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. 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. A Guide to Orthopedic Care, Pediatric & Adolescent Sports Medicine Injuries, Get the Perfect Grip on Your Next Game: Adaptive Golf Gloves, Healthcare Journal of Baton Rouge Mentions Dr. Burnham Performing New Surgery to Repair Torn ACL, Sports Medicine Near Me: Finding the Right Doctor for You, When to See a Doctor for Knee Pain When Bending: The Complete Guide, 11 Benefits of Exercise: It Can Change Your Life, Knee Bursitis: Causes, Symptoms, and Treatment Options, Your Childs Knocked Knees: Everything You Need to Know, BioUni OATS Procedure Cartilage Replacement for the Knee, Capsulorraphy Shoulder Stabilization Procedure. Stationary biking is allowed after 6-weeks with Dr. Nwachukwus approval and assessment of healing. I hope that you found hope now that if you got if you had a meniscus surgery in the past and youre dealing with these problems of swelling the pain the loss of motion please start doing this this taking this advice that i gave you start doing the exercises and get better it is possible to get that swelling down and to get your motion back and to recover and be normal. He spent a great amount of time explaining everything to me in a way that I understood everything. But its just not common knowledge to take six to 12 months to heal after a meniscus surgery. Return to driving after surgery is okay once narcotic pain medication has been stopped and you are cleared by your surgeon. However, we felt that with a 6-week period of being nonweightbearing important for all meniscus root tears, that the 2 simple suture technique was valid. I plan to squat 135 pounds for three sets of five on this day and am scheduled to deadlift 200 pounds on August 23. Phase I of Rehab: Surgery until 8 weeks. I am currently on crutches for 6-8 weeks with no pressure on my leg at all. 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. 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. Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture, What Does an Orthopedist Do? It is felt that most meniscus root tear repairs are sufficiently healed to start these activities between 5 and 7 months postoperatively. Physical therapy exercises can help to improve muscle strength, knee range of motion, and decrease sensitivity to the pain. Driving after meniscus root repair depends on which knee it is. 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. There was a large grade 4 chondral defect involving the central aspect of the trochlea, approximately 30mm in width by 25mm in length. Had I not been training all these years, I would not have had the slightest idea of how to rehab my knee after surgery. For potential or actual medical emergencies, immediately call 911 or your local emergency service. Meniscal root repairs and radial tear repairs should be progressed slowly because the tear involves complete disruption of the circumferential fibers of the meniscus. Studies have demonstrated that this type of repair technique restores similar shock-absorbing and cushioning function as normal meniscus before it tore. 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. . These two steps are considered to be the two main preparation steps, where the release of adhesions to be able to allow the meniscus to be pulled back in the joint and also decortication of bone to prepare a bony bed to repair the meniscus back to the tibia. Oftentimes, after having a meniscus surgery, people are told that they'll be fine. So its important at the very beginning its appropriate at the very beginning to make sure that all your emotions back and that you can do some simple walking to and from the house even though hurts so that youre not you know having accidents and better so youre not having emergencies happening you need the function of your leg back. They explain things very well. Right Knee Surgery After Auto Bicycle Accident, Medical Second Opinion Service MRI/X-ray Review. Conclusion: Outcomes after posterior meniscal root repair significantly improved postoperatively and patient satisfaction was high, regardless of age or meniscal laterality. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. And cartilage is one of the slowest healing tissues in the body. The menisci in the knee are two c-shaped pieces of fibrocartilage that act as shock absorbers. My daughter journey was very trying and hard but we made it through with all of their help. Oftentimes, after having a meniscus surgery, people are told that theyll be fine. I also found that there were patients being referred to me who had meniscus root repairs that were done well, but the meniscus was not pulled back in the joint and these patients continued to have pain. On Thursday, February 21, the day after my surgery, I went to work, in my brace and on crutches. In between the big lifts and the accessory work, I did some of my PT exercises: leg lifts, quad sets (quad squeezes), heel pumps. MRI is used to look more closely at the meniscus and determine if it is something that needs surgical treatment, although not all meniscus root tears show up on MRI. Dr. Burnham made sure I knew what was happening and what could happen. How long after surgery for a meniscus tear will i be able to drive again. PHONE: (952) 442-2163 | WEB: TCOMN.COM/PHYSICIANS/KYLE- MORGENSTERN/ . We use the 2-tunnel technique to maximize biologic healing of the meniscus down to a broad surface. He diagnosed the problem quickly and accurately. 2601 E. Yandell Drive, Suite 232 And Im a specialist physical therapist El Paso manual physical therapy.
Torn Meniscus | Meniscus Tear Treatment Options | Duke Health Return to Sport after Meniscus Surgery Chicago, IL | Dr. Jorge Chahla I was hit by a car on my bicycle near Horsetooth Reservoir in CO. A meniscus that still has extrusion present also does not function as well over the long term. 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. How long did you have to avoid driving after meniscus surgery? If scar tissue is present, Dr. Nwachukwu will clean up the area so the knee is allowed to move through its entire range of motion. 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 . 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. Weight bearing as tolerated after 6 weeks. There is often swelling of the knee and severe pain with walking, running, twisting, or moving the knee. This technically challenging procedure should only be done by an orthopedic knee expert like Dr. Nwachukwu who has had extensive experience in performing the meniscal root tear repair correctly. Doctors typically provide answers within 24 hours. Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. I would recommend his service to any recreational athlete.
Meniscal Root Repair | Knee Specialist | Minnesota Little information has been published regarding specific rehabilitation parameters for meniscal root repairs through all phases of rehabilitation. Many meniscus tears can be treated successfully without surgery. In particular, it has been found that one of the most common reasons why younger patients need total knee replacements is because of a neglected or undiagnosed meniscus root tear leading to the development of osteoarthritis. <>>>
Connect with a U.S. board-certified doctor by text or video anytime, anywhere. 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. Specializes in Orthopedic Reconstructive Surgery. Placing sutures or UltraTape on each side of the tear and pulling it down into tunnels should be a safe and reliable method for a bony avulsion root repair. There goes my knee again.. Appreciate the attention and time spent during office visits. A lateral meniscus root tear involves a tear of the meniscus either at or close to the root attachment in the back part of the lateral meniscus. I'm taking pain meds regularly to try and ease pain. 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. Dr. Burnham and Jerrica are AMAZING! 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. 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 biggest mistake that people make after having a meniscus surgery is theyre doing too much way too soon. Please try again. And now theyre kind of back to the way they were before the surgery. Highlights from the StartingStrength Community. Two weeks today I had meniscus root repair. But if we are stronger, we are harder to break, and we most certainly recover faster and better. This technique is fast and effective. This usually presents with pain along the inside or medial portion of the joint and with swelling with activities. endobj
Very professional! He is amazing and a blessing to have in the medical industry. A torn meniscus can result in either sudden or gradual onset of pain.
How Long Is Recovery After a Meniscus Repair? Life happens and our bodies will sometimes let us down. His staff is very friendly and upbeat, knowledgeable and thorough.
Meniscus Repair Surgery Rehab Protocol & Recovery Time - Kevin R. Stone Realize that, as discussed above, the torn part of your meniscus was removed. Very thorough, knowledgeable and courteous. 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. He did a great job of explaining both the progress of my injury and the way ahead as it applied to recovery. But the next day, I woke up and literally ran down my stairs. 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.
PDF Coronal extrusion of the lateral meniscus does not increase after Are you a candidate for a meniscal root repair? Thursday: 8:00 am 5:00 pm, What causes #runners knee or patellofemoral pain syndrome? That means that the remaining meniscus is smaller, but still taking the same pressure. I would like to thank Dr. Jeremy Burnham for his wonderful work and surgery on my left shoulder. I started Brazilian Jiu-Jitsu about four years ago. These radial root tears are equivalent to a meniscus root tear. Great doctor. Crutches will be used until the patient can walk without a limp on the repaired knee, which takes about 2 weeks after surgery. His interaction with me around my surgery calmed me, and his excellent work in the operating room speaks for itself. In January of this year, I finally decided to go back to my doctor to get that MRI. He answered all of my concerns about my knee. 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. His surgery and recovery has been perfect! On Wednesday, February 20, 2019, I had a meniscus root repair surgery on my left knee. Dr Burnham is so personable. Upon examination, the doctor told me that I most likely had a meniscus tear, and that I should get an MRI. Rehabilitation begins within a week of surgery. Patients \50 years had outcomes similar to those of patients !50 years, as did . I wasnt taking any pain medication either, so I was alert. We currently use UltraTape to do this. Timeline: 1 week to 5 weeks after Surgery. <>
xYIoH8(Jr@fI)/_U}|xW&JDIraqm 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. Thus, the entire weight of the body is transmitted through the femur into the cartilage of the knee. But typically physical therapy goes two to three months you get 80% better and a lot of times people have the expectation setting themselves that they can get back to everything that theyre doing before and thats just not the case they can do a lot of things now that they couldnt before the surgery typically. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. 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. It is critical that patients following a knee joint repair refrain from squatting for at least four months after the procedure. So lets get to it. For these, please consult a doctor (virtually or in person). He has repaired both of my shoulders and he is awesome to the max. 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. Dr. Burnham is extremely professional, knowledgeable, understanding, kind, and precise. Therefore, a lateral meniscus root repair can be an essential portion of a surgery to address the secondary restrains for a concurrent ACL reconstruction procedure. 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.
Medial Meniscus Posterior Root Repair Using a Transtibial Technique Early weightbearing has been found to be the cause of meniscus root repair failure, and this has been validated by our colleagues. This results in premature arthritis and cartilage damage in the knee.
Meniscal Root Tears - Dr. Chris Jones Colorado Springs, CO From April 22 until May 1, my program changed again, slowly becoming more like my regular training. (it is still a bit swollen). El Paso, Texas 79903. 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. 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 Grant H. Garcia, MD 148 subscribers Dr Garcia demonstrates his new meniscal extrusion technique to further improve meniscus root repairs. I was also allowed to bear weight on my leg while in the brace, which meant no more seated presses.
Meniscus Root Repair Northeast Philadelphia, PA | Meniscal Root Tears The back attachment of the medial meniscus, called a posterior horn attachment, is the most common location for meniscus root tears to occur. Towards the middle of March, I was finally given wall slides (mini squats) and step ups for the left leg by my physical therapist. After about five minutes, the wheels were spinning. Deconditioning of ones quadriceps muscles can also cause similar symptoms, so it is important to determine if one has any atrophy of their thigh muscles, usually measured as the thigh circumference 15 cm above the patella and compared to the opposite leg. Most of these types of injuries, that are symptomatic, require surgery. Ive already talked about this but I cant drive the point home enough if youve gone to the doctor. In cases the patients undergo meniscus repair or ligament reconstruction, they are given a brace to support the knee in full extension. I think my clients thought I had lost my mind, but what else was I going to do? My daughter recovered fully from a total knee reconstruction and now she able to return to sports. They walked me through the process from beginning to end. In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. I was worried for my future with my legs letting me walk but she put me at ease letting me know she will do everything in her power to fix me or send me to whatever specialist I need to see to make sure I have a good chance walking in my future, and they all truly fantastic doctors. 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. Amazing Doctor and wonderful staff!!