driving after meniscus root repair

Instead of wall slides, I opted for high box squats. 3 0 obj My calf swelled up into my ankles. First, we performed quantitative anatomy studies, which allowed us to see exactly where a meniscus root tear should be reattached. I had a traumatic knee injury that he performed surgery on. questions after your surgery, during business hours call 763-302-2231. I could no longer deadlift from the floor, and was having trouble squatting below parallel. Driving after meniscus root repair depends on which knee it is. In younger patients, meniscus root tears often occur with a piece of bone being avulsed off the tibia. Being stronger is always better than being weak. When the tear is examined during arthroscopy, Dr. Hess will decide if the tear is able to be repaired . EDINA- CROSSTOWN OFFICE I recommend him, as well as his staff, to anyone requiring such services. Your doctor put a lighted tubecalled an arthroscope or scopeand other surgical tools through small cuts (incisions) in your knee. 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. Many patients who do have a meniscus root tear note that they feel a pop in the back of the knee when they are doing squatting activities, such as cleaning floors, gardening, placing down carpet or plumbing. 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. The swelling started to go down, but there was now a lump behind my knee that felt like fluid. #12. The High Tech Shirt Problem in the Squat Rusty Holcomb, Observations on Training by an Old Guy Phil Ringman. 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. We will determine during your consultation whether general or regional anesthesia would be appropriate - either way, no pain will be experienced during the procedure itself. Meniscal Repair. The feeling that your knee is giving way, locking, or catching when you bend it. Hands down would recommend him!! Dr. Burnham is amazing. My name is Dr. David Middaugh. Driving after meniscus surgery How soon can you drive after Arthroscopic Knee Surgery? I was training one afternoon, and I noticed some swelling, not too much, but enough for me to start keeping an eye on it. Heavy lifting, manual labor, strenuous exercise/activity, and sports should all be restricted until 3-6 months after surgery. We validated that the 2 simple suture technique had the least amount of loosening over time, but the other techniques were stronger. Regular assessment of gait to avoid compensatory patterns. You will begin to focus on regaining your ROM and begin more in muscle strengthening. They are also important to the stability and function of the knee, keeping the meniscus in place. Kyle D. Morgenstern, MD . I am now adding 10 pounds a week to the bar for squats. When the meniscus root becomes detached, the meniscus can extrude out of the joint and lead to effectively having no functional meniscus. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. 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. There are two ways to initiate a consultation with Dr. LaPrade: You can providecurrentX-rays and/or MRIs for a clinical case review with Dr. LaPrade. Dr. Burnham was very helpful for my injury! The Steadman Clinic - Frisco, CO 226 Lusher Court Ste 101 Frisco, CO 80443. His interaction with me around my surgery calmed me, and his excellent work in the operating room speaks for itself. An ACL tear most commonly occurs from a turning, twisting, or deceleration mechanism in a noncontact mode. Strength is one of the most important aspects of our lives. A meniscus that still has extrusion present also does not function as well over the long term. 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. The aftercare and recovery require postoperative protection to allow healing. In January of this year, I finally decided to go back to my doctor to get that MRI. Dr. Burnham and Jerrica are AMAZING! Other sources of pain can include scarring within the joint that occurs as a normal part of a surgical procedure, or pain from other pathology and joint, such as arthritis under the kneecap. Little information has been published regarding specific rehabilitation parameters for meniscal root repairs through all phases of rehabilitation. After repairing the meniscus root, it is imperative that the patient remain 100% non-weight bearing for 6 weeks. It is important to recognize that most patients who sustain isolated meniscus root tears happen with a medial meniscus root attachment. Studies comparing repair with either meniscectomy or conservative treatment found greater improvement and slower . 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. Im telling you right now its going to take six to 12 months just erase that number that they gave you in your head and i wouldnt go argue with them because they may not have all the knowledge and understanding behind it and truth be told surgeons oftentimes you know once they finish their surgery theyre kind of done with you. Medication may be needed for 2-3 weeks. The patients are mostly allowed to walk immediately after arthroscopic knee surgeries. Realize that, as discussed above, the torn part of your meniscus was removed. Therefore, most meniscus root tears need to have the scar tissue released so the meniscus can be pulled back into the joint. Eagan, MN 55121, I struggled with my knee for 18 months - having gone from 10,000 steps a day to only walking as needed. In particular, making sure the meniscus has a thorough release from scar tissue and making sure that ones sutures or UltraTape are placed into the best substance possible for the meniscus root repair, are important considerations to maximize the chance of healing of the revision root repair procedure. Usually, pain is minimal after this type of surgery. 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. Dr. Robert F. LaPrade operated on my right knee in May of 2010. But you need to still continue doing a few things to make sure that you get that remaining 20% healed so that you can truly get back to normal so let me give you some practical advice here three things that i want you to take away from this video number one set your expectations. Following this 6 weeks, they begin weight bearing at 25% with crutches for 1 week, and then 75% weight bearing using 1 crutch for 1 additional week. Crutches will be used until the patient can walk without a limp on the repaired knee, which takes about 2 weeks after surgery. He answered all of my concerns about my knee. 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. We are so grateful for you both! 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. If a patient does have a meniscus root tear and the cartilage in that same compartment is still relatively good or normal, a meniscus root repair would be indicated. But theres still healing to be done and that 20% is really critical. 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. When a tear of the meniscal root, or even a tear near the root, occurs, the meniscus can no longer convert axial loading forces into hoop stresses. This was going to be a complete root repair surgery: toe-touch weightbearing for four weeks, six weeks in a brace and crutches. They explain things very well. He and his staff could not have been more helpful and professional. The study, " Patients Who Undergo Rotator Cuff Repair Can Safely Return to Driving at 2 Weeks Postoperatively ," was published online on July 21, 2022 in the Journal of Bone & Joint Surgery. Procedure for Meniscus Root Repair. I continued to lower the box for squats, and started to add weight. There can be many factors which can potentially cause pain after a meniscus root repair. Meniscal Root Repair Post-operative Rehabilitation Protocol Phase 1: 0-2 weeks post-operatively Goals . I also started boxing sessions once a week with one of my coaches as I am not allowed to start back to BJJ until September. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again. To accomplish this goal, Dr. Nwachukwu drills a small hole from the outside of the tibia (shin bone) into the knee joint next to the natural attachment of the meniscus root. And if we know anything about cartilage, if you want to look this up, it takes about six up to 12 months to fully heal depending on the severity of that injury on the meniscus on that cartilage. Dr. Burnham was very thorough with his examination and diagnosis. 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. General anesthesia and a nerve block. Dr. Burnham was very thorough and took the time to explain what he thought my root problem may be, why, and how he suggested we proceed with my care. His step by step explanation of surgery expectations before and after the procedure was specific, thorough, and answered all of my questions. If the patient has or has developed significant arthritis, which is usually designated at Kellgren-Lawrence grades 3 or 4, it is felt that a revision root repair may not be indicated. Thank you for choosing Dr. LaPrade as your healthcare provider. 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. The first step is usually to use especially designed cannulas and guides to drill up into the area that was decorticated. endobj Two days after my surgery, Diego took me to my first PT session. Amazing doctor, amazing family mantreats patients with the highest level of care, compassion, and quality! 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. The second step is to prepare a bony bed where the meniscus repair will be performed. 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 . Unfortunately, I was still not allowed to bend my knee completely, so I was still doing all benching on one leg. It is critical that patients following a knee joint repair refrain from squatting for at least four months after the procedure. The most important aspect to assess when one is looking at a root repair is to ensure that ones cartilage surfaces are still fairly normal. And slowly, I started bending the knee more, and eventually took the box away from my bench. 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. The meniscus is a cushion of the knee joint. Historically, most root tears were treated with meniscectomies because the importance of the meniscus root as a shock absorber was not well known. . The study included 351 patients with knee OA and meniscus tear. The RICE (rest, ice, compression, elevation) principle can be useful in the first several days after a meniscus tear to help reduce inflammation, swelling, and pain. A meniscal repair is a keyhole surgery technique for repairing a ripped meniscus.. Fortunately, this is usually done arthroscopically and with good results. The protocol is divided into phases. And get the pain under control and recover normally the way that you should have once you start doing the right things. We currently use UltraTape to do this. Meniscus repair rehab protocol. In cases the patients undergo meniscus repair or ligament reconstruction, they are given a brace to support the knee in full extension. There is often swelling of the knee and severe pain with walking, running, twisting, or moving the knee. My name is Dr. David Middaugh. 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. Highly recommended! Now my intent on this video is not to throw anybody under the bus surgeons are doing the best they can with what they know and saw our physical therapists in any health care providers that you may be seeing for your meniscus problem. For this reasons, it is crucial to identifiy and treat meniscal root tears in a timely manner. Meniscal repairs offer the benefit of preserving the native meniscus, but they require a longer rehabilitation protocol as compared to a meniscectomy. The Steadman Clinic - Edwards, CO Squatting, lifting from a squat and sitting cross-legged should be avoided for 3-4 months.

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