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He and his staff could not have been more helpful and professional. Dr Jeremy Burnham has a great way of interacting with his patients. In terms of when, one should plan to perform a meniscus root repair as soon as it is diagnosed as long as ones articular cartilage is still fairly intact. I would highly recommend him. Many patients who do have a meniscus root tear note that they feel a pop in the back of the knee when they are doing squatting activities, such as cleaning floors, gardening, placing down carpet or plumbing. This usually presents with pain along the inside or medial portion of the joint and with swelling with activities. His step by step explanation of surgery expectations before and after the procedure was specific, thorough, and answered all of my questions. Should a meniscus tear repair surgery be hurting 7 weeks post-operation? This is important because these repairs are still quite tenuous with current technology, so it is important to try to put the meniscus back into a position where there would not be a lot of tension on the repair with knee range of motion. 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. I wont ever go anywhere else. I was also allowed to bear weight on my leg while in the brace, which meant no more seated presses. Other non-medical modalities may help, such as using ice and elevating the leg. 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. You can schedule an office consultation with Dr. LaPrade. If I could give more than 5 stars, I would. The Steadman Clinic - Frisco, CO 226 Lusher Court Ste 101 Frisco, CO 80443. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 12 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> If youre watching this video today, and youre considering having a meniscus surgery for your knee, then youll want to listen closely so that you dont make this mistake after you have your meniscus surgery. Kyle D. Morgenstern, MD . First, one needs to ensure that the meniscus root is repairable and that there is not too much arthritis on that affected portion of the joint such that a meniscus root repair would not be recommended. After creating two transtibial tunnels, passing sutures through the detached root of the meniscus and down the tibial tunnels, the sutures are tensioned to reduce the root of the meniscus to anatomic position. Highlights from the StartingStrength Community. Unfortunately, I was still not allowed to bend my knee completely, so I was still doing all benching on one leg. This technique allows for the meniscus to be pulled down into a broad surface area, maximizing its chance for biologic healing. In general, almost all meniscus root tears require a 6-week period of being nonweightbearing to maximize the healing potential. It is critical that patients following a knee joint repair refrain from squatting for at least four months after the procedure. He is amazing and a blessing to have in the medical industry. 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. 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. And if we know anything about cartilage, if you want to look this up, it takes about six up to 12 months to fully heal depending on the severity of that injury on the meniscus on that cartilage. In recent years the importance of the meniscus root has become more apparent. Their sense of compassion and understanding is more than we have ever experienced. They can occur in younger patients as a result of high energy trauma, but are more common in patients between 45 and 60 as a result of degeneration of the meniscus with age. This is one of the first video demonstrations of this. 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. Surgical repair can successfully allow the meniscus to heal. Oftentimes, after having a meniscus surgery, people are told that they'll be fine. Just its a big deal to take your time and let that cartilage heal at the rate that it heals you generally can go faster than what it heals, And the question that i get often is do i take any supplements glucosamine chondroitin those types of supplements and you know the answer to that is its not going to hurt we the research is kind of mixed on it sometimes it helps sometimes it doesnt help what we know is that it generally doesnt hurt it doesnt make it worse so youre not going to youre not going to make things worse if you decide to take those supplements are generally safe to take but some people report no difference. Physical therapy exercises can help to improve muscle strength, knee range of motion, and decrease sensitivity to the pain. Upon examination, the doctor told me that I most likely had a meniscus tear, and that I should get an MRI. Therefore, most meniscus root tears need to have the scar tissue released so the meniscus can be pulled back into the joint. The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. 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. 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. EDINA- CROSSTOWN OFFICE Many tears have better outcomes if they are treated early. . Driving after meniscus root repair depends on which knee it is. 28323545 Additionally, preparing 2 transtibial tunnels to secure the meniscal root to its attachment site further increases the If not treated, part of the meniscus may come loose and slip into the joint. Phase I of Rehab: Surgery until 8 weeks. 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. W;5$u4Yxa_V_bm}q8=^_qbY,H(+",X'{|oMs"&A;3.E s&L=Z`)!]$],b }zb& Y@dy.Lif1:4@"Fz"U2`/h0|6^T&}56+Q:Dn{d:rqW@3 7 U. And this channel is dedicated to helping people stay healthy, active and mobile. You may need to leave a message. Definitely recommend. Does a extruded medial meniscus towards the posterior root need surgery? We are so grateful for you both! 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. In between the big lifts and the accessory work, I did some of my PT exercises: leg lifts, quad sets (quad squeezes), heel pumps. Meniscal Repair. 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. When these are torn, the loading of the joint is equivalent to having no meniscus on the affected side. 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. Everyone I was in contact with, from support staff to Dr. Burnham, was kind, friendly, competent, and generous with time and information. 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. There was a large grade 4 chondral defect involving the central aspect of the trochlea, approximately 30mm in width by 25mm in length. Malempati C. Bonasia DE, Pellegrino P, DAmelio A, Cottino U, Rossi R. Meniscal Root Tear Repair: Why, When and How? I have no issues taking the stairs, just a little knee discomfort here and there. Following this 6 weeks, they begin weight bearing at 25% with crutches for 1 week, and then 75% weight bearing using 1 crutch for 1 additional week. (B) Posterior root lesion of lateral meniscus. My surgery was at 8:30am Wednesday, February 20. Dr. La Prade had just moved to Vail and I was his 2nd patient @ The Steadman Clinic. Arner, J.W., Herbst, E.. Meniscal Root Repair Article. But theres still healing to be done and that 20% is really critical. I highly recommend him. After sutures are placed arthroscopically into the meniscal attachment, a small diameter tunnel, usually 5 millimeters in size, is reamed to the meniscal root attachment site, the sutures are pulled down the tunnel, and tied over a button on the anterior cortex of the tibia. We currently use UltraTape to do this. Two cannulas are subsequently placed into the area of bone that was decorticated to allow for the transtibial 2-tunnel technique to be performed. Really cares for his patients! After you have surgery to repair a meniscus tear, you may need to build up your strength in the muscles of your leg that support your knee. 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 was still taking aspirin to prevent clotting after surgery, and I also tried to put as much weight on the left leg as I was allowed, and then more. They are also important to the stability and function of the knee, keeping the meniscus in place. On Thursday, February 21, the day after my surgery, I went to work, in my brace and on crutches. And they can get back to normal in about two or three months after having the surgery. <> Meniscus root tears are a particularly troublesome type of meniscus tear, because a failure to treat them can often result in the rapid development of osteoarthritis. Oftentimes, after having a meniscus surgery, people are told that theyll be fine. The . While you're recovering from your meniscus surgery, you can expect to feel pain while you heal. I could no longer deadlift from the floor, and was having trouble squatting below parallel. I chose not to use my crutches anymore. I rate him 5stars. MENISCAL ROOT REPAIR POST-OPERATIVE ORDERS . Thursday: 8:00 am 5:00 pm, What causes #runners knee or patellofemoral pain syndrome? He then drills a hole from the front of the tibia, into the root area and brings the sutures through the hole in order to tie them together and hold the tissue in place. Had a meniscus root repair yesterday and the surgery was successful. 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. 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 is important to recognize that most patients who sustain isolated meniscus root tears happen with a medial meniscus root attachment. These results reveal that, since all the variables and possible concomitant injuries are investigated and addressed, MRR . . If a meniscal root tear is left untreated, meniscal extrusion can occur rendering the meniscus nonfunctional resulting in degenerative arthritis. Unlike some meniscus tears which can be observed or treated conservatively, most meniscus root tears need surgery. Your doctor may give you a nerve block before surgery and will prescribe pain-relieving medications after surgery. Keeping each meniscus in place are two roots that attach to the tibia (shin bone). There can be many factors which can potentially cause pain after a meniscus root repair. I put a knee brace on and made it through class, but by the time I drove home I could barely bend my knee. The arthroscopic meniscus repair is a procedure done to repair torn knee cartilage, usually for athletes. Studies have demonstrated that this type of repair technique restores similar shock-absorbing and cushioning function as normal meniscus before it tore. My daughter journey was very trying and hard but we made it through with all of their help. A meniscus repair to the knee cartilage is a minimally invasive surgery that can normally be performed on an outpatient basis. The system also involves a drill with a cannula whereby one can drill through the tibial guide, see the drill bit come out inside the knee, and then pull the drill bit out and leave the cannula in place. For this reasons, it is crucial to identifiy and treat meniscal root tears in a timely manner. In particular, making sure the meniscus has a thorough release from scar tissue and making sure that ones sutures or UltraTape are placed into the best substance possible for the meniscus root repair, are important considerations to maximize the chance of healing of the revision root repair procedure. These are totally different. 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 United States. If not even worse. questions after your surgery, during business hours call 763-302-2231. 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. Crutches will be used until the patient can walk without a limp on the repaired knee, which takes about 2 weeks after surgery. After repairing the meniscus root, it is imperative that the patient remain 100% non-weight bearing for 6 weeks. endobj We use the 2-tunnel technique to maximize biologic healing of the meniscus down to a broad surface. After about two hours, I got up, crutched into the kitchen, brewed a pot of coffee and made myself some pancakes. His staff is very friendly and upbeat, knowledgeable and thorough. My repair will be later this week on my right leg. In general, in our practice, most patients who do have pain after a meniscus root repair fit into this category. Historically, most root tears were treated with meniscectomies because the importance of the meniscus root as a shock absorber was not well known. 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. He made my daughter feel comfortable and made sure to listen to both of our concerns prior to his diagnosis. 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. The thoughtful, open communication and treatment was everything I could have asked for pre-, during, and now post surgery. I would have relied strictly on physical therapy. 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. Examination of the medial compartment revealed a complete radial tear proximally 1cm medial to the posterior root insertion. 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. Heel lift in opposite shoe to normalize gait. 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.