On Thursday, February 21, the day after my surgery, I went to work, in my brace and on crutches. I was referred to Dr. Burnham from my spine doc, Chambliss Harrod, MD and he turned out to be a way cool guy. An iatrogenic meniscus root tear means that a tunnel was drilled for an ACL or PCL reconstruction and hit the meniscus root and detached it from bone. Historically, these root tears are often treated with benign neglect and either ignored or trimmed out. Squatting, lifting from a squat and sitting cross-legged should be avoided for 3-4 months. Timeline: 1 week to 5 weeks after Surgery. That night, I drove myself to the gym. 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. Will Walking on a Torn Meniscus Make It Worse? Injury Care - Healthline Oct 24, 2020. My pain was gone. 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. 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. <>>>
Arner, J.W., Herbst, E.. Meniscal Root Repair Article. 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. 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. It was tough, and it hurt like hell, but I took it slowly. 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. If you're an athlete needing a doctor that understands; this is the guy. And thats the 80% fact is true that does happen. Dr. Ahmad M Hadied and another doctor agree, is on the left leg i let some patients
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. Thursday: 8:00 am 5:00 pm, What causes #runners knee or patellofemoral pain syndrome? And then they lose motion. The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. First, we performed quantitative anatomy studies, which allowed us to see exactly where a meniscus root tear should be reattached. Had a meniscus root repair yesterday and the surgery was successful. Return to driving after surgery is okay once narcotic pain medication has been stopped and you are cleared by your surgeon. 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 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. They are also important to the stability and function of the knee, keeping the meniscus in place. 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. With an injury like this you want the best, and Dr. Burnham is the best. 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. #12. It is shaped like a C and it serves to cushion and stabilize the knee. drive the next day if they feel ok. Two weeks to the day, I got on my spin bike at the gym and did what I could do. Tuesday: 8:00 am 5:00 pm When Is Driving Safe After Rotator Cuff Repair? Jerrica, Dr. Burnham, and the therapy staff (Luke and Joey )were awesome. In younger patients, meniscus root tears often occur with a piece of bone being avulsed off the tibia. 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. 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. 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. 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. He listens and address every concern with appropriate solutions. Hey - if he is good enough for Olympic and professional athletes..he's good enough for me! <>
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. Matthias J. Feucht1,4 Received: 19 May 2022 / Accepted: 13 February 2023 Immediate and intense knee pain can signal a meniscus root tear, especially with pain at the back of the knee. And its a lot slower for the remaining, you know, six to nine months after the first two or three months. In particular, it is now recognized that the incidence of lateral meniscus root tears with an ACL tear is between 8% to 12%. I decided right then and there I would not get the MRI. Meniscal root repairs and radial tear repairs should be progressed slowly because the tear involves complete disruption of the circumferential fibers of the meniscus. Thank you. 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. How long after surgery for a meniscus tear will i be able to drive again. They walked me through the process from beginning to end. 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. Therefore, our surgical technique, using specific guides to avoid the eminences to ensure that one can place the guide exactly where one wants to have a cannula come out in the joint, using cannulas to allow for placement of passing sutures quickly and efficiently, having 2 separate cannulas with 2 separate tunnels for the meniscus repair, releasing the meniscus thoroughly to pull it back in the joint so it functions most effectively, and then having self-capture suture devices, which can place suture or tape into the meniscus substance, shuttle them down the tibia, and then tie them over a metal button on the tibia. Unfortunately, as we have developed more scientific evidence for this, including several studies in my lab, we found that the lateral meniscus root is extremely important to both prevent the development of osteoarthritis over time and also to protect a concurrent ACL reconstruction graft. 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. 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. 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 ~. I rate him 5stars. Heel lift in opposite shoe to normalize gait. short distances based on their motion and
The surgery performed was a knee partial meniscectomy, a common surgical procedure used to repair a torn meniscus. There was a large grade 4 chondral defect involving the central aspect of the trochlea, approximately 30mm in width by 25mm in length. Amazing Doctor and wonderful staff!! Is this a tear? 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. This technique allows one to place passing stiches up the cannula, which has significantly decreased the operative time. My surgery was at 8:30am Wednesday, February 20. 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. Meniscus root repair rehab will usually start 1-2 days after surgery. This specific type of tear makes up 90% of all meniscal root tears. He has a great rapport with teenagers. Do minor meniscus tears require surgery or can it repair itself? You'll begin a graduated rehabilitation protocol. Very thorough, knowledgeable and courteous. Studies have demonstrated that this type of repair technique restores similar shock-absorbing and cushioning function as normal meniscus before it tore. General anesthesia and a nerve block. Instead of wall slides, I opted for high box squats. Doctors typically provide answers within 24 hours. Monday: 8:00 am 5:00 pm The best surgeon is Baton Rouge that actually care about his patients!!! The patients are mostly allowed to walk immediately after arthroscopic knee surgeries. Driving after meniscus surgery Walk with crutches. Meniscus Root Repair Fairfax, Virginia | Meniscal Root Tears Washington, DC The next portion of the Smith & Nephew root repair device is a mini First-Pass device. Meniscal Root Tears - Dr. Chris Jones Colorado Springs, CO 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. Often the best medicine to take is NSAIDs like naproxen and ibuprofen. Arrange for someone to drive you home as you will not be able to drive yourself after surgery. The . 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. What was going to help my knee? In terms of how, the transtibial technique has been felt to be the most effective way to pull the meniscus root back to its normal attachment site. Should a meniscus tear repair surgery be hurting 7 weeks post-operation? 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. Meniscus root repair surgery recovery Most patients can return to full activity 4-6 months after a meniscus root repair. 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 while avoiding unnecessary surgery, injections, and medications. My daughter journey was very trying and hard but we made it through with all of their help. If you think you may have a meniscus tear, it is recommended that you see a sports medicine physician as soon as possible. I press and bench with no modifications. Robert LaPrade, MD, PhD Meniscus (cartilage) Repair patients cannot do twisting, pivoting, squatting, deep knee bends or impact activities for four months. I was cleared to drive at my followup appointment 2 weeks after surgery, which was exactly what my surgeon had told me to expect. One should not look at age as a factor for meniscus root repairs. 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. 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. 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. We validated that the 2 simple suture technique had the least amount of loosening over time, but the other techniques were stronger. 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. I opened my gym shortly after taking up strength training in earnest to help address my back pain, and have been working for the past eight years to help others embrace their true potential and strength. I did a little internet searching, and diagnosed myself with a Bakers Cyst, which I discovered was pretty common with meniscus tears. They explain things very well. 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. He answered all my questions satisfactorily and his entire staff were polite and professional. This answers all my questions! After Meniscus Surgery: What To Expect In The First Few Days And Weeks How long do you have to avoid driving after meniscus tear 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. 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. I would highly recommend Dr Burnham and all of his surrounding colleagues at Ochsner. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Definitely a Bakers Cyst, my doctor said when I saw him. In between the big lifts and the accessory work, I did some of my PT exercises: leg lifts, quad sets (quad squeezes), heel pumps. The Steadman Clinic - Frisco, CO 226 Lusher Court Ste 101 Frisco, CO 80443. The procedure can be a complete meniscectomy where the meniscus and the . There can be many factors which can potentially cause pain after a meniscus root repair. How Long On Crutches After Meniscus Repair? 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. 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. I would recommend his services to anyone. Range of motion exercises occur more slowly than a standard meniscus repair and will continue for the first 4 weeks. The biggest mistake that people make after having a meniscus surgery is theyre doing too much way too soon. Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. But now I know more about the body, about rehab, and about what being stronger really means. Regular assessment of gait to avoid compensatory patterns. Your care after surgery may involve: Crutches to take stress off the knee as it heals. If your job mostly involves sitting at a desk, you may be able to get back to work in a week or two. A meniscus repair to the knee cartilage is a minimally invasive surgery that can normally be performed on an outpatient basis. Therefore, it is strongly recommended to proceed with a meniscus root repair whenever possible, with patients up to the age of 70 being reported as having excellent return of function.
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