And unless you have been following my Instagram page and know about my rehab, you would never even know that I had knee surgery. Meniscal Root Tears - Dr. Chris Jones Colorado Springs, CO Torn Meniscus | Meniscus Tear Treatment Options | Duke Health I have no issues taking the stairs, just a little knee discomfort here and there. Patients are allowed to walk 4-6 weeks after surgery. Immediate and intense knee pain can signal a meniscus root tear, especially with pain at the back of the knee. If the meniscus is extruded, the patient may not be having a restoration of their shock-absorbing capacity of the meniscus. He diagnosed the problem quickly and accurately. Oftentimes, after having a meniscus surgery, people are told that theyll be fine. Removal Repair Example of Root Tear Repair Q: HOW DOES THE SURGEON DECIDE WHETHER TO PERFORM A REPAIR OR REMOVAL? It can be very difficult to interpret an MRI after a meniscus root repair. And slowly, I started bending the knee more, and eventually took the box away from my bench. In addition, if the medial meniscus is involved, active El Paso, Texas 79903. Untreated meniscus tears can increase in size and lead to complications, such as arthritis. The mini First-Pass device allows placement of either a suture or an UltraTape through the substance of the meniscus, capturing the end of the stitch as it is placed through the meniscus and then it can be pulled out of the joint. It is critical that patients following a knee joint repair refrain from squatting for at least four months after the procedure. Rehabilitation Following Meniscal Root Repair: A Clinical - JOSPT But now I know more about the body, about rehab, and about what being stronger really means. First, we performed quantitative anatomy studies, which allowed us to see exactly where a meniscus root tear should be reattached. I chose not to use my crutches anymore. Thanks to Dr. Burnham and his staff. Thus, these patients can often have early onset arthritis, the development of bony edema, insufficiency fractures, and the failure of concurrent cruciate ligament reconstruction grafts. with time whether there is healing or not. Lateral meniscus root tears can lead to arthritis, but they also result in the ACL being a little looser and the clunk that comes with an ACL tear (pivot shift) being more unstable. So that means youre good to go after two to three months. The Steadman Clinic - Frisco, CO 226 Lusher Court Ste 101 Frisco, CO 80443. Had I not been training all these years, I would not have had the slightest idea of how to rehab my knee after surgery. Your doctor put a lighted tubecalled an arthroscope or scopeand other surgical tools through small cuts (incisions) in your knee. Meniscus Root Repair - Joint Replacement Patient Forum 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. My surgery was at 8:30am Wednesday, February 20. Procedure for Meniscus Root Repair. Crutches will be used until the patient can walk without a limp on the repaired knee, which takes about 2 weeks after surgery. My name is Dr. David Middaugh. 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. Often the best medicine to take is NSAIDs like naproxen and ibuprofen. When Is Driving Safe After Rotator Cuff Repair? Dr Jeremy Burnham has a great way of interacting with his patients. I am now adding 10 pounds a week to the bar for squats. Get answers from Family Physicians and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. The patients are mostly allowed to walk immediately after arthroscopic knee surgeries. PDF Meniscal Root Repair Post-operative Rehabilitation Protocol Figure 5:: Cortical fixation of transtibial meniscal root repair. These UltraTape or sutures can then ultimately be shuttled down the cannulas and then tied over a metal button on the front part of the tibia. 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. In between the big lifts and the accessory work, I did some of my PT exercises: leg lifts, quad sets (quad squeezes), heel pumps. 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. On Wednesday, February 20, 2019, I had a meniscus root repair surgery on my left knee. I sat down and put together a training program with exercises I could do, and trained four days a week as normal. Yet, if you feel discomfort, you can take over-the-counter pain medication. Very positive experience at Bone and Joint Clinic in Baton Rouge. The posterior roots are the most important as this is where a root tear occurs most commonly. If you're an athlete needing a doctor that understands; this is the guy. Patients who have an ACL tear have a 10% chance of having a lateral meniscus root tear. 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. Well, this is not normal. Therefore, most meniscus root tears need to have the scar tissue released so the meniscus can be pulled back into the joint. 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. And now theyre kind of back to the way they were before the surgery. Often, a patient will be placed into an unloader brace if they are bowlegged to take some of the stress off the healing repair. He will now be caring for my hip and knee in the future. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. 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. Most patients with meniscal root tears will ultimately need surgical fixation of the root. Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. Return to driving after surgery is okay once narcotic pain medication has been stopped and you are cleared by your surgeon. The why answer is that the meniscus root is an important stabilizer to the meniscus to ensure that it can function as effectively as possible as a shock absorber. 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. There was also proliferative synovitis present throughout the patellofemoral joint, including the medial and lateral gutters. His staff is very friendly and upbeat, knowledgeable and thorough. Edina, MN 55435, EAGAN-VIKING LAKES OFFICE The American Journal of Sports Medicine. I am currently on crutches for 6-8 weeks with no pressure on my leg at all. Jerrica, Dr. Burnham, and the therapy staff (Luke and Joey )were awesome. Other non-medical modalities may help, such as using ice and elevating the leg. while avoiding unnecessary surgery, injections, and medications. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again. In general, almost all meniscus root tears require a 6-week period of being nonweightbearing to maximize the healing potential. 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. Therefore, the transtibial meniscus root repair technique is by far the most common procedure that is performed. Appreciate the attention and time spent during office visits. 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. Non-anatomic root repairs do not restore normal joint biomechanics . I felt very informed and well cared for. 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. The incisions leave scars that usually fade in time. A friend of mine picked me up, and took me to the gym, where I coached my clients, sometimes sitting, sometimes standing. He made my daughter feel comfortable and made sure to listen to both of our concerns prior to his diagnosis. A meniscus repair to the knee cartilage is a minimally invasive surgery that can normally be performed on an outpatient basis. Begin passive range of motion exercises Start physical therapy or home exercise program 1-3 days after surgery Work on quad recruitment Brace/Crutch Use 25% weight bearing with crutches, brace 0-90 when ambulating and sleeping, can remove . The Smith & Nephew root repair technique involves specific devices which can lower ones surgical time to perform a meniscus root repair. Timeline: 1 week to 5 weeks after Surgery. Meniscal root repair is a procedure that is performed to stabilize a torn meniscus attachment to the tibia (shinbone). I left my visit feeling very comfortable with where I was and what needed to happen next. PDF Meniscal Root Repair Post-operative Orders <> We recommend the use of 2 cannulas such that the meniscus can be pulled down over a broader area and have a better chance of healing to the bone. PDF Meniscus Root Repair Rehabilitation Protocol I would highly recommend him. There are two menisci in the knee, medial and lateral. 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. The biggest mistake that people make after having a meniscus surgery is theyre doing too much way too soon. The meniscus root is where the meniscus attaches to bone. 4. Studies comparing repair with either meniscectomy or conservative treatment found greater improvement and slower . This is because the signs of arthritis are usually pain and swelling with activities. 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 . My day is pretty much elevate the leg, ice the leg, do the exercises permitted twice a day. 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. It involves removal of some or all of a meniscus from the tibio-femoral joint of the knee using arthroscopic (keyhole) surgery. 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. You'll likely regain your previous muscle strength in the leg by. It can create another problem later on youve got to listen to your knee youve got to listen to your body and make sure that you only go with what you can tolerate without making it worse without swelling pain or definitely not losing motion and you might consider staying in physical therapy longer than they want you to or finding something to help you out. Amazing Doctor and wonderful staff!! I have been very pleased with him at each visit..It's been almost 2 years since my meniscus root tear surgery and I have to say my knee feels great. The menisci in the knee are two c-shaped pieces of fibrocartilage that act as shock absorbers. When the meniscus root becomes detached, the meniscus can extrude out of the joint and lead to effectively having no functional meniscus. They are connected to your tibia by meniscal roots. The High Tech Shirt Problem in the Squat Rusty Holcomb, Observations on Training by an Old Guy Phil Ringman. 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 ~. It hurt like hell. 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. There is often swelling of the knee and severe pain with walking, running, twisting, or moving the knee. Prior to that, they are recommended to use crutches. You may need surgery to restore full knee function. And thats the 80% fact is true that does happen. Therefore, addressing a meniscus root tear prior to the development of osteoarthritis would be indicated. Proper fixation of the meniscal root can prevent or slow down the development of arthritis in that area of the knee. (it is still a bit swollen).

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