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They may start the use of a stationary bike, and may slowly wean off crutches starting at 6 weeks post-operatively. We found that the technique was very successful at restoring function to patients and significantly reducing their pain. 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. Thursday: 8:00 am 5:00 pm, What causes #runners knee or patellofemoral pain syndrome? 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. This technique allows one to place passing stiches up the cannula, which has significantly decreased the operative time. Repairs have been found to delay or improve the findings of bony edema and the early onset of arthritis in many patients. Great shoulder doc. Is this normal? Your knee will be swollen. United States. Stated to me , in detail, what to expect and how long my recovery will take. 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. The meniscus is a very important piece of cartilage in the knee. Multiple large loose bodies were removed from my knee joint, the largest of which measured approximately 20mm. That night, I drove myself to the gym. Untreated meniscus tears can increase in size and lead to complications, such as arthritis. My repair will be later this week on my right leg. Oftentimes, after having a meniscus surgery, people are told that they'll be fine. 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. (it is still a bit swollen). We currently use UltraTape to do this. It hurt like hell. Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. He answered all of my concerns about my knee. I never met a doctor and his team that showed some much compassion about their patient. In fact 2 years ago I finished climbing the top 100 peaks in CO. We recommend the use of 2 cannulas such that the meniscus can be pulled down over a broader area and have a better chance of healing to the bone. Two weeks. So lets get to it. Their sense of compassion and understanding is more than we have ever experienced. Unlike some meniscus tears which can be observed or treated conservatively, most meniscus root tears need surgery. Most importantly, I have not missed a single coaching or training session since my surgery. Takes his time with you and doesn't hurry to rush out of the room if you have questions. Two important criteria exist to begin driving after meniscus surgery. 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. This hoop stress is resisted by fibers that run circumferentially through the meniscus. 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. Dr. Burnham and his remarkable staff have been a godsend for our son. And its a lot slower for the remaining, you know, six to nine months after the first two or three months. Specializes in Orthopedic Reconstructive Surgery. amount of, supply and beyond the age of 15 has limited healing without surgery. He has a great rapport with teenagers. 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. The posterior roots are the most important as this is where a root tear occurs most commonly. Did you have any meniscus surgery in the past and youre still dealing with pain, swelling and possibly even losing motion in your knee? Being stronger is always better than being weak. Are you an athlete who participates in sports that involve running and jumping? 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. The blood supply to the meniscus in an adolescent or adult is very poor. The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. Video chat with a U.S. board-certified doctor 24/7 in a minute. 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. I would have relied strictly on physical therapy. As of August 20, 2019, it will be six months post-op. Hey - if he is good enough for Olympic and professional athletes..he's good enough for me! If I could give more than 5 stars, I would. One of the most common is in patients who may have some underlying arthritis and the arthritis is causing the pain or the arthritis has progressed further after the meniscus root repair. Malempati C. Bonasia DE, Pellegrino P, DAmelio A, Cottino U, Rossi R. Meniscal Root Tear Repair: Why, When and How? I am so glad I did! 2601 E. Yandell Drive, Suite 232 Historically, most root tears were treated with meniscectomies because the importance of the meniscus root as a shock absorber was not well known. Life happens and our bodies will sometimes let us down. 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. Dr Burnhams bedside manner was exceptional. In particular, these younger patients have to look at a meniscus root repair as soon as possible to ensure that they dont develop arthritis. The . 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. 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. When these are torn, the loading of the joint is equivalent to having no meniscus on the affected side. 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. 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. Therefore, addressing a meniscus root tear prior to the development of osteoarthritis would be indicated. Because this is a frequent question posed on Google, I will try to be modest in answering this. Most meniscus root tears occur very close to the root near the meniscus itself and are called radial root tears. Your subscription could not be saved. First, one needs to ensure that the meniscus root is repairable and that there is not too much arthritis on that affected portion of the joint such that a meniscus root repair would not be recommended. In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. Thus, the entire weight of the body is transmitted through the femur into the cartilage of the knee. In addition, if the medial meniscus is involved, active And I feel my rode to recovery will be wonderful. We had a wonderful experience and I highly recommend him. A meniscus root tear requires the meniscus to be repaired back to the lower leg bone; this is also performed arthroscopically. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. Contact Dr. Nwachukwus team today! (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. The meniscus is a crescent-shaped pad of cartilage located in the knee that helps stabilize and . Strength is one of the most important aspects of our lives. If patients put weight on the knee immediately after the repair, the forces on . After a meniscus root repair, there is a prolonged period of non-weightbearing and restricted range of motion to allow proper healing. Patients in Manhattan, Brooklyn, New York City and the surrounding New York boroughs can expect a variation of the following: Dr. Nwachukwu is extremely knowledgeable about his area of expertise. The meniscus is a cushion of the knee joint. I was worried for my future with my legs letting me walk but she put me at ease letting me know she will do everything in her power to fix me or send me to whatever specialist I need to see to make sure I have a good chance walking in my future, and they all truly fantastic doctors. They explain things very well. 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. A surgical guide can then be placed in a drill tip where the cannula around it is placed into the area of the decorticated bone. This is important because these repairs are still quite tenuous with current technology, so it is important to try to put the meniscus back into a position where there would not be a lot of tension on the repair with knee range of motion. The feeling that your knee is giving way, locking, or catching when you bend it. I decided right then and there I would not get the MRI. I finally decided to make an appointment with a knee specialist. 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. Get answers from Family Physicians and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. I have no issues taking the stairs, just a little knee discomfort here and there. 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. My name is Dr. David Middaugh. Patients often report hearing a pop at the time of injury. The surgery performed was a knee partial meniscectomy, a common surgical procedure used to repair a torn meniscus. I was training one afternoon, and I noticed some swelling, not too much, but enough for me to start keeping an eye on it. 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. It takes longer for a meniscus repair to heal than a meniscectomy. You will begin to focus on regaining your ROM and begin more in muscle strengthening. The thoughtful, open communication and treatment was everything I could have asked for pre-, during, and now post surgery. To learn more, please visit our, If it is your left knee, you can probably drive very shortly after. 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 was also allowed to bear weight on my leg while in the brace, which meant no more seated presses. Meniscus root repair rehab will usually start 1-2 days after surgery. very elderly patients). Meniscal Ramp Lesions. Great doctor. 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. 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. I have see all three orthopedic doctors at the Grove and Jerrica is the one I see the most and the latest she's absolutely wonderful. The menisci in the knee are two c-shaped pieces of fibrocartilage that act as shock absorbers. A written consent will be obtained from you after the surgical procedure has been explained in detail. 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 I have looked many times for answers on my tibial tubercle osteotomy and never found any as detailed as i needed. 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. Heavy lifting, manual labor, strenuous exercise/activity, and sports should all be restricted until 3-6 months after surgery. His team is prompt, thorough, and fun - always smiles. When the tear is examined during arthroscopy, Dr. Hess will decide if the tear is able to be repaired . 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. Your care after surgery may involve: Crutches to take stress off the knee as it heals. 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 Oftentimes, after having a meniscus surgery, people are told that theyll be fine. Many meniscus tears can be treated successfully without surgery. This specific type of tear makes up 90% of all meniscal root tears. A meniscus that still has extrusion present also does not function as well over the long term. For this reason, much research has gone in to meniscus root repairs over the last several years. When I woke up I was in significant pain but the nurses had it under control by the time I left. 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. 28323545 Additionally, preparing 2 transtibial tunnels to secure the meniscal root to its attachment site further increases the These radial root tears are equivalent to a meniscus root tear. 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. Meniscal Root Repair Post-operative Rehabilitation Protocol Phase 1: 0-2 weeks post-operatively Goals . 4010 W. 65th St. Amazing Doctor and wonderful staff!! As always, Dr. Burnham and his staff were caring, knowledgeable & professional at my recent visit. Dr. Burnham and his staff were/are amazing. Next, sutures are placed in the meniscal attachment and threaded through the hole in the tibia. After meniscal surgery, rehabilitation with a physical therapist or athletic trainer is needed to restore range of motion, strength, movement control and guide the athlete's return to sport. Two weeks today I had meniscus root repair. In terms of how, the transtibial technique has been felt to be the most effective way to pull the meniscus root back to its normal attachment site. He is amazing and a blessing to have in the medical industry. Very positive experience at Bone and Joint Clinic in Baton Rouge. You can schedule an office consultation with Dr. LaPrade. 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. 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. He did a great job of explaining both the progress of my injury and the way ahead as it applied to recovery. 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. And cartilage is one of the slowest healing tissues in the body.