my Instagram page and know about my rehab, you would never even know that I had knee surgery. In this procedure, the torn meniscus is sewn back together using arthroscopy to place small stitches. Life happens and our bodies will sometimes let us down. At my third visit to PT, I was told that I had completely broken my PT protocol, and was better for it. Dr. La Prade had just moved to Vail and I was his 2nd patient @ The Steadman Clinic. And most likely, a meniscus tear.. importance of the meniscus root has become more apparent. It is felt that most meniscus root tear repairs are sufficiently healed to start these activities between 5 and 7 months postoperatively. The menisci in the knee are two c-shaped pieces of fibrocartilage that act as shock absorbers. And then they lose motion. As surgical techniques are being developed and refined, rehabilitation protocols for meniscal root repairs must be defined and tested. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. 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. Meniscus root repair surgery recovery Most patients can return to full activity 4-6 months after a meniscus root repair. The patients are mostly allowed to walk immediately after arthroscopic knee surgeries. There was also proliferative synovitis present throughout the patellofemoral joint, including the medial and lateral gutters. All I can say is Dr. La Prade did an amazing job and I am not limited in any of my activites. 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. Created for people with ongoing healthcare needs but benefits everyone. Very thorough, knowledgeable and courteous. Patient Testimonials - Meniscus Root Repair Everett | OCD Repair of the Knee Kirkland X Accessibility View Book An Appointment (206) 784-8833 Wallingford Office (206) 633-8100 Ballard Office (206) 784-8833 Home My Practice Practice Expertise Patient / Medical Resources Educational Resources Videos Radio/podcasts News Contact Dr. Garcia Facebook Two cannulas are subsequently placed into the area of bone that was decorticated to allow for the transtibial 2-tunnel technique to be performed. Definition/Description. 1 0 obj Your care after surgery may involve: Crutches to take stress off the knee as it heals. Robert LaPrade, MD, PhD To learn more, please visit our, If it is your left knee, you can probably drive very shortly after. Full recovery from meniscus surgery can take anywhere from six weeks to three months. The study included 351 patients with knee OA and meniscus tear. Right Knee Surgery After Auto Bicycle Accident, Medical Second Opinion Service MRI/X-ray Review. 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. Therefore, we found that non-anatomic meniscus root tear repairs were not successful. 5 wks into recovery of acl/meniscus tear surgery, I am still taking pain medicine. How Long Will My Knee Hurt After Meniscus Surgery He answered all of my concerns about my knee. Then, in September, at the Charm City Strongwoman Contest, I sprinted into the gym from the outside looking for one of my volunteers. Meniscus root tears - a devastating injury - Dr. Bu Balalla Crutches will be used until the patient can walk without a limp on the repaired knee, which takes about 2 weeks after surgery. When I went in arthroscopically and thoroughly released the meniscus, pulling it back into an anatomic position and revising the repair; all of these patients seemed to have much improved pain relief. Patients are allowed to walk 4-6 weeks after surgery. Meniscus tears & repairs - Overview - Mayo Clinic Orthopedics & Sports Removal Repair Example of Root Tear Repair Q: HOW DOES THE SURGEON DECIDE WHETHER TO PERFORM A REPAIR OR REMOVAL? Heel lift in opposite shoe to normalize gait. 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. They have poor healing potential, and are extremely important to the stability and cushioning of the knee. This was going to be a complete root repair surgery: toe-touch weightbearing for four weeks, six weeks in a brace and crutches. Meniscus Root Repair Northeast Philadelphia, PA | Meniscal Root Tears PDF Knee Arthroscopy Meniscus Root Surgery FAQ - Twin Cities Orthopedics PDF Meniscus Root Repair Rehabilitation Protocol 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. If you think you may have a meniscus tear, it is recommended that you see a sports medicine physician as soon as possible. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. 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. Is this a tear? I plan to squat 135 pounds for three sets of five on this day and am scheduled to deadlift 200 pounds on August 23. The Biggest Mistake People Make After Knee Meniscus 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. Matthias J. Feucht1,4 Received: 19 May 2022 / Accepted: 13 February 2023 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. This results in premature arthritis and cartilage damage in the knee. In general, one can follow the small tunnels from the transtibial technique up to where the root attachment should be. The meniscus is a very important piece of cartilage in the knee. 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. A meniscus root tear can occur due to a traumatic event or degeneration. You will feel tired for several days. 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. That night, I drove myself to the gym. The root attachments of the posterior horns of the medial and lateral meniscus are very important for joint health. Most meniscus root tears require surgery. The drill tip can then be pulled out, leaving the cannula in place, which allows one to place a passing stich up it to subsequently shuttle sutures down the tibial tunnel. One of the main portions of the system is a guide that can be placed inside the joint that fits around the tibial eminences and allows the surgeon to place the tip of the guide right at the area that has been decorticated of bone, where one wants to perform the root repair tunnel. This can occur in up to 20% of patients, even in the best of circumstances. I left my visit feeling very comfortable with where I was and what needed to happen next. The thoughtful, open communication and treatment was everything I could have asked for pre-, during, and now post surgery. The length of time until patients are able to return to driving varies . Should a meniscus tear repair surgery be hurting 7 weeks post-operation? Most patients with meniscal root tears will ultimately need surgical fixation of the root. What Is a Meniscectomy? - Healthline My name is Dr. David Middaugh. HSS Sports Medicine Institute West Side Dr. Burnham and Jerrica did a great job taking care of all my orthopedic needs. During the procedure, Dr. Vidal will isolate the root, pull it against the tibia and place sutures in the meniscal attachment. In addition, the design of the meniscus is such that the full pressure of weight bearing activities is transmitted through the root of the meniscus, meaning that it is constantly pulling and stretching the tear with every step. The best surgeon is Baton Rouge that actually care about his patients!!! 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. 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 . Does a extruded medial meniscus towards the posterior root need surgery? Therefore, most meniscus root tears need to have the scar tissue released so the meniscus can be pulled back into the joint. We are so grateful for you both! 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. No, I didnt say pain free, or I didnt say get back to normal, just strong enough to get back to standing and walking because nobody wants to be in a wheelchair or not be able to get to the bathroom in time because of your knee not working right or being very painful. It is vital that meniscus repair patients do not squat for at least four months after the repair. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. A meniscal repair is a keyhole surgery technique for repairing a ripped meniscus.. Other factors can also be present with extrusion, including the progression of arthritis which can cause a well-done meniscus repair to extrude outside the joint. endobj I was going to rehab myself, and keep training as normally as I could. I put a knee brace on and made it through class, but by the time I drove home I could barely bend my knee. 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 . That means that the remaining meniscus is smaller, but still taking the same pressure. Hey - if he is good enough for Olympic and professional athletes..he's good enough for me! Further study into meniscus root tears and radial root tears is ongoing by our research laboratory to try to improve the treatment of these complex problems. Patients \50 years had outcomes similar to those of patients !50 years, as did . I would have relied strictly on physical therapy. I highly recommend Dr Burnham for your orthopedic needs hands down. For this reasons, it is crucial to identifiy and treat meniscal root tears in a timely manner. I have successfully repaired meniscus root tears in patients that were 70 and 71 years old respectively and they are some of my happiest patients. Driving after meniscus root repair depends on which knee it is. repair to heal. 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. In addition, because of studies from our biomechanical studies showing significant stress on the meniscus with deep flexion, as well as the fact that many meniscus root tears occur with deep flexion, we have patients avoid squatting, squatting and lifting and sitting cross-legged (which puts extra stress on a root repair) for a minimum of 4 months postoperatively to maximize the healing potential. 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 ~. He has repaired both of my shoulders and he is awesome to the max. His interaction with me around my surgery calmed me, and his excellent work in the operating room speaks for itself. Meniscus Root Repair; Meniscus Transplantation; Partial Meniscectomy; Patellofemoral Joint Repair. Timeline for Meniscus Repair Recovery: It will take around 4-6 weeks before you can walk, drive, and otherwise move normally as you would prior to your injury. Rehabilitation Following Meniscal Root Repair: A Clinical Commentary PDF Posterior Meniscal Root Repairs Repair of the meniscal root significantly increased functional outcomes scores in 14 of 14 studies and the rate of conversion to TKA was considerably less than those observed following conservative treatment or partial meniscectomy. The next step involves using a self-capture device to place either sutures or tape into the substance of the meniscus body. And its really concerning and very disappointing for somebody whos gone through the knee surgery. 1-2 Days After Surgery: Hospitalization for meniscus surgery is typically short. Rehabilitation Following Meniscal Root Repair: A Clinical - JOSPT 28323545 Additionally, preparing 2 transtibial tunnels to secure the meniscal root to its attachment site further increases the Meniscus root repair is a surgery performed to repair a torn meniscus root. 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. 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. 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. For this reason, much research has gone in to meniscus root repairs over the last several years. Thanks to his staff for being so helpful. He was outstanding. This is done to protect the repair and let the body heal it. This technique allows one to place passing stiches up the cannula, which has significantly decreased the operative time. I felt very informed and well cared for. Most meniscus root tears occur very close to the root near the meniscus itself and are called radial root tears. Then, in January of 2018, while warming up in class one morning, a sharp, nauseating pain shot through my left knee, which made me start limping. Protect repair Minimize pain Minimize swelling Using specific guides to ensure that one can place tunnels in the anatomic position and using self-capture devices, which have been devised to be small enough to not scuff up the cartilage, are some of the best means to perform a transtibial meniscus root repair with self-capture devices. However, if the meniscus re-tore or is placed into a non-anatomic position and ones cartilage surfaces are still fairly intact, an attempt at a revision repair should be made. I have two good arms, and a good leg. 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. I am currently on crutches for 6-8 weeks with no pressure on my leg at all. Fortunately, this is usually done arthroscopically and with good results. 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 protocol is divided into phases. And its a lot slower for the remaining, you know, six to nine months after the first two or three months. Oftentimes, after having a meniscus surgery, people are told that they'll be fine. stream Driving After A Meniscus Repair : MeniscusInjuries - reddit Dr. Burnham and Jerrica are AMAZING! Question: Can You Bend Your Knee After Meniscus Repair Meniscus root repair | Knee Problems | Forums | Patient 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. Historically, most root tears were treated with meniscectomies because the importance of the meniscus root as a shock absorber was not well known. Continuing to train, moving it as much as I could, bearing weight as much as I could tolerate, not sitting around, and NOT just doing PT exercises 1-2x times a week. 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. 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. Heavy lifting, manual labor, strenuous exercise/activity, and sports should all be restricted until 3-6 months after surgery. 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. I have been walking and training normally for the past four and a half months. He had knee surgery a few months ago and is recovering remarkably well. They may start the use of a stationary bike, and may slowly wean off crutches starting at 6 weeks post-operatively. Meniscal Root Repair | Knee Specialist | Minnesota Meniscus Root Tear | Knee Doctor | Baton Rouge, LA - Jeremy Burnham, MD Meniscus Root Tear | Orthopedic Knee Specialist | Vail, Aspen, Denver Studies have demonstrated that this type of repair technique restores similar shock-absorbing and cushioning function as normal meniscus before it tore. I was cleared to drive at my followup appointment 2 weeks after surgery, which was exactly what my surgeon had told me to expect. He and his staff could not have been more helpful and professional. Jerrica, Dr. Burnham, and the therapy staff (Luke and Joey )were awesome. Typically begins 3-5 days after surgery; Precautions Toe touch weight bearing with brace; Gradually unlock brace for 6 weeks; after 6 weeks no brace 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. PHONE: (952) 442-2163 | WEB: TCOMN.COM/PHYSICIANS/KYLE- MORGENSTERN/ . How long do you have to avoid driving after meniscus tear surgery How long after surgery for a meniscus tear will i be able to drive again. It was glorious. But the next day, I woke up and literally ran down my stairs. It is critical that patients following a knee joint repair refrain from squatting for at least four months after the procedure. Dr. Burnham was very thorough and took the time to explain what he thought my root problem may be, why, and how he suggested we proceed with my care. Instead of wall slides, I opted for high box squats. How long did you have to avoid driving after meniscus surgery? In patients who have open growth plates, consideration may be necessary to either plan to remove the sutures after the meniscus root repair heals or to consider placing the tunnels and suture repair above the growth plate such that is does not cross the growth plate and have a theoretical chance of causing a growth plate arrest.
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