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As always, Dr. Burnham and his staff were caring, knowledgeable & professional at my recent visit. 4. Walk with crutches. The sutures are anchored to the tibia in order to stabilize the meniscus root attachment. All I can say is Dr. La Prade did an amazing job and I am not limited in any of my activites. So getting swelling, or if its been a year since you had your meniscus surgery, and youre better overall, but youre still getting some swelling and pain, then its normal. How long did you have to avoid driving after meniscus surgery? Later that summer, the left knee began to bother meagain. If one has fairly normal cartilage of that side, the success rate is going to be better than those patients that have mild to moderate chondromalacia (arthritis) of the same compartment as the 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. 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. The High Tech Shirt Problem in the Squat Rusty Holcomb, Observations on Training by an Old Guy Phil Ringman. Next, we performed biomechanical studies to show the effects of varying sizes of radial meniscus root tears, validating that a meniscus root tear within a centimeter of its attachment site functions as a meniscus root tear and can be treated the same. But you need to still continue doing a few things to make sure that you get that remaining 20% healed so that you can truly get back to normal so let me give you some practical advice here three things that i want you to take away from this video number one set your expectations. I would like to thank Dr. Jeremy Burnham for his wonderful work and surgery on my left shoulder. with time whether there is healing or not. A torn meniscus can result in either sudden or gradual onset of pain. Realize that, as discussed above, the torn part of your meniscus was removed. A meniscus can become damaged due to sudden trauma. 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. I was life flighted to MCR in Loveland, CO. My orthopedic injuries were severe, but totally missesd by the orthopedic team at Poudre. dressing in 48 hrs and may let them drive I could not bear weight on my right side though I tried repeatedly, but finally I went and got an MRI and one of the orthopedic surgeons that I worked with was shocked when he saw the MRI result. There are some isolated reports of using suture anchors to repair a meniscus root repair, but this area of the knee is very difficult to access and the suture anchors can leave large knots which could subsequently interfere with the cartilage surfaces in the knee. My surgery was at 8:30am Wednesday, February 20. This specific type of tear makes up 90% of all meniscal root tears. I was cleared to drive at my followup appointment 2 weeks after surgery, which was exactly what my surgeon had told me to expect. The study, " Patients Who Undergo Rotator Cuff Repair Can Safely Return to Driving at 2 Weeks Postoperatively ," was published online on July 21, 2022 in the Journal of Bone & Joint Surgery. 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 . The second tip i need you to take home today is you need to listen to your knee because after youre on your own and youre youre supposed to be 80% better theres things that youll be able to do and go ahead and do those as long as they dont hurt or bother you or cause some effects later on that day or the next day then theyre generally going to be okay things for you to do you can probably do some walking but walking you know a few miles maybe not very comfortable for you that may set off the swelling that may hurt you more. Physical therapy exercises can help to improve muscle strength, knee range of motion, and decrease sensitivity to the pain. Your doctor put a lighted tubecalled an arthroscope or scopeand other surgical tools through small cuts (incisions) in your 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. 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 . Yet, if you feel discomfort, you can take over-the-counter pain medication. As a result, two weeks after surgery I was able to start driving my car, which is a manual. And now theyre kind of back to the way they were before the surgery. 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. This can occur with turning, twisting, or pivoting activities or sports. Country. Iatrogenic meniscus root tears have been described for all 4 meniscal attachments in the knee. 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. Their sense of compassion and understanding is more than we have ever experienced. As of August 20, 2019, it will be six months post-op. 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. Most patients will also have some numbness around the surgical incision, but this is not a true complication and is anticipated with any type of surgical incision. It helps to be strong, my PT remarked. 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. My calf swelled up into my ankles. It is felt that most meniscus root tear repairs are sufficiently healed to start these activities between 5 and 7 months postoperatively. While you're recovering from your meniscus surgery, you can expect to feel pain while you heal. They explain things very well. Medial meniscus root repair midterm results suggest excellent outcomes in a well-aligned knee with minimal degenerative change. The torn meniscus is corrected via a minimally invasive procedure depending on the kind of injury. Examination of the medial compartment revealed a complete radial tear proximally 1cm medial to the posterior root insertion. In recent years the importance of the meniscus root has become more apparent. 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. Appreciate the attention and time spent during office visits. These include 1-tunnel and 2-tunnel techniques. The incisions leave scars that usually fade in time. In determining if one can have a revision root repair, one needs to determine the cause of the failure as well as the amount of underlying arthritis. endobj 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. 515 Ray C. Hunt Drive, Suite 1100, Charlottesville, VA 22903 Phone: 434-243-7778 Fax: 434-243-5075 Meniscal Root Repair Post-operative Rehabilitation Protocol. Wednesday: 8:00 am 5:00 pm In some cases, its important that you take away from this video today that it takes six to 12 months to heal from a meniscus surgery. It is shaped like a C and it serves to cushion and stabilize 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. This is one of the first video demonstrations of this. Thanks to Dr. Burnham and his staff. 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. 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. A patient who has a Meniscus (cartilage) repair cannot twist, pivot, squat, deep knee bends, or engage in any impact activities for four months. When the meniscus root is repaired there will be a prolonged period of restricted weight bearing and range of motion to protect the The most common method to fix meniscus root tears is through a tibial bone tunnel. The knee buckled and I thought, Shit. (Please keep reading below for more information on this treatment.). 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. His MA Michelle was very professional and kind. 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. He made my daughter feel comfortable and made sure to listen to both of our concerns prior to his diagnosis. Dr. Burnham is amazing. Medial Patellofemoral Ligament (MPFL) Reconstruction . 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. 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. And unless you have been following my Instagram page and know about my rehab, you would never even know that I had knee surgery. I would have relied strictly on physical therapy. The goal of a meniscus root tear repair is to locate the torn root and tack it back down to the bone using strong sutures. If the patient is not comfortable walking without an aid, then they are usually provided with axillary crutches. Does a extruded medial meniscus towards the posterior root need surgery? 181 West Meadow Drive Suite 400 Vail, CO 81657. 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 patients are mostly allowed to walk immediately after arthroscopic knee surgeries. Very reassuring, showed me X-rays and explained the healing process very clearly.