They might have a follow up visit or two but its really physical therapy that suppose take over at that point in physical therapy just has you for two to three months and once theyre done with you same thing once youre back to walking and bending your knee all the way and straightening out your knee all the way. In particular, it is now recognized that the incidence of lateral meniscus root tears with an ACL tear is between 8% to 12%. I did a few jungle gym rows, and finished with planks. 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. Most root tears involve either a direct tear of the meniscus off bone or a split of the meniscus within 1 cm of the root attachment. The meniscus has 3 main zones, the 1) posterior horn, the 2) body, and the 3) anterior horn. I think my clients thought I had lost my mind, but what else was I going to do? If not even worse. In patients who have open growth plates, consideration may be necessary to either plan to remove the sutures after the meniscus root repair heals or to consider placing the tunnels and suture repair above the growth plate such that is does not cross the growth plate and have a theoretical chance of causing a growth plate arrest. They may start the use of a stationary bike, and may slowly wean off crutches starting at 6 weeks post-operatively. The meniscus is a very important piece of cartilage in the knee. The incisions leave scars that usually fade in time. He has a great rapport with teenagers. Meniscus root tears are now being recognised as a significant cause of pain, disability, and rapid joint deterioration. Two important criteria exist to begin driving after meniscus surgery. Synopsis There is a growing body of evidence surrounding the pathology and treatment of meniscal root tears. Life happens and our bodies will sometimes let us down. You will begin to focus on regaining your ROM and begin more in muscle strengthening. After about five minutes, the wheels were spinning. Other common symptoms include limping, a change in the patients gait and the inability to put weight on the affected knee. Therefore, any surgeon who performs ACL reconstruction should be well versed in performing a lateral meniscus root repair. The knee buckled and I thought, Shit. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again. And its really concerning and very disappointing for somebody whos gone through the knee surgery. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. I recommend him, as well as his staff, to anyone requiring such services. This allows the meniscus to heal back to the bone. This is called decortication of the medial tibial plateau (for a medial meniscus root repair). Specializes in Orthopedic Reconstructive Surgery. Meniscus root repair surgery recovery Most patients can return to full activity 4-6 months after a meniscus root repair. 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. Highly recommended! It is critical that patients following a knee joint repair refrain from squatting for at least four months after the procedure. Unlike some meniscus tears which can be observed or treated conservatively, most meniscus root tears need surgery. Now my intent on this video is not to throw anybody under the bus surgeons are doing the best they can with what they know and saw our physical therapists in any health care providers that you may be seeing for your meniscus problem. Weight bearing as tolerated after 6 weeks. Patients who have an ACL tear have a 10% chance of having a lateral meniscus root tear. Had a meniscus root repair yesterday and the surgery was successful. 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. It is very important for proper healing, that the placement of the root matches the original Footprint or attachment site. The left knee was feeling great up until about a year and a half ago, when I started noticing some pain. This technique allows one to place passing stiches up the cannula, which has significantly decreased the operative time. If I could give more than 5 stars, I would. I consulted with SSC and DPT Darin Deaton prior to my surgery and then afterwards, when I discovered it had been a meniscus root repair. There are two menisci in the knee, medial and lateral. Never disregard or delay professional medical advice in person because of anything on HealthTap. He provided a thorough explanation without wasting time. 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. They are also important to the stability and function of the knee, keeping the meniscus in place. 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. It has been found that one suture alone for the repair does not work well, so a minimum of 2 sutures is required to maximize meniscal healing. Historically, most root tears were treated with meniscectomies because the importance of the meniscus root as a shock absorber was not well known. The procedure can be a complete meniscectomy where the meniscus and the . (including injections and arthroscopic surgery), I heard Dr. La Prade was going to practice in the Twin Cities - where I live, & waited for him, based on his renown reputation. Factors Affecting Meniscus Tear Healing and Prognosis AOSSM Lecture from Jeremy Burnham, Ochsner-Andrews Sports Medicine Institute, Copyright 2022Jeremy Burnham, M.D. 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. Removal Repair Example of Root Tear Repair Q: HOW DOES THE SURGEON DECIDE WHETHER TO PERFORM A REPAIR OR REMOVAL? Great doctor. Thank you Dr. Burnham and Jerrica for everything! If your job mostly involves sitting at a desk, you may be able to get back to work in a week or two. The exception is a patient that has contra-indications to surgery or already has too much cartilage wear and tear for the root repair to be beneficial. Do minor meniscus tears require surgery or can it repair itself? We have published on several of these, noting that a PCL tunnel which is placed too close to the joint can detach the posterior horn of the medial meniscus and lead to the development of arthritis of the medial compartment. I was cleared to drive at my followup appointment 2 weeks after surgery, which was exactly what my surgeon had told me to expect. Early weightbearing has been found to be the cause of meniscus root repair failure, and this has been validated by our colleagues In general, almost all meniscus root tears require a 6-week period of being nonweightbearing to maximize the healing potential. 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. 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. So lets get to it. If the meniscus is extruded, the patient may not be having a restoration of their shock-absorbing capacity of the meniscus. I kept training, modifying my squatting as needed until I could get back to proper depth. And theres things that you can do, which Ill allude to here in the middle. Definition/Description. Instead of wall slides, I opted for high box squats. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. This hoop stress is resisted by fibers that run circumferentially through the meniscus. A meniscus root tear can occur due to a traumatic event or degeneration. Immediate and intense knee pain can signal a meniscus root tear, especially with pain at the back of the knee. Previous attempts to make it better provided only temporary relief. I wasnt taking any pain medication either, so I was alert. 2601 E. Yandell Drive, Suite 232 Most meniscus root tears occur very close to the root near the meniscus itself and are called radial root tears. GREAT DOCTOR VERY CARING AND KNOWLEDGEABLE!! 2700 Vikings Circle For potential or actual medical emergencies, immediately call 911 or your local emergency service. Two weeks. So go check out that video on how to exercise your glutes theres five exercises in there that you can start doing them i would do them every day i do them a couple times a day even more if you can i would do what you can tolerate without it being too much soreness and your glute muscles and they should all generally be okay on your knee theres some where you got to kneel you can adjust it you can not do that exercise if you want. We had a wonderful experience and I highly recommend him. Thus, the entire weight of the body is transmitted through the femur into the cartilage of the knee. Therefore, one should attempt a meniscus root repair whenever possible in most patients up to age 70. We use the 2-tunnel technique to maximize biologic healing of the meniscus down to a broad surface. Keeping each meniscus in place are two "roots" that attach to the tibia (shin bone). Grant H. Garcia, MD 148 subscribers Dr Garcia demonstrates his new meniscal extrusion technique to further improve meniscus root repairs. . 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. Does having a cortisone shot help a meniscus tear or is surgery the only option? Range of motion exercises occur more slowly than a standard meniscus repair and will continue for the first 4 weeks. 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. These are totally different. Meniscal Root Repair Post-operative Rehabilitation Protocol Phase 1: 0-2 weeks post-operatively Goals . Contact Dr. Nwachukwus team today! If a meniscal root tear is left untreated, meniscal extrusion can occur rendering the meniscus nonfunctional resulting in degenerative arthritis. % The other aspect that needs to be evaluated is the amount of extrusion of the meniscus. As always, Dr. Burnham and his staff were caring, knowledgeable & professional at my recent visit. How long after surgery for a meniscus tear will i be able to drive again. 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. A meniscus root tear occurs when one or both of these roots tear away from the bone. When one drills a tunnel and tries to place stitches up a tunnel without a cannula in place, it can be extremely technically challenging.
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