It was glorious. Meniscus tears & repairs - Overview - Mayo Clinic Orthopedics & Sports In addition, because of studies from our biomechanical studies showing significant stress on the meniscus with deep flexion, as well as the fact that many meniscus root tears occur with deep flexion, we have patients avoid squatting, squatting and lifting and sitting cross-legged (which puts extra stress on a root repair) for a minimum of 4 months postoperatively to maximize the healing potential. In some severe cases, they cant fully extend their knee out or bend their knee all the way. 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. We found that the technique was very successful at restoring function to patients and significantly reducing their pain. The following Tuesday, I saw my doctor. And cartilage is one of the slowest healing tissues in the body. Meniscus Root Repair Northeast Philadelphia, PA | Meniscal Root Tears Dr Burnhams bedside manner was exceptional. A meniscus root tear occurs when one or both of these roots tear away from the bone. Meniscal root tears: Solving the silent epidemic - Journal of I never met a doctor and his team that showed some much compassion about their patient. 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. 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. It took almost a week and a half for the swelling to go down, but there was still considerable swelling in my knee. There was also proliferative synovitis present throughout the patellofemoral joint, including the medial and lateral gutters. The second step is to prepare a bony bed where the meniscus repair will be performed. But theres still healing to be done and that 20% is really critical. You will feel tired for several days. 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. And slowly, I started bending the knee more, and eventually took the box away from my bench. <> I finally decided to make an appointment with a knee specialist. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again. The patients are mostly allowed to walk immediately after arthroscopic knee surgeries. My daughter recovered fully from a total knee reconstruction and now she able to return to sports. We use the 2-tunnel technique to maximize biologic healing of the meniscus down to a broad surface. Dr. Burnham made sure I knew what was happening and what could happen. Meniscal root repairs and radial tear repairs should be progressed slowly because the tear involves complete disruption of the circumferential fibers of the meniscus. Figure 5:: Cortical fixation of transtibial meniscal root repair. The sutures are anchored to the tibia in order to stabilize the meniscus root attachment. Heel lift in opposite shoe to normalize gait. I press and bench with no modifications. Being stronger is always better than being weak. 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. 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. 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. Torn Meniscus - Repair and Post Op Instructions repair to heal. Knows his stuff. Meniscus root tears usually occur in patients with deep flexion such as skiers, or home gardeners, plumbers, or carpet layers or people doing similar activities. Meniscal root repair whether isolated or in combination with valgus HTO or ACL reconstruction, when indicated, was able to improve the clinical, functional and subjective results of the patients presented in this case series. I had shoulder cuff repair, involving 2 ligaments & bone spurs, only 6 weeks ago. Continuing to train, moving it as much as I could, bearing weight as much as I could tolerate, not sitting around, and NOT just doing PT exercises 1-2x times a week. For this reason, much research has gone in to meniscus root repairs over the last several years. And Im a specialist physical therapist El Paso manual physical therapy. 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. The most important aspect to assess when one is looking at a root repair is to ensure that ones cartilage surfaces are still fairly normal. endobj He is walking without a limb and is on schedule with his progress. Two main repair techniques are described: (1) suture anchors (direct fixation) and (2) sutures pulled through a tibial tunnel (indirect fixation . What to do if I have a radial meniscus tear, what's the chance of it fully healing with surgery? Two important criteria exist to begin driving after meniscus surgery. This was going to be a complete root repair surgery: toe-touch weightbearing for four weeks, six weeks in a brace and crutches. I wont ever go anywhere else. 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. 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. (C, D) Arthrex MU (multiuse) guide with 6-mm FlipCutter drill positioned on footprint of posterior root of lateral meniscus. Physical therapy exercises can help to improve muscle strength, knee range of motion, and decrease sensitivity to the pain. 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. I limped from the wedding venue to the car, and then from the car to my house. 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. Single leg deadlifts on the good leg, reverse hypers, and dumbbell bench. El Paso, Texas 79903. General anesthesia and a nerve block. Are you an athlete who participates in sports that involve running and jumping? 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 . Question: Can You Bend Your Knee After Meniscus Repair As surgical techniques are being developed and refined, rehabilitation protocols for meniscal root repairs must be defined and tested. The protocol is divided into phases. The feeling that your knee is giving way, locking, or catching when you bend it. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. And this channel is dedicated to helping people stay healthy, active and mobile. Few tears will become. The general published success rate for a meniscus root repair is between 80% and 85%. This hoop stress is resisted by fibers that run circumferentially through the meniscus. You may need surgery to restore full knee function. His step by step explanation of surgery expectations before and after the procedure was specific, thorough, and answered all of my questions. The meniscus is a crescent-shaped pad of cartilage located in the knee that helps stabilize and . So happy I found them! 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. It was press/bench day, so I set up for some seated presses and dragged a stool over to prop my left leg up while I benched. Your subscription could not be saved. Meniscus root repair | Knee Problems | Forums | Patient In this technique, sutures are placed into the torn meniscus root and then shuttled down tunnels in the tibia to tie the repair into place. Dr. Jeremy Burnham did a reconstruction of my ACL on April 19th. After about two hours, I got up, crutched into the kitchen, brewed a pot of coffee and made myself some pancakes. A Guide to Orthopedic Care, Pediatric & Adolescent Sports Medicine Injuries, Get the Perfect Grip on Your Next Game: Adaptive Golf Gloves, Healthcare Journal of Baton Rouge Mentions Dr. Burnham Performing New Surgery to Repair Torn ACL, Sports Medicine Near Me: Finding the Right Doctor for You, When to See a Doctor for Knee Pain When Bending: The Complete Guide, 11 Benefits of Exercise: It Can Change Your Life, Knee Bursitis: Causes, Symptoms, and Treatment Options, Your Childs Knocked Knees: Everything You Need to Know, BioUni OATS Procedure Cartilage Replacement for the Knee, Capsulorraphy Shoulder Stabilization Procedure. Theyre kind of done with you too but what if you want to go play with the grandkids do you want to kneel what do you want to exercise youve got to set your expectations to still take it easy still rehab or strengthen the right muscles or do the right kind of treatment for yourself so that you can continue to heal. He will now be caring for my hip and knee in the future. You'll likely regain your previous muscle strength in the leg by. Often the best medicine to take is NSAIDs like naproxen and ibuprofen. Oftentimes, after having a meniscus surgery, people are told that they'll be fine. Meniscal Root Repair Kirkland | Meniscal Root Tear Seattle, Everett