Wednesday, February 19, 2025

Repair details/ photos, meeting with Dr, healing strategy

Dr. Saliman explained a bit about the root repair and told me that after a week, "there is zero chance it has healed by now."  Which is obvious, but I needed to hear it.  It has changed my behavior.  I am now wearing the soft brace all the time and being much more conservative with movements.  He said that if that root repair gets loose, it may not heal.  Definitely needed to hear that too.  As he said, it was a "nasty tear."

The main radial tear was 1 cm from the native root site, my question was about how the root placement was handled.  It was an unusual repair as the root tear was 1 cm from the attachment, the longest distance from the native root attachment which root repairs are normally made.  On the diagram below, the tear was full width through the area at an oblique angle.  The typical 'type 4' (LaPrade term) oblique tear shown below is closer to the root, mine was further but extending into the root.  (diagram is approximate, of course).   What made this repair unusual was that both sides of the tear, the long side and the root stump side were sutured and reattached to raw bone.  Dr. Saliman said, "we usually don't do this."  




The tear



Meniscus root and meniscus body attachments




















Knots on the root repair, 3 circumferential stitches on right















Pulling the meniscus root(s) down to bone for healing










So, this was really a state of the art repair.  There is definitely a risk of failure.  I really want this to work so I'm going to be super cautious.  He said 50% weight bearing ok, I'm going non-weight bearing like I did last time.  


No comments:

Post a Comment