Meniscal Ramp Lesions. I walked around the gym with the crutches, and without the crutches. I could no longer deadlift from the floor, and was having trouble squatting below parallel. 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. Meniscus root repair is most commonly performed arthroscopically under regional anesthesia. I put a knee brace on and made it through class, but by the time I drove home I could barely bend my knee. I was hit by a car on my bicycle near Horsetooth Reservoir in CO. Ill def refer friends and family! Next, sutures are placed in the meniscal attachment and threaded through the hole in the tibia. His staff is very friendly and upbeat, knowledgeable and thorough. General anesthesia and a nerve block. A meniscus root tear requires the meniscus to be repaired back to the lower leg bone; this is also performed arthroscopically. This technique allows one to place passing stiches up the cannula, which has significantly decreased the operative time. . Physical therapy exercises can help to improve muscle strength, knee range of motion, and decrease sensitivity to the pain. These UltraTape or sutures can then ultimately be shuttled down the cannulas and then tied over a metal button on the front part of the tibia. A torn meniscus can result in either sudden or gradual onset of pain. 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. I have now biked five to six days each week since my surgery. 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. 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. I dont remember how or when I tore my meniscus. Meniscus Repair. 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. Ive already talked about this but I cant drive the point home enough if youve gone to the doctor. 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. His extensive schooling, research, and commitment to his craft shined through at every turn as he evaluated my injury, presented all my options (clearly explaining non-surgical options and expected outcomes), and helped me plan my course of treatment and recovery. Created for people with ongoing healthcare needs but benefits everyone. Phase I of Rehab: Surgery until 8 weeks. His interaction with me around my surgery calmed me, and his excellent work in the operating room speaks for itself. %PDF-1.5 Takes his time with you and doesn't hurry to rush out of the room if you have questions. I left my visit feeling very comfortable with where I was and what needed to happen next. A written consent will be obtained from you after the surgical procedure has been explained in detail. 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. He and his staff could not have been more helpful and professional. (B) Posterior root lesion of lateral meniscus. This was devastating news after being a top triathlete (3rd in the world in my age group in 1989 & 1st nationally in my age group) and a big marathon runner. This can occur in up to 20% of patients, even in the best of circumstances. He is walking without a limb and is on schedule with his progress. 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. Really a national leader in sports medicine! 1 0 obj Many tears have better outcomes if they are treated early. There was absolutely no knee pain. Therefore, we then looked at surgical techniques and due to the fact that we had multiple second look arthroscopies after bone grafting for ACL reconstructions with meniscus root tears, that the 1-tunnel technique had more of a spot welding healing of the meniscus to bone whereas the 2-tunnel meniscus root repair technique had a much better healing surface of the meniscus to bone. Dr. Burnham and Jerrica did a great job taking care of all my orthopedic needs. It helps to be strong, my PT remarked. I was referred to Dr. Burnham from my spine doc, Chambliss Harrod, MD and he turned out to be a way cool guy. Malempati C. Bonasia DE, Pellegrino P, DAmelio A, Cottino U, Rossi R. Meniscal Root Tear Repair: Why, When and How? 5 stars! The most important thing as one gets older is the quality of the cartilage present. I was life flighted to MCR in Loveland, CO. My orthopedic injuries were severe, but totally missesd by the orthopedic team at Poudre. In some severe cases, they cant fully extend their knee out or bend their knee all the way. They might have a follow up visit or two but its really physical therapy that suppose take over at that point in physical therapy just has you for two to three months and once theyre done with you same thing once youre back to walking and bending your knee all the way and straightening out your knee all the way. I have no issues taking the stairs, just a little knee discomfort here and there. And cartilage is one of the slowest healing tissues in the body. I'm able to run and exercise without pain. And get the pain under control and recover normally the way that you should have once you start doing the right things. Rehabilitation begins within a week of surgery. Dr. Burnham performed my hip pin surgery and it all went extremely well. I had shoulder cuff repair, involving 2 ligaments & bone spurs, only 6 weeks ago. If you break down what most healthcare provision professionals tell their patients, it could be an orthopedic surgeon, or even a physical therapist, its telling somebody whos just had a meniscus surgery, theyll say, well, 80% of healing is done in the first two to three months. (E) Horizontalized FlipCutter drill ready to drill 10-mm-deep tibial tunnel. They have poor healing potential, and are extremely important to the stability and cushioning of the knee. An ACL tear commonly has a pop on the outside of the knee, whereas a patient who has meniscus root tear commonly feels a pop in the back of the knee. My pain was gone. Definitely a Bakers Cyst, my doctor said when I saw him. Therefore, addressing a meniscus root tear prior to the development of osteoarthritis would be indicated. My 14 year old son originally went in to see Dr. Burnham very scared (he hadn't had an injury before) and he was instantly made to feel at ease. Never disregard or delay professional medical advice in person because of anything on HealthTap. 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 Thank you Dr. Burnham and Jerrica for everything! Multiple large loose bodies were removed from my knee joint, the largest of which measured approximately 20mm. The healing phase is long, but he does A+ work. I decided to continue with my usual four day split with two upper body days and two lower body days, although I did also incorporate a few extra upper body exercises as my lower body work was not that intense. amount of, supply and beyond the age of 15 has limited healing without surgery. They may start the use of a stationary bike, and may slowly wean off crutches starting at 6 weeks post-operatively. And then they lose motion. Early weightbearing has been found to be the cause of meniscus root repair failure, and this has been validated by our colleagues In general, almost all meniscus root tears require a 6-week period of being nonweightbearing to maximize the healing potential. 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. 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. Other factors can also be present with extrusion, including the progression of arthritis which can cause a well-done meniscus repair to extrude outside the joint. Heel lift in opposite shoe to normalize gait. The meniscal roots are critical in maintaining the normal shock absorbing function of the meniscus. The root attachments of the posterior horns of the medial and lateral meniscus are very important for joint health. My daughter recovered fully from a total knee reconstruction and now she able to return to sports. Stationary biking is allowed after 6-weeks with Dr. Nwachukwus approval and assessment of healing. 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 tears are a particularly troublesome type of meniscus tear, because a failure to treat them can often result in the rapid development of osteoarthritis. A meniscus that still has extrusion present also does not function as well over the long term. 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. Oftentimes, after having a meniscus surgery, people are told that theyll be fine. When these are torn, the loading of the joint is equivalent to having no meniscus on the affected side. Meniscus Root Repair The most common method to fix meniscus root tears is through a tibial bone tunnel. 5 wks into recovery of acl/meniscus tear surgery, I am still taking pain medicine. Request Case Review or Office Consultation, Lateral Patellotibial Ligament Reconstruction, Anatomic Analysis of the Posterior Root Attachments of the Menisci, Posterior Root Avulsion Fracture of the Medial Meniscus, Not Your Fathers (or Mothers) Meniscus Surgery, Anterior Intermeniscal Ligament of the Knee An Anatomical Study, Popliteomeniscal Fascial Tears Causing Symptomatic Lateral Compartment Knee Pain, Prospective Outcomes Study of Meniscal Allograft Transplantation. Thanks to Dr. Burnham and his staff. Dr Burnham is so personable. HSS Sports Medicine Institute West Side Definitely recommend. Timeline: 1 week to 5 weeks after Surgery. I recommend him, as well as his staff, to anyone requiring such services. I asked him about biking, and he told me that he allowed his patients to start biking two weeks after surgery. They can occur in younger patients as a result of high energy trauma, but are more common in patients between 45 and 60 as a result of degeneration of the meniscus with age. 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. The next steps involve placing self-capture sutures into the end of the meniscus root and then drilling cannulas into the area that was decorticated such that the sutures placed into the meniscus can be shuttled down the cannulas and then tied over the tibia. After a pretty serious car accident, Dr. Burnham performed knee surgery on me. Both my children have seen Dr. Burnham with great results. W;5$u4Yxa_V_bm}q8=^_qbY,H(+",X'{|oMs"&A;3.E s&L=Z`)!]$],b }zb& Y@dy.Lif1:4@"Fz"U2`/h0|6^T&}56+Q:Dn{d:rqW@3 7 U.

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