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My repair will be later this week on my right leg. Sit at home on the couch and watch T.V.? Most meniscus root tears require surgery. endobj I wont ever go anywhere else. Thus, these patients can often have early onset arthritis, the development of bony edema, insufficiency fractures, and the failure of concurrent cruciate ligament reconstruction grafts. Dr. Burnham and his remarkable staff have been a godsend for our son. Very professional! What could you eat or do for a meniscus tear to heal faster after surgery? A written consent will be obtained from you after the surgical procedure has been explained in detail. It can be very difficult to interpret an MRI after a meniscus root repair. A meniscus can become damaged due to sudden trauma. questions after your surgery, during business hours call 763-302-2231. 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. Patients often report hearing a pop at the time of injury. Phase 1: 0-2 weeks post-operatively Goals Protect repair Minimize pain Minimize swelling . Therefore, one should attempt a meniscus root repair whenever possible in most patients up to age 70. 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. In recent years the importance of the meniscus root has become more apparent. I have successfully repaired meniscus root tears in patients that were 70 and 71 years old respectively and they are some of my happiest patients. The biggest mistake that people make after having a meniscus surgery is theyre doing too much way too soon. Meniscal repairs offer the benefit of preserving the native meniscus, but they require a longer rehabilitation protocol as compared to a meniscectomy. Get answers from Family Physicians and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. These two steps are considered to be the two main preparation steps, where the release of adhesions to be able to allow the meniscus to be pulled back in the joint and also decortication of bone to prepare a bony bed to repair the meniscus back to the tibia. Most meniscus root tears occur very close to the root near the meniscus itself and are called radial root tears. 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. Dr. Ahmad M Hadied and another doctor agree, is on the left leg i let some patients So getting swelling, or if its been a year since you had your meniscus surgery, and youre better overall, but youre still getting some swelling and pain, then its normal. While there are many factors that can go into extrusion, a maximum attempt should be made by the surgeon to try to pull the meniscus back in the joint to give the meniscus the best chance to function as a shock absorber after it heals. He is on the cutting edge of research and techniques around surgery, he has a memorably reassuring bedside manner, and Im thankful he was in charge of my evalution and treatment. In general, in our practice, most patients who do have pain after a meniscus root repair fit into this category. 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. I would highly recommend Dr Burnham and all of his surrounding colleagues at Ochsner. Your knee will be swollen. My day is pretty much elevate the leg, ice the leg, do the exercises permitted twice a day. 2018;47:762. By using our website, you consent to our use of cookies. You can schedule an office consultation with Dr. LaPrade. I was also allowed to bear weight on my leg while in the brace, which meant no more seated presses. Meniscus root tears are a particularly troublesome type of meniscus tear, because a failure to treat them can often result in the rapid development of osteoarthritis. I decided right then and there I would not get the MRI. More diffuse pain over the inside of the knee which becomes progressive over time can be particular ominous because this may mean that the cartilage is wearing out fast or that one has an insufficiency fracture or spontaneous osteonecrosis of the knee, occurring due to the fact that the meniscus is such an important shock absorber. Instead of wall slides, I opted for high box squats. He provided a thorough explanation without wasting time. . The patients are mostly allowed to walk immediately after arthroscopic knee surgeries. I was cleared to drive at my followup appointment 2 weeks after surgery, which was exactly what my surgeon had told me to expect. We had a wonderful experience and I highly recommend him. Dr. Burnham made sure I knew what was happening and what could happen. In this procedure, the torn meniscus is sewn back together using arthroscopy to place small stitches. Recommend highly. 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. Amazing Doctor and wonderful staff!! There goes my knee again.. 4 0 obj 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. This can occur with turning, twisting, or pivoting activities or sports. 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. 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. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 12 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> I asked him about biking, and he told me that he allowed his patients to start biking two weeks after surgery. Hands down would recommend him!! The most important difference is that rehabilitation following a meniscal repair requires limiting early postoperative weight bearing and knee flexion beyond 90 degrees to . In addition, we looked at varying suture techniques through the meniscus, including 2 simple sutures, as well as other configurations of meniscus suture techniques, which are more complex. It took almost a week and a half for the swelling to go down, but there was still considerable swelling in my knee. Two weeks to the day, I got on my spin bike at the gym and did what I could do. 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. 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. Dr. Robert F. LaPrade operated on my right knee in May of 2010. Meniscus Root Repair; Meniscus Transplantation; Partial Meniscectomy; Patellofemoral Joint Repair. 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. Full recovery usually takes 6 months but can take up to 1 year. (E) Horizontalized FlipCutter drill ready to drill 10-mm-deep tibial tunnel. We found that the technique was very successful at restoring function to patients and significantly reducing their pain. They moved my knee a bit, and I had decent ROM, better than expected. I opened my gym shortly after taking up strength training in earnest to help address my back pain, and have been working for the past eight years to help others embrace their true potential and strength. Strength. 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 ~. 4010 W. 65th St. A sports medicine specialist will examine your knee and any relevant imaging to determine which treatment you should start with first. This was going to be a complete root repair surgery: toe-touch weightbearing for four weeks, six weeks in a brace and crutches. Driving after meniscus root repair depends on which knee it is. 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. He spent a great amount of time explaining everything to me in a way that I understood everything. Life happens and our bodies will sometimes let us down. 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. Are you an athlete who participates in sports that involve running and jumping? At the beginning of April, I was dancing at a friends wedding when I suddenly heard and felt a loud pop in my left knee. endobj The next portion of the Smith & Nephew root repair device is a mini First-Pass device. 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. Kyle D. Morgenstern, MD . And its really concerning and very disappointing for somebody whos gone through the knee surgery. This results in premature arthritis and cartilage damage in the knee. As a result, two weeks after surgery I was able to start driving my car, which is a manual. At my third visit to PT, I was told that I had completely broken my PT protocol, and was better for it. 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.