PDF Knee Arthroscopy Meniscus Root Surgery FAQ - Twin Cities Orthopedics 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. It is shaped like a C and it serves to cushion and stabilize the knee. Appreciate the attention and time spent during office visits. 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 . The thoughtful, open communication and treatment was everything I could have asked for pre-, during, and now post surgery. Proper fixation of the meniscal root can prevent or slow down the development of arthritis in that area of the knee. Meniscus Root Tear | Knee Doctor | Baton Rouge, LA - Jeremy Burnham, MD 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. %PDF-1.5 Dr. Burnham & his staff are very personable & caring. Partial weightbearing status (<50%), unless otherwise ordered by MD. 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. Few tears will become. 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. 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. 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. Medial Patellofemoral Ligament (MPFL) Reconstruction . I highly recommend him. I would highly recommend him. Question: Can You Bend Your Knee After Meniscus Repair 3 0 obj These results reveal that, since all the variables and possible concomitant injuries are investigated and addressed, MRR . 4 0 obj This hoop stress is resisted by fibers that run circumferentially through the meniscus. Meniscus root repair is a surgery performed to repair a torn meniscus root. I highly recommend Dr Burnham for your orthopedic needs hands down. 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. You will feel tired for several days. The back attachment of the medial meniscus, called a posterior horn attachment, is the most common location for meniscus root tears to occur. Really cares for his patients! 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. If I could give more than 5 stars, I would. Eagan, MN 55121, I struggled with my knee for 18 months - having gone from 10,000 steps a day to only walking as needed. 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. That was day one. 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. A meniscus repair to the knee cartilage is a minimally invasive surgery that can normally be performed on an outpatient basis. 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. Dr. Burnham was very personable and explained my situation in great detail. A meniscus root tear requires the meniscus to be repaired back to the lower leg bone; this is also performed arthroscopically. Meniscal Root Repair Alone or Combined with Different Procedures After % There are 2 main variants of the transtibial root repair technique. Studies have demonstrated that this type of repair technique restores similar shock-absorbing and cushioning function as normal meniscus before it tore. 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. Swelling and stiffness. Definitely recommend. My daughter injured her ankle in cross country practice and we were able to get in the next day to see Dr. Burnham. Identifying and properly treating meniscus tears (with or without surgery) will lead to the most rapid reduction in your symptoms and is crucial to optimize the long term health of your knee. Rehabilitation begins within a week of surgery. Later that day, I trained. In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. The torn meniscus is corrected via a minimally invasive procedure depending on the kind of injury. Grant H. Garcia, MD 148 subscribers Dr Garcia demonstrates his new meniscal extrusion technique to further improve meniscus root repairs. Specializes in Orthopedic Reconstructive Surgery. Darin helped me understand that it was going to be a very slow recovery due to the nature of the surgery, and to be patient. Arner, J.W., Herbst, E.. Meniscal Root Repair Article. Video chat with a U.S. board-certified doctor 24/7 in a minute. My repair will be later this week on my right leg. The following Tuesday, I saw my doctor. His team is prompt, thorough, and fun - always smiles. Timeline: 1 week to 5 weeks after Surgery. The swelling started to go down, but there was now a lump behind my knee that felt like fluid. GREAT DOCTOR VERY CARING AND KNOWLEDGEABLE!! In addition, if the medial meniscus is involved, active A meniscus that still has extrusion present also does not function as well over the long term. Matthias J. Feucht1,4 Received: 19 May 2022 / Accepted: 13 February 2023 Usually, pain is minimal after this type of surgery. They explain things very well. A physical therapist will be assigned to you and begin a routine of light exercise to help stabilize the knee. Very professional! Instead of wall slides, I opted for high box squats. When I returned home around 1pm that day, I sat in my living room for a bit, emailing and texting people to let them know I was alive and well. (E) Horizontalized FlipCutter drill ready to drill 10-mm-deep tibial tunnel. This happens way more often than I like to admit. 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. I felt very informed and well cared for. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. 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. I got rid of the box for squats the end of July. It has now been demonstrated that the results of meniscectomies are almost the same as not treating the meniscus root tear at all with a large number of patients within 5 years proceeding to needing a total knee arthroplasty. The length of time until patients are able to return to driving varies . But the next day, I woke up and literally ran down my stairs. The . The knee buckled and I thought, Shit. . If one does have quite a bit of arthritis of the same compartment, which we would call Kellgren-Lawrence grades 3 or 4, in most circumstances, other than possibly in very young patients, a root repair would generally not be indicated. The drill tip can then be pulled out, leaving the cannula in place, which allows one to place a passing stich up it to subsequently shuttle sutures down the tibial tunnel. Meniscus Root Repair & Recovery | Emily Socolinsky - Starting Strength 1 0 obj If one does a meniscus root repair in that extruded position, the chance of a meniscus root repair working over the long term is very minimal. 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. Repairs have been found to delay or improve the findings of bony edema and the early onset of arthritis in many patients. This may be recommended depending on the type of meniscus tear. When the meniscus root becomes detached, the meniscus can extrude out of the joint and lead to effectively having no functional meniscus. (Please keep reading below for more information on this treatment.). PT or exercise can be useful BUT take note of these the BoneSmart view on exercise BoneSmart philosophy for sensible post op therapy 5. We had a wonderful experience and I highly recommend him. endobj And Im a specialist physical therapist El Paso manual physical therapy. The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. If so, you may be at risk of tearing the root of your meniscus. The Smith & Nephew root repair technique involves specific devices which can lower ones surgical time to perform a meniscus root repair. My right knee was totally destroyed; ACL, MCL, PCL all severely torn; the patella was the only thing intact in my right knee. 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. My name is Dr. David Middaugh. It hurt like hell. Meniscal Repair - Physiopedia Unfortunately, I was still not allowed to bend my knee completely, so I was still doing all benching on one leg. Unfortunately, as we have developed more scientific evidence for this, including several studies in my lab, we found that the lateral meniscus root is extremely important to both prevent the development of osteoarthritis over time and also to protect a concurrent ACL reconstruction graft. Thursday: 8:00 am 5:00 pm, What causes #runners knee or patellofemoral pain syndrome? 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. 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. Surgical knee will be in a hinged rehab brace locked in FULL EXTENSION for 4 weeks postop. #12. Most patients will have pain with squatting and deep knee flexion with a root tear because a meniscus root tear occurs in the back of the knee. Please try again. EDINA- CROSSTOWN OFFICE 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. Historically, most root tears were treated with meniscectomies because the importance of the meniscus root as a shock absorber was not well known. Healing kind of goes fast the beginning and then it tapers off. Most of these types of injuries, that are symptomatic, require surgery. He spent a great amount of time explaining everything to me in a way that I understood everything. Begin passive range of motion exercises Start physical therapy or home exercise program 1-3 days after surgery Work on quad recruitment Brace/Crutch Use 25% weight bearing with crutches, brace 0-90 when ambulating and sleeping, can remove . 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 ~. They may start the use of a stationary bike, and may slowly wean off crutches starting at 6 weeks post-operatively. We validated that the 2 simple suture technique had the least amount of loosening over time, but the other techniques were stronger. Doctors typically provide answers within 24 hours. One should not look at age as a factor for meniscus root repairs. A lateral meniscus root tear involves a tear of the meniscus either at or close to the root attachment in the back part of the lateral meniscus. Placing sutures or UltraTape on each side of the tear and pulling it down into tunnels should be a safe and reliable method for a bony avulsion root repair. Patients who have an ACL tear have a 10% chance of having a lateral meniscus root tear. Easy to talk to and will answer any questions of your care. <>>> His surgery and recovery has been perfect! What most people just don't get from their medical professionals is that the meniscus is a type of cartilage. Meniscus Root Repair Rexburg ID | Meniscal Root Tears Rexburg ID Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. Among them, 32.60% demonstrated incomplete healing, loosening of the construct, or excessive scar tissues formation. The best surgeon is Baton Rouge that actually care about his patients!!! The arthroscopic meniscus repair is a procedure done to repair torn knee cartilage, usually for athletes. Types of root tears: If the meniscus is extruded, the patient may not be having a restoration of their shock-absorbing capacity of the meniscus. There are many factors that go into this, including a patients weight, with overweight patients putting more stress on the meniscus root tear, ones alignment, where one being bowlegged with a medial meniscus root repair putting extra stress on the repair, and also the amount of underlying arthritis present prior to the root repair. Meniscus Tear Surgery Recovery Time: When Can I Get Back to Work? Each horn is anchored to the bone at the meniscus root (anterior and posterior). My MRI showed an extensive radial tear adjacent to the medial meniscus root insertion, as well as evidence of high-grade chondral loss involving the central trochlea.
