endobj Connect with a U.S. board-certified doctor by text or video anytime, anywhere. The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. Therefore, we found that non-anatomic meniscus root tear repairs were not successful. The procedure can be a complete meniscectomy where the meniscus and the . There are many factors that go into this, including a patients weight, with overweight patients putting more stress on the meniscus root tear, ones alignment, where one being bowlegged with a medial meniscus root repair putting extra stress on the repair, and also the amount of underlying arthritis present prior to the root repair. The meniscus root attachment is important because if the meniscus becomes detached, it can squirt out of the joint, called extrusion, which can lead to the meniscus not being functional. 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. He is amazing and a blessing to have in the medical industry. It is important to recognize that most patients who sustain isolated meniscus root tears happen with a medial meniscus root attachment. Patients \50 years had outcomes similar to those of patients !50 years, as did . The Smith & Nephew root repair technique involves specific devices which can lower ones surgical time to perform a meniscus root repair. My calf swelled up into my ankles. I could no longer deadlift from the floor, and was having trouble squatting below parallel. 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. 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. 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. 4 0 obj We will determine during your consultation whether general or regional anesthesia would be appropriate - either way, no pain will be experienced during the procedure itself. Question: Can You Bend Your Knee After Meniscus Repair Fig 1 (A) Meniscus 4 A-II device. Meniscus Repair. Both my children have seen Dr. Burnham with great results. 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. while avoiding unnecessary surgery, injections, and medications. I asked when I could start driving, and he said when I was off my pain medication. Single leg deadlifts on the good leg, reverse hypers, and dumbbell bench. Two important criteria exist to begin driving after meniscus surgery. Historically, most root tears were treated with meniscectomies because the importance of the meniscus root as a shock absorber was not well known. Meniscus Root Repair - Joint Replacement Patient Forum Realize that, as discussed above, the torn part of your meniscus was removed. This step involves making a surgical incision or extending a previous surgical incision (such as with an ACL reconstruction) and ensuring that one is dissected down directly to bone. 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. Meniscus Repair Surgery Rehab Protocol & Recovery Time - Kevin R. Stone 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. I would highly recommend him. 3 0 obj This technique allows one to place passing stiches up the cannula, which has significantly decreased the operative time. It hurt like hell. Theyre kind of done with you too but what if you want to go play with the grandkids do you want to kneel what do you want to exercise youve got to set your expectations to still take it easy still rehab or strengthen the right muscles or do the right kind of treatment for yourself so that you can continue to heal. 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. What to do if I have a radial meniscus tear, what's the chance of it fully healing with surgery? It is shaped like a C and it serves to cushion and stabilize the knee. A meniscus root tear usually will not heal on its own. The next step involves using a self-capture device to place either sutures or tape into the substance of the meniscus body. Meniscus Root Repair Fairfax, Virginia | Meniscal Root Tears Washington, DC Therefore, any surgeon who performs ACL reconstruction should be well versed in performing a lateral meniscus root repair. Matthias J. Feucht1,4 Received: 19 May 2022 / Accepted: 13 February 2023 I limped from the wedding venue to the car, and then from the car to my house. 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. It was tough, and it hurt like hell, but I took it slowly. What most people just dont get from their medical professionals is that the meniscus is a type of cartilage. So that means youre good to go after two to three months. What was going to help my knee? And slowly, I started bending the knee more, and eventually took the box away from my bench. Usually, pain is minimal after this type of surgery. The thoughtful, open communication and treatment was everything I could have asked for pre-, during, and now post surgery. I rate him 5stars. We currently use UltraTape to do this. Get answers from Family Physicians and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. . The transtibial meniscal root repair is emerging as the gold standard treatment due to its ability to restore a large footprint at the meniscal root's native attachment site and restore normal joint contact pressures. PDF Meniscal Root Repair Post-operative Rehabilitation Protocol 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. Thus, when one does sustain a lateral meniscus root tear with an ACL tear, consideration should be given to having a concurrent lateral meniscus root repair so the ACL graft does not stretch out. 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. Two main repair techniques are described: (1) suture anchors (direct fixation) and (2) sutures pulled through a tibial tunnel (indirect fixation . 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. Doctor Burnham and his staff were so helpful providing all the pros and cons associated with having surgery. 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. Recovery Tips After Meniscus Surgery - Kellie Middleton, MD Some patients may experience catching, clicking, or locking of their knee. I highly recommend him. When the meniscus root is repaired there will be a prolonged period of restricted weight bearing and range of motion to protect the Physical therapy exercises can help to improve muscle strength, knee range of motion, and decrease sensitivity to the pain. Unlike some meniscus tears which can be observed or treated conservatively, most meniscus root tears need surgery. Meniscus Root Tear | Knee Doctor | Baton Rouge, LA - Jeremy Burnham, MD You may need to leave a message. His MA Michelle was very professional and kind. % repair to heal. This can occur in up to 20% of patients, even in the best of circumstances. GREAT DOCTOR VERY CARING AND KNOWLEDGEABLE!! So the focus of physical therapy after a knee meniscus surgery is getting your motion all the way back and then getting strong enough to stand and do some walking. 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. After a pretty serious car accident, Dr. Burnham performed knee surgery on me. Eventually, as I get into the mid 100s again, I will start adding five pounds a week. PDF Rehabilitation Guidelines for Meniscal Repair of Root and Complex Tears To accomplish this goal, Dr. Nwachukwu drills a small hole from the outside of the tibia (shin bone) into the knee joint next to the natural attachment of the meniscus root. 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 surgery recovery Most patients can return to full activity 4-6 months after a meniscus root repair. I had shoulder cuff repair, involving 2 ligaments & bone spurs, only 6 weeks ago. But now I know more about the body, about rehab, and about what being stronger really means. The posterior roots are the most important as this is where a root tear occurs most commonly. The most common root repair technique is called a transtibial technique. According to a new study, it is safe for patients who underwent rotator cuff repair to safely return to driving two weeks after surgery. 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. If not treated, part of the meniscus may come loose and slip into the joint. In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. Then I trained. 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. His surgery and recovery has been perfect! Meniscus Tear Surgery Recovery Time: When Can I Get Back to Work? And the good news is that it can be helped without another surgery. Wednesday: 8:00 am 5:00 pm 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. General anesthesia and a nerve block. And most likely, a meniscus tear.. endobj Meniscus Surgery: Who Needs It, What to Expect Before & After 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. Repetitive motions, overuse, and muscular imbalances ar twitter.com/i/web/status/1, Digging Deeper into the Data: Is Suture Bridge Repair + #PRP really the best technique for #rotatorcuffrepair? twitter.com/i/web/status/1, Wild Life of the Last #BlackJockey to Rule the #KentuckyDerby Squatting, lifting from a squat and sitting cross-legged should be avoided for 3-4 months. Meniscal Root Repair Post-operative Rehabilitation Protocol Phase 1: 0-2 weeks post-operatively Goals . 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. A possible cause for knee pain 1 year after meniscus surgery would be a re-tear of the meniscus. What could you eat or do for a meniscus tear to heal faster after surgery? Previous attempts to make it better provided only temporary relief. Meniscus Post Surgery Rehabilitation He made my daughter feel comfortable and made sure to listen to both of our concerns prior to his diagnosis. The protocol is divided into phases. Most of these types of injuries, that are symptomatic, require surgery. 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. You can schedule an office consultation with Dr. LaPrade. Dr. Burnham and Jerrica are AMAZING! 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. Thank you for choosing Dr. LaPrade as your healthcare provider. Your doctor put a lighted tubecalled an arthroscope or scopeand other surgical tools through small cuts (incisions) in your knee. 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. 5 wks into recovery of acl/meniscus tear surgery, I am still taking pain medicine. Ibuprofen (Advil, Motrin) Naproxen (Aleve) Arrange for someone to drive you home as you will not be able to drive yourself after surgery. Will Walking on a Torn Meniscus Make It Worse? Injury Care - Healthline My day is pretty much elevate the leg, ice the leg, do the exercises permitted twice a day. 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. I am a coach, and I have two boys playing sports, the best thing I can say is that my sons will go see Dr. Burnham in the event they are injured, and I will always recommend him to my athletes. Walk with crutches. In general, almost all meniscus root tears require a 6-week period of being nonweightbearing to maximize the healing potential. The meniscus is a cushion of the knee joint. 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. 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. 2601 E. Yandell Drive, Suite 232 drive the next day if they feel ok. 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 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. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. All I can say is Dr. La Prade did an amazing job and I am not limited in any of my activites. I got rid of the box for squats the end of July. It can be very difficult to interpret an MRI after a meniscus root repair. 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. Created for people with ongoing healthcare needs but benefits everyone. Please try again. 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. He is walking without a limb and is on schedule with his progress. Untreated meniscus tears can increase in size and lead to complications, such as arthritis. 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.
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