Therefore, the patient should be worked up in a timely fashion when they do have a posterior horn medial meniscus root tear to determine if they are a candidate for a posterior horn medial meniscus transtibial root repair. 3 0 obj 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. Oct 24, 2020. Amazing doctor, amazing family mantreats patients with the highest level of care, compassion, and quality! Therefore, the transtibial meniscus root repair technique is by far the most common procedure that is performed. On Wednesday, February 20, 2019, I had a meniscus root repair surgery on my left knee. 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. What Causes Knee Pain 1 Year After Meniscus Surgery? Meniscus Root Tear | Orthopedic Knee Specialist | Vail, Aspen, Denver Dr. Burnham was very helpful for my injury! If you're an athlete needing a doctor that understands; this is the guy. Ive dealt with other knee doctors in prior injuries, but Dr. Burham and his team clearly stood out. Prior to Starting Strength, I would have simply gone to physical therapy, done my exercises like the therapist told me to do, and that would have been it. The aftercare and recovery require postoperative protection to allow healing. These are totally different. But youre also not alone. Sometimes the meniscus damage occurs more gradually as part of degeneration. In addition, the design of the meniscus is such that the full pressure of weight bearing activities is transmitted through the root of the meniscus, meaning that it is constantly pulling and stretching the tear with every step. 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. Stationary biking is allowed after 6-weeks with Dr. Nwachukwus approval and assessment of healing. 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. Meniscal Root Repair | Knee Specialist | Minnesota Recovery Tips After Meniscus Surgery - Kellie Middleton, MD The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. Once my doctor started the procedure, it was obvious that this would not be a simple surgery. Eventually, as I get into the mid 100s again, I will start adding five pounds a week. 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 I highly recommend him. This specific type of tear makes up 90% of all meniscal root tears. If it is the right knee, the average time until the patient is able to drive is 6-9 weeks. Hands down would recommend him!! And most likely, a meniscus tear.. 4 0 obj Great shoulder doc. How Long On Crutches After Meniscus Repair? He provided a thorough explanation without wasting time. I have been walking and training normally for the past four and a half months. Dr. Burnham has an awesome bedside manner. Does having a cortisone shot help a meniscus tear or is surgery the only option? The torn meniscus is corrected via a minimally invasive procedure depending on the kind of injury. while avoiding unnecessary surgery, injections, and medications. He made my daughter feel comfortable and made sure to listen to both of our concerns prior to his diagnosis. 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. Rehabilitation Following Meniscal Root Repair: A Clinical Commentary 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 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. Medial Patellofemoral Ligament (MPFL) Reconstruction . His step by step explanation of surgery expectations before and after the procedure was specific, thorough, and answered all of my questions. Often, when a meniscus root is torn, it will retract in the joint and become stuck in place. 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. I was told by one of the orthopedic surgeons that I worked with that I would never run again and would be lucky if I could ever hike again. Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. Knee popping after meniscus surgery can occur due to fluid accumulation, scar tissue, swelling and stretching of the tendon and ligaments, weakened leg muscles, changes in patellar tracking, underlying knee arthritis, unstable meniscus, and inflamed plica. As surgical techniques are being developed and refined, rehabilitation protocols for meniscal root repairs must be defined and tested. Meniscus Repair Surgery Rehab Protocol & Recovery Time - Kevin R. Stone And now theyre kind of back to the way they were before the surgery. The High Tech Shirt Problem in the Squat Rusty Holcomb, Observations on Training by an Old Guy Phil Ringman. They walked me through the process from beginning to end. Normally, you should refrain from driving for at least 1 week after an arthroscopic knee operation, until the swelling reduces and the knee motion improves, but you should establish with your doctor when it is safe to start driving. He is amazing and a blessing to have in the medical industry. Dr. Burnham is extremely professional, knowledgeable, understanding, kind, and precise. He did a great job of explaining both the progress of my injury and the way ahead as it applied to recovery. You'll begin a graduated rehabilitation protocol. Torn Meniscus | Meniscus Tear Treatment Options | Duke Health Very reassuring, showed me X-rays and explained the healing process very clearly. 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. Heavy lifting, manual labor, strenuous exercise/activity, and sports should all be restricted until 3-6 months after surgery. Swelling and stiffness. Patients \50 years had outcomes similar to those of patients !50 years, as did . 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. Had I not been training all these years, I would not have had the slightest idea of how to rehab my knee after surgery. If patients put weight on the knee immediately after the repair, the forces on . Many meniscus tears can be treated successfully without surgery. After hours 763-520-7870 Address Maple Grove 9630 Grove Circle N., Suite 200 Maple Grove, MN 55369 Minnetonka 15450 Highway 7, Suite 100 Minnetonka, MN 55345 Robbinsdale 3366 Oakdale Ave. N Suite 103 Robbinsdale, MN 55422 Knee Meniscus Root . You'll likely regain your previous muscle strength in the leg by. I rate him 5stars. It can also occur while bending the knee deeply. Thanks to his staff for being so helpful. 181 West Meadow Drive Suite 400 Vail, CO 81657. 4010 W. 65th St. We have published on several of these, noting that a PCL tunnel which is placed too close to the joint can detach the posterior horn of the medial meniscus and lead to the development of arthritis of the medial compartment. That night, I drove myself to the gym. 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. His surgery and recovery has been perfect! Meniscal Root Repair Kirkland | Meniscal Root Tear Seattle, Everett El Paso, Texas 79903. We had a wonderful experience and I highly recommend him. Then, in January of 2018, while warming up in class one morning, a sharp, nauseating pain shot through my left knee, which made me start limping. Upon examination, the doctor told me that I most likely had a meniscus tear, and that I should get an MRI. And thats all good if youre going to end up having the surgery. 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. Wednesday: 8:00 am 5:00 pm So you need to just have that expectation right now if youre going to go get a surgery, or if youve already had one, if its been more than six months, or youre in that you know, past six months, six to 12 months range or longer since your meniscus surgery, then its okay as long as you dont have another tear or some other massive injury to it, you can probably get that swelling under control, regain your motion back as long as it hasnt been too long. Nothing. If you think you may have a meniscus tear, it is recommended that you see a sports medicine physician as soon as possible. How Long Is Recovery After a Meniscus Repair?
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