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. You can't walk right after surgery. Recommend highly. We had a wonderful experience and I highly recommend him. Examination of the medial compartment revealed a complete radial tear proximally 1cm medial to the posterior root insertion. 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. If you had a knee surgery if youve been seen physical therapy or any other health care professionals and theyre telling you youll be fine in three months back to normal youll be dancing youll be exercising youll be playing with the grandkids again just smile and remember this video. My experience with Dr. Burnham and his staff was exceptional. In general, almost all meniscus root tears require a 6-week period of being nonweightbearing to maximize the healing potential. Amazing Doctor and wonderful staff!! Your subscription could not be saved. Oftentimes healthcare providers will tell you go walk your knees operated on its good youre the we took out the chunk that was you know causing your need to lock up the meniscus we did a meniscectomy or we repaired the meniscus and its all sewn together now so you can go ahead and walk all you want and some people take that to heart and to go walk you know three miles a day or even 10-20 miles a week and their meniscus just doesnt heal enough and they get that swelling. First, we performed quantitative anatomy studies, which allowed us to see exactly where a meniscus root tear should be reattached. If not treated, part of the meniscus may come loose and slip into the joint. The protocol is divided into phases. In some cases, its important that you take away from this video today that it takes six to 12 months to heal from a meniscus surgery. Stated to me , in detail, what to expect and how long my recovery will take. Your doctor may give you a nerve block before surgery and will prescribe pain-relieving medications after surgery. Ibuprofen (Advil, Motrin) Naproxen (Aleve) The thoughtful, open communication and treatment was everything I could have asked for pre-, during, and now post surgery. (Please keep reading below for more information on this treatment.). If it is your right knee, it will be at least a week before you can drive, as it would be risky to have to hit the break too soon after surgery, and you would be a risk to yourself and everyone else on the road. The second step is to prepare a bony bed where the meniscus repair will be performed. Studies have demonstrated that this type of repair technique restores similar shock-absorbing and cushioning function as normal meniscus before it tore. Oftentimes, after having a meniscus surgery, people are told that theyll be fine. And cartilage is one of the slowest healing tissues in the body. The most common method to fix meniscus root tears is through a tibial bone tunnel. What most people just dont get from their medical professionals is that the meniscus is a type of cartilage. You may need surgery to restore full knee function. He had knee surgery a few months ago and is recovering remarkably well. Often the best medicine to take is NSAIDs like naproxen and ibuprofen. And Im a specialist physical therapist El Paso manual physical therapy. Meniscus root repair rehab will usually start 1-2 days after surgery. Are you a candidate for a meniscal root repair? But theres still healing to be done and that 20% is really critical. Sit at home on the couch and watch T.V.? I limped from the wedding venue to the car, and then from the car to my house. 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. Nothing. Two important criteria exist to begin driving after meniscus surgery. Unfortunately, I was still not allowed to bend my knee completely, so I was still doing all benching on one leg. Dr. Ahmad M Hadied and another doctor agree, is on the left leg i let some patients Meniscal root repair is a procedure that is performed to stabilize a torn meniscus attachment to the tibia (shinbone). Thank you. Dr. Burnham is extremely professional, knowledgeable, understanding, kind, and precise. 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. We found that the technique was very successful at restoring function to patients and significantly reducing their pain. Therefore, any surgeon who performs ACL reconstruction should be well versed in performing a lateral meniscus root repair. Iatrogenic meniscus root tears have been described for all 4 meniscal attachments in the knee. As always, Dr. Burnham and his staff were caring, knowledgeable & professional at my recent visit. Thanks to Dr. Burnham and his staff. El Paso, Texas 79903. Controlling inflammation and swelling is still a key in this Phase, as increased motion without proper use of cooling therapy may put your meniscus at risk for re-injury. In addition, the other factor is if the meniscus was released significantly enough from scar tissue to pull it back into the joint. This results in premature arthritis and cartilage damage in the knee. Monday: 8:00 am 5:00 pm The biggest mistake that people make after having a meniscus surgery is theyre doing too much way too soon. 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. (E) Horizontalized FlipCutter drill ready to drill 10-mm-deep tibial tunnel. 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. At the end of March, my doctor told me I could take my brace off completely, and use crutches for another week if I needed to. A meniscus root tear usually will not heal on its own. Figure 5:: Cortical fixation of transtibial meniscal root repair. endobj My daughter journey was very trying and hard but we made it through with all of their help. Later that day, I trained. Meniscus Root Repair; Meniscus Transplantation; Partial Meniscectomy; Patellofemoral Joint Repair. I had a traumatic knee injury that he performed surgery on. Ive already talked about this but I cant drive the point home enough if youve gone to the doctor. Most meniscus root tears require surgery. BJJ was also becoming more and more of an issue, and the warm-ups were now next to impossible. My right knee was totally destroyed; ACL, MCL, PCL all severely torn; the patella was the only thing intact in my right knee. I highly recommend him. My daughter injured her ankle in cross country practice and we were able to get in the next day to see Dr. Burnham. If patients put weight on the knee immediately after the repair, the forces on . <> Timeline for Meniscus Repair Recovery: It will take around 4-6 weeks before you can walk, drive, and otherwise move normally as you would prior to your injury. Meniscal Ramp Lesions. 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. He has repaired both of my shoulders and he is awesome to the max. Next, we performed biomechanical studies to show the effects of varying sizes of radial meniscus root tears, validating that a meniscus root tear within a centimeter of its attachment site functions as a meniscus root tear and can be treated the same. . I was cleared to drive at my followup appointment 2 weeks after surgery, which was exactly what my surgeon had told me to expect. Wednesday: 8:00 am 5:00 pm 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. 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. But now I know more about the body, about rehab, and about what being stronger really means. 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. These include 1-tunnel and 2-tunnel techniques. United States. There goes my knee again.. Your doctor put a lighted tubecalled an arthroscope or scopeand other surgical tools through small cuts (incisions) in your knee. An ACL tear most commonly occurs from a turning, twisting, or deceleration mechanism in a noncontact mode. The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. 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. It was tough, and it hurt like hell, but I took it slowly. 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 ~. Specializes in Orthopedic Reconstructive Surgery. I did a few jungle gym rows, and finished with planks. I decided to continue with my usual four day split with two upper body days and two lower body days, although I did also incorporate a few extra upper body exercises as my lower body work was not that intense. When you put weight on your leg, it is the meniscal roots that transfer the axial loading forces of the knee into hoop stress in the meniscus. Currently, there are mini First-Pass devices that curve to the right and the left, which allows increased access to a root tear, especially since most root tears tend to squirt to the back part of the joint and can be more difficult to access with a straight biter. The patients are mostly allowed to walk immediately after arthroscopic knee surgeries. 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. He has a great rapport with teenagers. It is very important for proper healing, that the placement of the root matches the original Footprint or attachment site. They moved my knee a bit, and I had decent ROM, better than expected. If you're an athlete needing a doctor that understands; this is the guy. Non-anatomic root repairs do not restore normal joint biomechanics . Dr. Burnham was very thorough with his examination and diagnosis. The results of meniscus root repairs in the literature are encouraging, but more improvement is necessary in the future. 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. Ill def refer friends and family! 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. Further study into meniscus root tears and radial root tears is ongoing by our research laboratory to try to improve the treatment of these complex problems. The most important thing as one gets older is the quality of the cartilage present. For this reason, much research has gone in to meniscus root repairs over the last several years. No swelling. After about five minutes, the wheels were spinning. Later that summer, the left knee began to bother meagain. They walked me through the process from beginning to end. 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. 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. In general, in our practice, most patients who do have pain after a meniscus root repair fit into this category. When the tear is examined during arthroscopy, Dr. Hess will decide if the tear is able to be repaired . It is felt that most meniscus root tear repairs are sufficiently healed to start these activities between 5 and 7 months postoperatively. 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. What most people just don't get from their medical professionals is that the meniscus is a type of cartilage. 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. I would recommend his service to any recreational athlete. 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. Meniscal Repair. As surgical techniques are being developed and refined, rehabilitation protocols for meniscal root repairs must be defined and tested. I started Brazilian Jiu-Jitsu about four years ago. In addition, there is no low age for meniscus repairs, with some root repairs being done in patients as young as 6 or 7 years old. Dr. Jeremy Burnham did a reconstruction of my ACL on April 19th. You will begin to focus on regaining your ROM and begin more in muscle strengthening. You will feel tired for several days. In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. For potential or actual medical emergencies, immediately call 911 or your local emergency service. You may need to leave a message. . A physical therapist will be assigned to you and begin a routine of light exercise to help stabilize the knee. A meniscus can become damaged due to sudden trauma. 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. His step by step explanation of surgery expectations before and after the procedure was specific, thorough, and answered all of my questions. The arthroscopic meniscus repair is a procedure done to repair torn knee cartilage, usually for athletes. They have poor healing potential, and are extremely important to the stability and cushioning of the knee. They are connected to your tibia by meniscal roots. It can create another problem later on youve got to listen to your knee youve got to listen to your body and make sure that you only go with what you can tolerate without making it worse without swelling pain or definitely not losing motion and you might consider staying in physical therapy longer than they want you to or finding something to help you out. I definitely know that I would not have been able to do all that I can do now, if I had not gone into the surgery strong. I have been walking and training normally for the past four and a half months. The most common root repair technique is called a transtibial technique. Video chat with a U.S. board-certified doctor 24/7 in a minute. I was also allowed to bear weight on my leg while in the brace, which meant no more seated presses. Dr. La Prade had just moved to Vail and I was his 2nd patient @ The Steadman Clinic. It is critical that patients following a knee joint repair refrain from squatting for at least four months after the procedure. Why would I? Dr. Robert F. LaPrade operated on my right knee in May of 2010. What was going to help my knee? (B) Posterior root lesion of lateral meniscus. I never met a doctor and his team that showed some much compassion about their patient. It is vital that meniscus repair patients do not squat for at least four months after the repair. 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. And then they lose motion. Malempati C. Bonasia DE, Pellegrino P, DAmelio A, Cottino U, Rossi R. Meniscal Root Tear Repair: Why, When and How? The therapists were a little surprised to see me so soon after my surgery, but I really wanted to know how much range of motion I had post-surgery. General anesthesia and a nerve block. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. And its really concerning and very disappointing for somebody whos gone through the knee surgery. 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. Some patients may experience catching, clicking, or locking of their knee. When the meniscus root becomes detached, the meniscus can extrude out of the joint and lead to effectively having no functional meniscus. I have two good arms, and a good leg. This mechanism of injury and the description of a pop is the classic description of one who has a meniscus root tear occur. Immediate and intense knee pain can signal a meniscus root tear, especially with pain at the back of the knee. Full recovery usually takes 6 months but can take up to 1 year. Meniscus root repair surgeon, Doctor Benedict Nwachukwu provides diagnosis as well as surgical and nonsurgical treatment options for patients in Manhattan, New York City, NY who need meniscus root repair surgery. Other non-medical modalities may help, such as using ice and elevating the leg. I have been very pleased with him at each visit..It's been almost 2 years since my meniscus root tear surgery and I have to say my knee feels great. (C, D) Arthrex MU (multiuse) guide with 6-mm FlipCutter drill positioned on footprint of posterior root of lateral meniscus. Browse archives. There are two menisci in the knee, medial and lateral. - Privacy Policy - Louisiana Retina, Dr. Jeremy Burnham, MD - Sports Medicine, Orthopedic Surgeon, Knee Doctor, Jeremy Burnham, MD - Sports Medicine & Orthopedic Surgeon, __CONFIG_colors_palette__{"active_palette":0,"config":{"colors":{"f3080":{"name":"Main Accent","parent":-1},"f2bba":{"name":"Main Light 10","parent":"f3080"},"trewq":{"name":"Main Light 30","parent":"f3080"},"poiuy":{"name":"Main Light 80","parent":"f3080"},"f83d7":{"name":"Main Light 80","parent":"f3080"},"frty6":{"name":"Main Light 45","parent":"f3080"},"flktr":{"name":"Main Light 80","parent":"f3080"}},"gradients":[]},"palettes":[{"name":"Default","value":{"colors":{"f3080":{"val":"rgb(23, 23, 22)"},"f2bba":{"val":"rgba(22, 23, 22, 0.5)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"trewq":{"val":"rgba(22, 23, 22, 0.7)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"poiuy":{"val":"rgba(22, 23, 22, 0.35)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"f83d7":{"val":"rgba(22, 23, 22, 0.4)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"frty6":{"val":"rgba(22, 23, 22, 0.2)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"flktr":{"val":"rgba(22, 23, 22, 0.8)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}}},"gradients":[]},"original":{"colors":{"f3080":{"val":"rgb(23, 23, 22)","hsl":{"h":60,"s":0.02,"l":0.09}},"f2bba":{"val":"rgba(23, 23, 22, 0.5)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.5}},"trewq":{"val":"rgba(23, 23, 22, 0.7)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.7}},"poiuy":{"val":"rgba(23, 23, 22, 0.35)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.35}},"f83d7":{"val":"rgba(23, 23, 22, 0.4)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.4}},"frty6":{"val":"rgba(23, 23, 22, 0.2)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.2}},"flktr":{"val":"rgba(23, 23, 22, 0.8)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.8}}},"gradients":[]}}]}__CONFIG_colors_palette__, Cartilage Damage: Symptoms, Causes, & Treatment, Elbow Rehabilitation and Postoperative Protocols. A sports medicine specialist will examine your knee and any relevant imaging to determine which treatment you should start with first. Usually, pain is minimal after this type of surgery. We validated that the 2 simple suture technique had the least amount of loosening over time, but the other techniques were stronger. Regular assessment of gait to avoid compensatory patterns. Dr. Burnham clearly cares about his patients and their follow up care. So happy I found them! And unless you have been following my Instagram page and know about my rehab, you would never even know that I had knee surgery. I did a little internet searching, and diagnosed myself with a Bakers Cyst, which I discovered was pretty common with meniscus tears. But its just not common knowledge to take six to 12 months to heal after a meniscus surgery. I had shoulder cuff repair, involving 2 ligaments & bone spurs, only 6 weeks ago. Sometimes the meniscus damage occurs more gradually as part of degeneration. Hands down would recommend him!! 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. 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. Walk with crutches. 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. Right Knee Surgery After Auto Bicycle Accident, Medical Second Opinion Service MRI/X-ray Review. Thank you Dr. Burnham and Jerrica for everything! I asked him about biking, and he told me that he allowed his patients to start biking two weeks after surgery. Dr LaPrade performed a deep root repair to my meniscus, which saved me from a knee replacement at this time. The RICE (rest, ice, compression, elevation) principle can be useful in the first several days after a meniscus tear to help reduce inflammation, swelling, and pain. Meniscus root repair surgery recovery Most patients can return to full activity 4-6 months after a meniscus root repair. Many surgeons will tie the meniscus root repair with the knee bent, so that one can start motion right after surgery and not have to worry about the meniscus root repair being stretched out. And Im a specialist physical therapist El Paso manual physical therapy. Most of these types of injuries, that are symptomatic, require surgery. Most patients will also have some numbness around the surgical incision, but this is not a true complication and is anticipated with any type of surgical incision. Dr. Benedict Nwachukwu, orthopedic knee surgeon has extensive experience in treating meniscus root tears and can help patients in Manhattan, Brooklyn, New York City and the surrounding New York boroughs. It is our goal to provide the highest level of care and service to our patients. 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. If you think you may have a meniscus tear, it is recommended that you see a sports medicine physician as soon as possible. short distances based on their motion and In recent years the importance of the meniscus root has become more apparent. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. I am currently on crutches for 6-8 weeks with no pressure on my leg at all. Two cannulas are subsequently placed into the area of bone that was decorticated to allow for the transtibial 2-tunnel technique to be performed. The Steadman Clinic - Edwards, CO I left my visit feeling very comfortable with where I was and what needed to happen next. GREAT DOCTOR VERY CARING AND KNOWLEDGEABLE!! 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. Timeline: 1 week to 5 weeks after Surgery. 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. (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. This is called decortication of the medial tibial plateau (for a medial meniscus root repair). Historically, most root tears were treated with meniscectomies because the importance of the meniscus root as a shock absorber was not well known. Drivers: The meniscus repair surgery to prevent osteoarthritis is expected to drive market development. The menisci in the knee are two c-shaped pieces of fibrocartilage that act as shock absorbers. Two weeks to the day, I got on my spin bike at the gym and did what I could do. In particular, it is now recognized that the incidence of lateral meniscus root tears with an ACL tear is between 8% to 12%. #JimmyWinkfield is 1 of 5 men to win the prestigious twitter.com/i/web/status/1, What are #loosebodies in the #hip? He listens and address every concern with appropriate solutions. The posterior roots are the most important as this is where a root tear occurs most commonly. very elderly patients). In cases the patients undergo meniscus repair or ligament reconstruction, they are given a brace to support the knee in full extension. There was also proliferative synovitis present throughout the patellofemoral joint, including the medial and lateral gutters. Arrange for someone to drive you home as you will not be able to drive yourself after surgery. Kyle D. Morgenstern, MD . And the good news is that it can be helped without another surgery. Keeping each meniscus in place are two roots that attach to the tibia (shin bone). 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. Dr Jeremy Burnham has a great way of interacting with his patients. Can you tear your meniscus again after a surgery and if you do how can you tell? He and his staff could not have been more helpful and professional. We will determine during your consultation whether general or regional anesthesia would be appropriate - either way, no pain will be experienced during the procedure itself. A meniscus that still has extrusion present also does not function as well over the long term. 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 When a tear of the meniscal root, or even a tear near the root, occurs, the meniscus can no longer convert axial loading forces into hoop stresses. endobj They explain things very well. Two days after my surgery, Diego took me to my first PT session.
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