Dr. Burnham is extremely professional, knowledgeable, understanding, kind, and precise. Many tears have better outcomes if they are treated early. #JimmyWinkfield is 1 of 5 men to win the prestigious twitter.com/i/web/status/1, What are #loosebodies in the #hip? 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. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. We had a wonderful experience and I highly recommend him. Unfortunately, as we have developed more scientific evidence for this, including several studies in my lab, we found that the lateral meniscus root is extremely important to both prevent the development of osteoarthritis over time and also to protect a concurrent ACL reconstruction graft. Patients who have an ACL tear have a 10% chance of having a lateral meniscus root tear. Monday: 8:00 am 5:00 pm You have two roots per meniscus which include anterior and posterior roots. 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. 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. The healing phase is long, but he does A+ work. It is shaped like a C and it serves to cushion and stabilize the knee. Please subscribe to this channel and turn on your notifications so that you dont miss a single video with great tips and advice that we put out every single week. 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. 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. Oftentimes, after having a meniscus surgery, people are told that they'll be fine. There was also proliferative synovitis present throughout the patellofemoral joint, including the medial and lateral gutters. Dr. Burnham and Jerrica are AMAZING! I chose not to use my crutches anymore. Meniscus root repair surgery recovery Most patients can return to full activity 4-6 months after a meniscus root repair. The blood supply to the meniscus in an adolescent or adult is very poor. Patient Testimonials - Meniscus Root Repair Everett | OCD Repair of the Knee Kirkland X Accessibility View Book An Appointment (206) 784-8833 Wallingford Office (206) 633-8100 Ballard Office (206) 784-8833 Home My Practice Practice Expertise Patient / Medical Resources Educational Resources Videos Radio/podcasts News Contact Dr. Garcia Facebook 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. One should assess the range of motion at that point in time that can be performed in a safe zone to make sure that the physical therapist does not flex them harder in this time frame. Grant H. Garcia, MD 148 subscribers Dr Garcia demonstrates his new meniscal extrusion technique to further improve meniscus root repairs. My repair will be later this week on my right leg. 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. Keeping each meniscus in place are two "roots" that attach to the tibia (shin bone). It involves removal of some or all of a meniscus from the tibio-femoral joint of the knee using arthroscopic (keyhole) surgery. There was absolutely no knee pain. I was cleared from physical therapy on May 16, 2019, about three months after my surgery, and after only six PT sessions. I kept training, modifying my squatting as needed until I could get back to proper depth. This happens way more often than I like to admit. 1 doctor answer 2 doctors weighed in Dr. Jeffrey Sider answered Sports Medicine 41 years experience Depends: If surgery is on the left leg i let some patients drive the next day if they feel ok. Dr Burnhams bedside manner was exceptional. Darin helped me understand that it was going to be a very slow recovery due to the nature of the surgery, and to be patient. And slowly, I started bending the knee more, and eventually took the box away from my bench. My name is Dr. David Middaugh. 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. United States. It was tough, and it hurt like hell, but I took it slowly. This can occur in up to 20% of patients, even in the best of circumstances. 5 stars! 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. This allows the meniscus to heal back to the bone. Contact Dr. Nwachukwus team today! Is this a tear? Kyle D. Morgenstern, MD . He listens and address every concern with appropriate solutions. 4 0 obj I was hit by a car on my bicycle near Horsetooth Reservoir in CO. Stationary biking is allowed after 6-weeks with Dr. Nwachukwus approval and assessment of healing. Therefore, any surgeon who performs ACL reconstruction should be well versed in performing a lateral meniscus root repair. Historically, these root tears are often treated with benign neglect and either ignored or trimmed out. I was also allowed to bear weight on my leg while in the brace, which meant no more seated presses. Stated to me , in detail, what to expect and how long my recovery will take. I have two good arms, and a good leg. The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. There was a large grade 4 chondral defect involving the central aspect of the trochlea, approximately 30mm in width by 25mm in length. I was cleared to drive at my followup appointment 2 weeks after surgery, which was exactly what my surgeon had told me to expect. PHONE: (952) 442-2163 | WEB: TCOMN.COM/PHYSICIANS/KYLE- MORGENSTERN/ . This hoop stress is resisted by fibers that run circumferentially through the meniscus. The most common complication after a meniscus root repair is a re-tear. No, I didnt say pain free, or I didnt say get back to normal, just strong enough to get back to standing and walking because nobody wants to be in a wheelchair or not be able to get to the bathroom in time because of your knee not working right or being very painful. 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 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. Nothing. This usually presents with pain along the inside or medial portion of the joint and with swelling with activities. I am now adding 10 pounds a week to the bar for squats. My 14 year old son originally went in to see Dr. Burnham very scared (he hadn't had an injury before) and he was instantly made to feel at ease. Return to driving after surgery is okay once narcotic pain medication has been stopped and you are cleared by your surgeon. Both my children have seen Dr. Burnham with great results. In general, one can follow the small tunnels from the transtibial technique up to where the root attachment should be. PT or exercise can be useful BUT take note of these the BoneSmart view on exercise BoneSmart philosophy for sensible post op therapy 5. 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. He is walking without a limb and is on schedule with his progress. Most meniscus root tears occur very close to the root near the meniscus itself and are called radial root tears. We found that the technique was very successful at restoring function to patients and significantly reducing their pain. Your doctor may give you a nerve block before surgery and will prescribe pain-relieving medications after surgery. Meniscal repairs offer the benefit of preserving the native meniscus, but they require a longer rehabilitation protocol as compared to a meniscectomy. The root attachments of the posterior horns of the medial and lateral meniscus are very important for joint health. If there is tissue there, it usually means that the meniscus root repair has healed down to bone. Definitely recommend. Most patients with meniscal root tears will ultimately need surgical fixation of the root. 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. short distances based on their motion and For potential or actual medical emergencies, immediately call 911 or your local emergency service. Meniscus Root Repair; Meniscus Transplantation; Partial Meniscectomy; Patellofemoral Joint Repair. One should not look at age as a factor for meniscus root repairs. This is probably due to many factors, including the chronicity of the tear, the quality of the tissue, if the meniscus was released from scar tissue and pulled back in the joint, ones age, ones weight, and ones alignment. Dr. Burnham performed my hip pin surgery and it all went extremely well. Thank you for choosing Dr. LaPrade as your healthcare provider. I dont remember how or when I tore my meniscus. So if thats your feeling youve taken them and it hasnt really made a difference for you dont take them if you feel like to help you out please take them but dont just take the supplements in hopes of that replacing doing the right exercises and having the right expectations youve got to do them both together give us a like if you thought this video was helpful and please drop a comment if you have any questions and i hope that you get better real soon have a wonderful day guys. 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. Therefore, the transtibial meniscus root repair technique is by far the most common procedure that is performed. 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 . 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. 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. When these are torn, the loading of the joint is equivalent to having no meniscus on the affected side. A friend of mine picked me up, and took me to the gym, where I coached my clients, sometimes sitting, sometimes standing. The arthroscopic meniscus repair is a procedure done to repair torn knee cartilage, usually for athletes. He spent a great amount of time explaining everything to me in a way that I understood everything. Towards the middle of March, I was finally given wall slides (mini squats) and step ups for the left leg by my physical therapist. 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. The why answer is that the meniscus root is an important stabilizer to the meniscus to ensure that it can function as effectively as possible as a shock absorber. When I said I was not on any medication, he said when I could bend my leg 90 degrees. This is done to protect the repair and let the body heal it. Your knee will be swollen. Range of motion exercises occur more slowly than a standard meniscus repair and will continue for the first 4 weeks. They are also important to the stability and function of the knee, keeping the meniscus in place. I got rid of the box for squats the end of July. 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. Sometimes the meniscus damage occurs more gradually as part of degeneration. Specializes in Orthopedic Reconstructive Surgery. Unfortunately, I was still not allowed to bend my knee completely, so I was still doing all benching on one leg. How long after surgery for a meniscus tear will i be able to drive again. 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. For this reason, much research has gone in to meniscus root repairs over the last several years. If you break down what most healthcare provision professionals tell their patients, it could be an orthopedic surgeon, or even a physical therapist, its telling somebody whos just had a meniscus surgery, theyll say, well, 80% of healing is done in the first two to three months. The other aspect that needs to be evaluated is the amount of extrusion of the meniscus. The posterior roots are the most important as this is where a root tear occurs most commonly. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Other common symptoms include limping, a change in the patients gait and the inability to put weight on the affected knee. The next portion of the Smith & Nephew root repair device is a mini First-Pass device. Swelling and stiffness. I finally decided to make an appointment with a knee specialist. The aftercare and recovery require postoperative protection to allow healing. Usually, pain is minimal after this type of surgery. How long did you have to avoid driving after meniscus surgery? Untreated meniscus tears can increase in size and lead to complications, such as arthritis. 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. 4. I was told it would be about 6 weeks, but my instructions are to wear a brace at full extension for the duration of this time. Because this is a frequent question posed on Google, I will try to be modest in answering this. Multiple large loose bodies were removed from my knee joint, the largest of which measured approximately 20mm. I press and bench with no modifications. endobj 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. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. 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. Now, the focus when you go into a surgeons office, theyre looking at your MRI, theyre looking at your meniscus on the MRI, theyre telling you the tear in the way that its torn and how theyre going to repair it. I recommend him, as well as his staff, to anyone requiring such services. Amazing doctor, amazing family mantreats patients with the highest level of care, compassion, and quality! And they can get back to normal in about two or three months after having the surgery. Next, sutures are placed in the meniscal attachment and threaded through the hole in the tibia. (B) Posterior root lesion of lateral meniscus. I could no longer deadlift from the floor, and was having trouble squatting below parallel. It takes longer for a meniscus repair to heal than a meniscectomy. If it is the right knee, the average time until the patient is able to drive is 6-9 weeks. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. Later that day, I trained. And the good news is that it can be helped without another surgery. I am so glad I did! This was going to be a complete root repair surgery: toe-touch weightbearing for four weeks, six weeks in a brace and crutches. He answered all my questions satisfactorily and his entire staff were polite and professional. Ill def refer friends and family! So happy I found them! Thanks to his staff for being so helpful. Dr. Burnham and his remarkable staff have been a godsend for our son. Please help. Sutures are passed through the meniscus, and then pulled down into a bone tunnel located at the same site as the root attachment before it tore. This mechanism of injury and the description of a pop is the classic description of one who has a meniscus root tear occur. The first 6 weeks are a strict protection phase and the patient is non-weight bearing. Dr. Burnham & his staff are very personable & caring. Everyone made us feel comfortable, and they were all polite and professional. 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. Two weeks. Unlike some meniscus tears which can be observed or treated conservatively, most meniscus root tears need surgery. What could you eat or do for a meniscus tear to heal faster after surgery? As of August 20, 2019, it will be six months post-op. A sports medicine specialist will examine your knee and any relevant imaging to determine which treatment you should start with first. Meniscus Root Repair The most common method to fix meniscus root tears is through a tibial bone tunnel. Oftentimes, after having a meniscus surgery, people are told that theyll be fine. Why would I? Dr. Burnham is amazing. When I went in arthroscopically and thoroughly released the meniscus, pulling it back into an anatomic position and revising the repair; all of these patients seemed to have much improved pain relief. In cases the patients undergo meniscus repair or ligament reconstruction, they are given a brace to support the knee in full extension. General anesthesia and a nerve block. It is our goal to provide the highest level of care and service to our patients. They moved my knee a bit, and I had decent ROM, better than expected. My daughter recovered fully from a total knee reconstruction and now she able to return to sports. The most common root repair technique is called a transtibial technique. 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. Physical therapy exercises can help to improve muscle strength, knee range of motion, and decrease sensitivity to the pain. Many meniscus tears can be treated successfully without surgery.
Charles' Law Experiment Syringe,
Kountry Wayne Wife Cheating,
Articles D
