Takes his time with you and doesn't hurry to rush out of the room if you have questions. But typically physical therapy goes two to three months you get 80% better and a lot of times people have the expectation setting themselves that they can get back to everything that theyre doing before and thats just not the case they can do a lot of things now that they couldnt before the surgery typically. Stated to me , in detail, what to expect and how long my recovery will take. I think my clients thought I had lost my mind, but what else was I going to do? 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. Meniscus repair is usually done with arthroscopic surgery. I never met a doctor and his team that showed some much compassion about their patient. There was absolutely no knee pain. 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. Other non-medical modalities may help, such as using ice and elevating the leg. And Im a specialist physical therapist El Paso manual physical therapy. I'm able to run and exercise without pain. Thanks to Dr. Burnham and his staff. The meniscus is a very important piece of cartilage in the knee. One should not look at age as a factor for meniscus root repairs. GREAT DOCTOR VERY CARING AND KNOWLEDGEABLE!! 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. 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. Heres the third practical tip if youre if you dont know where to go Ive got some exercises that i put on videos here for free on YouTube its linked in the description below theres one video in particular that i want you to take a look at its called top five glute exercises for knee problems go check out that video start doing those exercises youve got to exercise the heck out of your glutes if you got a meniscus injury if youve had a meniscus surgery in the past you need to get your glutes worked out. As surgical techniques are being developed and refined, rehabilitation protocols for meniscal root repairs must be defined and tested. I went to Dr. Burnham for issues I was having with my shoulders. 4 0 obj In fact 2 years ago I finished climbing the top 100 peaks in CO. 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. Monday: 8:00 am 5:00 pm Definitely a Bakers Cyst, my doctor said when I saw him. 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. Two important criteria exist to begin driving after meniscus surgery. They walked me through the process from beginning to end. The meniscus is a crescent-shaped pad of cartilage located in the knee that helps stabilize and . You should also be able use your leg for driving after one to two weeks, as long as you're not taking opiate pain medication. Also, I had to make numerous visits to the Ochsner Clinic due to my injury and Dr. Burnham's team and the staff at Ochsner were always very professional and courteous. I would recommend his services to anyone. 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. The most important thing as one gets older is the quality of the cartilage present. In some instances, the meniscus posterior horn may need to be released from scar tissue to allow it to be repositioned. 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. I finally decided to make an appointment with a knee specialist. An iatrogenic meniscus root tear means that a tunnel was drilled for an ACL or PCL reconstruction and hit the meniscus root and detached it from bone. However, we felt that with a 6-week period of being nonweightbearing important for all meniscus root tears, that the 2 simple suture technique was valid. He diagnosed the problem quickly and accurately. When a torn fragment is floating in the joint, patients will feel a sudden, sha twitter.com/i/web/status/1, According to an injury study done in 2021, #Pickleball has been deemed safer than #tennis and better for individual twitter.com/i/web/status/1, Cysts Acetabular Paralabral and Subchondral, ACL Anterior Cruciate Ligament Injury of the Knee, Patellofemoral Pain Syndrome Runners Knee, PVNS of the Knee Pigmented Villonodular Synovitis, Osteochondral Allograft Transplantation Surgery (OATS), Patellofemoral Arthroscopy Runners Knee Treatment, Stabilization for Instability-Arthroscopic, Subacromial Decompression for Impingement, How to prevent common skiing and snowboarding injuries | Ski Injury Doctor Manhattan, BICMD Co-Founder and Co-CEO Announces Expansion of Services, Patients are partial weight bearing for the first 4 weeks and then during weeks 4-6 are progressed to full weight-bearing. My daughter recovered fully from a total knee reconstruction and now she able to return to sports. That night, I drove myself to the gym. 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. Controlling inflammation and swelling is still a key in this Phase, as increased motion without proper use of cooling therapy may put your meniscus at risk for re-injury. The incisions leave scars that usually fade in time. How long recovery takes depends on the type of meniscus surgery and the severity of the injury, but expect two weeks down time, at minimum. You have two roots per meniscus which include anterior and posterior roots. The torn meniscus is corrected via a minimally invasive procedure depending on the kind of injury. The second step is to prepare a bony bed where the meniscus repair will be performed. Why would I? He and his staff could not have been more helpful and professional. The meniscus is a cushion of the knee joint. I put a knee brace on and made it through class, but by the time I drove home I could barely bend my knee. Meniscus root repair is most commonly performed arthroscopically under regional anesthesia. This is called decortication of the medial tibial plateau (for a medial meniscus root repair). If the patient is not comfortable walking without an aid, then they are usually provided with axillary crutches. My pain was gone. It can create another problem later on youve got to listen to your knee youve got to listen to your body and make sure that you only go with what you can tolerate without making it worse without swelling pain or definitely not losing motion and you might consider staying in physical therapy longer than they want you to or finding something to help you out. Procedure for Meniscus Root Repair. My surgery was at 8:30am Wednesday, February 20. Most of these types of injuries, that are symptomatic, require surgery. I had a traumatic knee injury that he performed surgery on. Patients in Manhattan, Brooklyn, New York City and the surrounding New York boroughs can expect a variation of the following: Dr. Nwachukwu is extremely knowledgeable about his area of expertise. 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. The roots of the meniscus are responsible for transmitting weight evenly across the surface of the tibia. In particular, it is now recognized that the incidence of lateral meniscus root tears with an ACL tear is between 8% to 12%. Historically, most root tears were treated with meniscectomies because the importance of the meniscus root as a shock absorber was not well known. 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. 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. When the meniscus root is repaired there will be a prolonged period of restricted weight bearing and range of motion to protect the Ill def refer friends and family! Dr LaPrade performed a deep root repair to my meniscus, which saved me from a knee replacement at this time. I left my visit feeling very comfortable with where I was and what needed to happen next. So its important at the very beginning its appropriate at the very beginning to make sure that all your emotions back and that you can do some simple walking to and from the house even though hurts so that youre not you know having accidents and better so youre not having emergencies happening you need the function of your leg back. Contact Dr. Nwachukwus team today! 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. In the early stages of your meniscus tear you can take these conservative and essential treatments which are as follows: Rest Ice every 15 minutes in every 4-6 hours Compression with an ACE wrap or sleeve Elevation of the leg Nonsteroidal anti-inflammatory medications (NSAIDs) for pain. 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. I switched out the single leg deadlifts for trap bar deadlifts on mats, and added low step ups on the left leg. Therefore, the transtibial meniscus root repair technique is by far the most common procedure that is performed. Most root tears involve either a direct tear of the meniscus off bone or a split of the meniscus within 1 cm of the root attachment. Later that summer, the left knee began to bother meagain. Types of root tears: When the tear is examined during arthroscopy, Dr. Hess will decide if the tear is able to be repaired . short distances based on their motion and He is amazing and a blessing to have in the medical industry. Everyone made us feel comfortable, and they were all polite and professional. . It is very important for proper healing, that the placement of the root matches the original Footprint or attachment site. Does having a cortisone shot help a meniscus tear or is surgery the only option? The second tip i need you to take home today is you need to listen to your knee because after youre on your own and youre youre supposed to be 80% better theres things that youll be able to do and go ahead and do those as long as they dont hurt or bother you or cause some effects later on that day or the next day then theyre generally going to be okay things for you to do you can probably do some walking but walking you know a few miles maybe not very comfortable for you that may set off the swelling that may hurt you more. You'll likely regain your previous muscle strength in the leg by. You can't walk right after surgery. Patients are usually kept non-weight bearing for the first 4-6 weeks, then advance gradually. Great shoulder doc. And get the pain under control and recover normally the way that you should have once you start doing the right things. Unlike some meniscus tears which can be observed or treated conservatively, most meniscus root tears need surgery. In addition, the other factor is if the meniscus was released significantly enough from scar tissue to pull it back into the joint. By using our website, you consent to our use of cookies. Surgical knee will be in a hinged rehab brace locked in FULL EXTENSION for 4 weeks postop. This hoop stress is resisted by fibers that run circumferentially through the meniscus. Most importantly, I have not missed a single coaching or training session since my surgery. During our biomechanical testing, we found that if we tied the sutures directly over bone, with cyclic loading, the sutures would cut into the bone and the repair would become loose over time. The most common method to fix meniscus root tears is through a tibial bone tunnel. Meniscal root repairs and radial tear repairs should be progressed slowly because the tear involves complete disruption of the circumferential fibers of the meniscus. I rate him 5stars. 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. Arner, J.W., Herbst, E.. Meniscal Root Repair Article. The first 6 weeks are a strict protection phase and the patient is non-weight bearing. He spent a great amount of time explaining everything to me in a way that I understood everything. 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. They are also important to the stability and function of the knee, keeping the meniscus in place. The aftercare and recovery require postoperative protection to allow healing. Repair of the meniscal root significantly increased functional outcomes scores in 14 of 14 studies and the rate of conversion to TKA was considerably less than those observed following conservative treatment or partial meniscectomy. 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. Thank you for choosing Dr. LaPrade as your healthcare provider. But youve got to figure out a way to get your butt muscles stronger if youre looking for a more comprehensive plan for making your knee better and getting your glutes stronger we also have a program called the 28 day knee health and wellness boost program you can also find that in the link and as a link in the description below. After creating two transtibial tunnels, passing sutures through the detached root of the meniscus and down the tibial tunnels, the sutures are tensioned to reduce the root of the meniscus to anatomic position. What most people just dont get from their medical professionals is that the meniscus is a type of cartilage. 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. Patients often report hearing a pop at the time of injury. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again. Proper fixation of the meniscal root can prevent or slow down the development of arthritis in that area of the knee. endobj Had a meniscus root repair yesterday and the surgery was successful. 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. Physical therapy exercises can help to improve muscle strength, knee range of motion, and decrease sensitivity to the pain. Among them, 32.60% demonstrated incomplete healing, loosening of the construct, or excessive scar tissues formation. An ACL tear most commonly occurs from a turning, twisting, or deceleration mechanism in a noncontact mode. Stationary biking is allowed after 6-weeks with Dr. Nwachukwus approval and assessment of healing. Diego has an automatic and it was my left knee that was incapaciated, not my right, so the next day, I hobbled into his car and practiced driving around the block. I highly recommend him. I was hit by a car on my bicycle near Horsetooth Reservoir in CO. The blood supply to the meniscus in an adolescent or adult is very poor. And thats the 80% fact is true that does happen. Meniscus Repair. Often, a patient will be placed into an unloader brace if they are bowlegged to take some of the stress off the healing repair. Bottom line, it was pretty clear from the MRI that if I wanted to be out of pain, surgery was my only option. This technique allows one to place passing stiches up the cannula, which has significantly decreased the operative time. Being aware of the location of the meniscal attachments at the time of ACL and PCL surgeries is essential to minimize the chance of an iatrogenic root tear. Country. Hands down would recommend him!! The meniscus has 3 main zones, the 1) posterior horn, the 2) body, and the 3) anterior horn. I am 5-months post surgery, and am doing great, stationary biking and exercising every day, no pain.You know you are seeing the best when you find out he has written over 500 medical journal articles - among many other accomplishments. 1 doctor answer 2 doctors weighed in Dr. Jeffrey Sider answered Sports Medicine 41 years experience Depends: If surgery is on the left leg i let some patients drive the next day if they feel ok. This step involves making a surgical incision or extending a previous surgical incision (such as with an ACL reconstruction) and ensuring that one is dissected down directly to bone. Sometimes the meniscus damage occurs more gradually as part of degeneration. Patients are allowed to initiate weightbearing at 6 weeks, but should avoid any significant squatting, squatting and lifting, or sitting cross-legged for a minimum of 5-6 months. In our hands, because we have performed many second look arthroscopies, we have found that the 2-tunnel technique allows for a broader surface area of the meniscus against the decorticated bone and seems to allow for a more solid and secure repair. The Steadman Clinic - Edwards, CO Squatting, lifting from a squat and sitting cross-legged should be avoided for 3-4 months. My daughter injured her ankle in cross country practice and we were able to get in the next day to see Dr. Burnham. Phase I of Rehab: Surgery until 8 weeks. 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. 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. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. Studies have demonstrated that this type of repair technique restores similar shock-absorbing and cushioning function as normal meniscus before it tore. Dr Burnham is so personable. - Privacy Policy - Louisiana Retina, Dr. Jeremy Burnham, MD - Sports Medicine, Orthopedic Surgeon, Knee Doctor, Jeremy Burnham, MD - Sports Medicine & Orthopedic Surgeon, __CONFIG_colors_palette__{"active_palette":0,"config":{"colors":{"f3080":{"name":"Main Accent","parent":-1},"f2bba":{"name":"Main Light 10","parent":"f3080"},"trewq":{"name":"Main Light 30","parent":"f3080"},"poiuy":{"name":"Main Light 80","parent":"f3080"},"f83d7":{"name":"Main Light 80","parent":"f3080"},"frty6":{"name":"Main Light 45","parent":"f3080"},"flktr":{"name":"Main Light 80","parent":"f3080"}},"gradients":[]},"palettes":[{"name":"Default","value":{"colors":{"f3080":{"val":"rgb(23, 23, 22)"},"f2bba":{"val":"rgba(22, 23, 22, 0.5)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"trewq":{"val":"rgba(22, 23, 22, 0.7)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"poiuy":{"val":"rgba(22, 23, 22, 0.35)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"f83d7":{"val":"rgba(22, 23, 22, 0.4)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"frty6":{"val":"rgba(22, 23, 22, 0.2)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}},"flktr":{"val":"rgba(22, 23, 22, 0.8)","hsl_parent_dependency":{"h":120,"l":0.09,"s":0.02}}},"gradients":[]},"original":{"colors":{"f3080":{"val":"rgb(23, 23, 22)","hsl":{"h":60,"s":0.02,"l":0.09}},"f2bba":{"val":"rgba(23, 23, 22, 0.5)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.5}},"trewq":{"val":"rgba(23, 23, 22, 0.7)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.7}},"poiuy":{"val":"rgba(23, 23, 22, 0.35)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.35}},"f83d7":{"val":"rgba(23, 23, 22, 0.4)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.4}},"frty6":{"val":"rgba(23, 23, 22, 0.2)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.2}},"flktr":{"val":"rgba(23, 23, 22, 0.8)","hsl_parent_dependency":{"h":60,"s":0.02,"l":0.09,"a":0.8}}},"gradients":[]}}]}__CONFIG_colors_palette__, Cartilage Damage: Symptoms, Causes, & Treatment, Elbow Rehabilitation and Postoperative Protocols. After meniscal surgery, rehabilitation with a physical therapist or athletic trainer is needed to restore range of motion, strength, movement control and guide the athlete's return to sport. General anesthesia and a nerve block. % Therefore, one should attempt a meniscus root repair whenever possible in most patients up to age 70. Thus, the entire weight of the body is transmitted through the femur into the cartilage of the knee. %PDF-1.5 I have been walking and training normally for the past four and a half months. I chose not to use my crutches anymore. The next step involves using a self-capture device to place either sutures or tape into the substance of the meniscus body. As always, Dr. Burnham and his staff were caring, knowledgeable & professional at my recent visit. We love you! Two cannulas are subsequently placed into the area of bone that was decorticated to allow for the transtibial 2-tunnel technique to be performed. If I could give more than 5 stars, I would. Never disregard or delay professional medical advice in person because of anything on HealthTap. So happy I found them! Thanks to his staff for being so helpful. Ibuprofen (Advil, Motrin) Naproxen (Aleve) Because this is a frequent question posed on Google, I will try to be modest in answering this. Dr. Burnham and Jerrica did a great job taking care of all my orthopedic needs. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. In terms of how, the transtibial technique has been felt to be the most effective way to pull the meniscus root back to its normal attachment site. I was adding 10 pounds a week for deadlifts but have now switched to pause deadlifts on Tuesday and add only 5 pounds a week to the heavy deadlift. In some severe cases, they cant fully extend their knee out or bend their knee all the way. Sit at home on the couch and watch T.V.? In younger patients, meniscus root tears often occur with a piece of bone being avulsed off the tibia. The mini First-Pass device allows placement of either a suture or an UltraTape through the substance of the meniscus, capturing the end of the stitch as it is placed through the meniscus and then it can be pulled out of the joint. 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. There are 2 main variants of the transtibial root repair technique. Single leg deadlifts on the good leg, reverse hypers, and dumbbell bench. I would have relied strictly on physical therapy. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. I was referred to Dr. Burnham from my spine doc, Chambliss Harrod, MD and he turned out to be a way cool guy. If you're an athlete needing a doctor that understands; this is the guy. It can also occur while bending the knee deeply. Malempati C. Bonasia DE, Pellegrino P, DAmelio A, Cottino U, Rossi R. Meniscal Root Tear Repair: Why, When and How? You'll begin a graduated rehabilitation protocol. And they can get back to normal in about two or three months after having the surgery. The next portion of the Smith & Nephew root repair device is a mini First-Pass device. In general, one can follow the small tunnels from the transtibial technique up to where the root attachment should be. Now, the focus when you go into a surgeons office, theyre looking at your MRI, theyre looking at your meniscus on the MRI, theyre telling you the tear in the way that its torn and how theyre going to repair it. 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. . Each week my leg brace is put to a different degree so I learn to bend my knee again. 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. Oftentimes, after having a meniscus surgery, people are told that they'll be fine. You will feel tired for several days. while avoiding unnecessary surgery, injections, and medications. If I had not spent the last several years of my life squatting, benching, pressing and deadlifting, I would not have had the strength to continue to be as active as I was after my surgery, and I most certainly would not have known how to rehab my knee on my own. PT or exercise can be useful BUT take note of these the BoneSmart view on exercise BoneSmart philosophy for sensible post op therapy 5. Prior to that, they are recommended to use crutches. And this channel is dedicated to helping people stay healthy, active and mobile. After sutures are placed arthroscopically into the meniscal attachment, a small diameter tunnel, usually 5 millimeters in size, is reamed to the meniscal root attachment site, the sutures are pulled down the tunnel, and tied over a button on the anterior cortex of the tibia. In this procedure, the torn meniscus is sewn back together using arthroscopy to place small stitches. Drivers: The meniscus repair surgery to prevent osteoarthritis is expected to drive market development. Right Knee Surgery After Auto Bicycle Accident, Medical Second Opinion Service MRI/X-ray Review. repair to heal. A meniscus repair to the knee cartilage is a minimally invasive surgery that can normally be performed on an outpatient basis. I could not bear weight on my right side though I tried repeatedly, but finally I went and got an MRI and one of the orthopedic surgeons that I worked with was shocked when he saw the MRI result. 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. The pain during my recovery has actually only been minimal, requiring no pain meds. 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. In determining if one can have a revision root repair, one needs to determine the cause of the failure as well as the amount of underlying arthritis. It hurt like hell. 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. So if thats your feeling youve taken them and it hasnt really made a difference for you dont take them if you feel like to help you out please take them but dont just take the supplements in hopes of that replacing doing the right exercises and having the right expectations youve got to do them both together give us a like if you thought this video was helpful and please drop a comment if you have any questions and i hope that you get better real soon have a wonderful day guys. Knows his stuff. Of patients treated with medial meniscal posterior root repair, 62.43% demonstrated complete healing on follow-up magnetic resonance imaging (MRI) or second-look arthroscopy. (it is still a bit swollen). The biggest mistake that people make after having a meniscus surgery is theyre doing too much way too soon. The knee will be swollen for 2-3 months. The meniscus root is where the meniscus attaches to bone. 4. You can schedule an office consultation with Dr. LaPrade. Amazing doctor, amazing family mantreats patients with the highest level of care, compassion, and quality! Highly recommended! 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. Most meniscus root tears require surgery. Using specific guides to ensure that one can place tunnels in the anatomic position and using self-capture devices, which have been devised to be small enough to not scuff up the cartilage, are some of the best means to perform a transtibial meniscus root repair with self-capture devices.

Police Lieutenant Promotion Gifts, Parkview High School Football Coach, Articles D