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. Doctors typically provide answers within 24 hours. I got a lift home, and returned to the gym later that evening for more coaching. Dr. Burnham made sure I knew what was happening and what could happen. Life happens and our bodies will sometimes let us down. But theres still healing to be done and that 20% is really critical. Early weightbearing has been found to be the cause of meniscus root repair failure, and this has been validated by our colleagues. He is amazing and a blessing to have in the medical industry. One of the main portions of the system is a guide that can be placed inside the joint that fits around the tibial eminences and allows the surgeon to place the tip of the guide right at the area that has been decorticated of bone, where one wants to perform the root repair tunnel. 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. These are totally different. Other complications can include a blood clot, which is usually treated preemptively with some type of blood thinner, and irritation around the surgical button and/or surgical knot from the meniscus root tear. If the patient is not comfortable walking without an aid, then they are usually provided with axillary crutches. Please try again. Yet, if you feel discomfort, you can take over-the-counter pain medication. By far the best orthopedic team I have ever met. 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. The most common complication after a meniscus root repair is a re-tear. #12. The general published success rate for a meniscus root repair is between 80% and 85%. Had a meniscus root repair yesterday and the surgery was successful. It was tough, and it hurt like hell, but I took it slowly. There are many factors that go into this, including a patients weight, with overweight patients putting more stress on the meniscus root tear, ones alignment, where one being bowlegged with a medial meniscus root repair putting extra stress on the repair, and also the amount of underlying arthritis present prior to the root repair. Single leg deadlifts on the good leg, reverse hypers, and dumbbell bench. What could you eat or do for a meniscus tear to heal faster after surgery? And this channel is dedicated to helping people stay healthy, active and mobile. If your job mostly involves sitting at a desk, you may be able to get back to work in a week or two. endobj After repairing the meniscus root, it is imperative that the patient remain 100% non-weight bearing for 6 weeks. He is walking without a limb and is on schedule with his progress. My daughter journey was very trying and hard but we made it through with all of their help. Walk with crutches. Meniscus Root Repair; Meniscus Transplantation; Partial Meniscectomy; Patellofemoral Joint Repair. 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. I am now adding 10 pounds a week to the bar for squats. Range of motion exercises occur more slowly than a standard meniscus repair and will continue for the first 4 weeks. Definition/Description. The menisci in the knee are two c-shaped pieces of fibrocartilage that act as shock absorbers. stream If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again. If the lateral meniscus root tear is not repaired at the same time as an ACL reconstruction, it is now recognized that this could lead to ACL graft failure or loosening over time. I'm able to run and exercise without pain. If a meniscal root tear is left untreated, meniscal extrusion can occur rendering the meniscus nonfunctional resulting in degenerative arthritis. He was outstanding. Each week my leg brace is put to a different degree so I learn to bend my knee again. There are two ways to initiate a consultation with Dr. LaPrade: You can providecurrentX-rays and/or MRIs for a clinical case review with Dr. LaPrade. Little information has been published regarding specific rehabilitation parameters for meniscal root repairs through all phases of rehabilitation. The meniscal roots are critical in maintaining the normal shock absorbing function of the meniscus. Keeping each meniscus in place are two roots that attach to the tibia (shin bone). Dr. Jeremy Burnham did a reconstruction of my ACL on April 19th. 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. Oct 24, 2020. 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. I would recommend his service to any recreational athlete. We validated that the 2 simple suture technique had the least amount of loosening over time, but the other techniques were stronger. Knows his stuff. Surgical repair can successfully allow the meniscus to heal. Meniscus root repair is most commonly performed arthroscopically under regional anesthesia. Among them, 32.60% demonstrated incomplete healing, loosening of the construct, or excessive scar tissues formation. The results of meniscus root repairs in the literature are encouraging, but more improvement is necessary in the future. Is this a tear? 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. His MA Michelle was very professional and kind. I press and bench with no modifications. Hey - if he is good enough for Olympic and professional athletes..he's good enough for me! I limped from the wedding venue to the car, and then from the car to my house. And if youve already had your meniscus surgery, then you know what to do so that youre not getting more swelling, pain and not losing motion than that knee and youre staying out of the surgeons office, so you dont have to go back again for another knee surgery. When a torn fragment is floating in the joint, patients will feel a sudden, sha twitter.com/i/web/status/1, According to an injury study done in 2021, #Pickleball has been deemed safer than #tennis and better for individual twitter.com/i/web/status/1, Cysts Acetabular Paralabral and Subchondral, ACL Anterior Cruciate Ligament Injury of the Knee, Patellofemoral Pain Syndrome Runners Knee, PVNS of the Knee Pigmented Villonodular Synovitis, Osteochondral Allograft Transplantation Surgery (OATS), Patellofemoral Arthroscopy Runners Knee Treatment, Stabilization for Instability-Arthroscopic, Subacromial Decompression for Impingement, How to prevent common skiing and snowboarding injuries | Ski Injury Doctor Manhattan, BICMD Co-Founder and Co-CEO Announces Expansion of Services, Patients are partial weight bearing for the first 4 weeks and then during weeks 4-6 are progressed to full weight-bearing. 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. And Im a specialist physical therapist El Paso manual physical therapy. The thoughtful, open communication and treatment was everything I could have asked for pre-, during, and now post surgery. The meniscus is a crescent-shaped pad of cartilage located in the knee that helps stabilize and . By using our website, you consent to our use of cookies. 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. <> You'll likely regain your previous muscle strength in the leg by. Many patients do not have significant joint line pain like a typical meniscus tear, so having a patient stand up and squat down is often performed during the clinical exam to validate that the patient may have a meniscus root tear. Usually, pain is minimal after this type of surgery. Patients are usually kept non-weight bearing for the first 4-6 weeks, then advance gradually. In radiologic terms, this is called a bony ossicle. The technique for a repair for a bony avulsion, called a type 5 meniscus root tear, is similar to the other techniques other than it should have the bone piece shaved down and cleaned off such that it can be pulled back into the area where it had been avulsed from. The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. 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. Towards the middle of March, I was finally given wall slides (mini squats) and step ups for the left leg by my physical therapist. If one does have quite a bit of arthritis of the same compartment, which we would call Kellgren-Lawrence grades 3 or 4, in most circumstances, other than possibly in very young patients, a root repair would generally not be indicated. Everyone made us feel comfortable, and they were all polite and professional. Weight bearing as tolerated after 6 weeks. The biggest mistake that people make after having a meniscus surgery is theyre doing too much way too soon. I was adding 10 pounds a week for deadlifts but have now switched to pause deadlifts on Tuesday and add only 5 pounds a week to the heavy deadlift. Thus, the entire weight of the body is transmitted through the femur into the cartilage of the knee. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. 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. As a result, two weeks after surgery I was able to start driving my car, which is a manual. I recommend him, as well as his staff, to anyone requiring such services. And they can get back to normal in about two or three months after having the surgery. I was going to rehab myself, and keep training as normally as I could. Dr LaPrade performed a deep root repair to my meniscus, which saved me from a knee replacement at this time. Posterior horn medial meniscus root tears have been particularly noted to be a problem with a large number of patients developing arthritis rather quickly. Country. Proper fixation of the meniscal root can prevent or slow down the development of arthritis in that area of the knee. 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. In addition, if the medial meniscus is involved, active Created for people with ongoing healthcare needs but benefits everyone. If the patient has or has developed significant arthritis, which is usually designated at Kellgren-Lawrence grades 3 or 4, it is felt that a revision root repair may not be indicated. Dr. Robert F. LaPrade operated on my right knee in May of 2010. Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture, What Does an Orthopedist Do? In addition, the other factor is if the meniscus was released significantly enough from scar tissue to pull it back into the joint. Therefore, addressing a meniscus root tear prior to the development of osteoarthritis would be indicated. And most likely, a meniscus tear.. 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. Meniscal root repairs and radial tear repairs should be progressed slowly because the tear involves complete disruption of the circumferential fibers of the meniscus. Because this is a frequent question posed on Google, I will try to be modest in answering this. Two weeks. I was cleared from physical therapy on May 16, 2019, about three months after my surgery, and after only six PT sessions. 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. It hurt like hell. 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. I highly recommend him. The knee buckled and I thought, Shit. Regular assessment of gait to avoid compensatory patterns. For this reason, much research has gone in to meniscus root repairs over the last several years. For potential or actual medical emergencies, immediately call 911 or your local emergency service. And its really concerning and very disappointing for somebody whos gone through the knee surgery. A meniscal repair or arthroscopic meniscectomy is a surgical procedure to repair a torn meniscus via keyhole surgery. We love you! 5 wks into recovery of acl/meniscus tear surgery, I am still taking pain medicine. Iatrogenic meniscus root tears have been described for all 4 meniscal attachments in the knee. 2 0 obj A torn meniscus can result in either sudden or gradual onset of pain. If not even worse. They are also important to the stability and function of the knee, keeping the meniscus in place. He is on the cutting edge of research and techniques around surgery, he has a memorably reassuring bedside manner, and Im thankful he was in charge of my evalution and treatment. A meniscus root tear usually will not heal on its own. A written consent will be obtained from you after the surgical procedure has been explained in detail. This answers all my questions! He made my daughter feel comfortable and made sure to listen to both of our concerns prior to his diagnosis. Partial weightbearing status (<50%), unless otherwise ordered by MD. 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 asked when I could start driving, and he said when I was off my pain medication. Oftentimes, after having a meniscus surgery, people are told that they'll be fine. He answered all my questions satisfactorily and his entire staff were polite and professional. 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. But if we are stronger, we are harder to break, and we most certainly recover faster and better. 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. Eventually, as I get into the mid 100s again, I will start adding five pounds a week. And get the pain under control and recover normally the way that you should have once you start doing the right things. Does having a cortisone shot help a meniscus tear or is surgery the only option? 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. Very professional! In between the big lifts and the accessory work, I did some of my PT exercises: leg lifts, quad sets (quad squeezes), heel pumps. Dr. Nwachukwu and his team will have an individualized recovery program for the best healing success after your meniscal root repair.
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