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Doctor Q&A for Dr. Walker Wynkoop

A 26-year-old female asked:
Dr. Walker Wynkoop
Orthopedic Surgery 36 years experience
Old Crush Fracture: Chronic=happened 3-6 months ago. Compression=squished. Long bone Fx is usually like breaking a stick. A spine bone is a cylinder that can be crushed down usually more on one side. It's like sitting on a cardboard box & having it partially collapse. AND, they usually heal nicely but are very painful and can take 1-3 months to heal. Some docs do kyphoplasty which cements the Fx in 1 hr=0 pain!
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A 47-year-old male asked:
Dr. Walker Wynkoop
Orthopedic Surgery 36 years experience
Yes, Yes, Yes: A septic joint ruins the cartilage in 2-4 days so usually washed out surgically 2 or 3 times or at least washed out with aspiration and irrigation by needle. And the osteomyelitis is treated early with antibiotics, or late with surgery once the bone dies. If my finger or knee was horribly infected, I might consider amputation.
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A 21-year-old female asked:
Dr. Walker Wynkoop
Orthopedic Surgery 36 years experience
Yes: Yes because the swelling is deep and doesn't show. Especially with non-displaced or impacted fractures. Fractures of the superior and inferior pubic rami are common in the elderly with osteoporosis and there is no visible swelling.
A member asked:
Dr. Walker Wynkoop
Orthopedic Surgery 36 years experience
Gout vs Infection: Classic gouty symptoms or infection. Usually a blood test and possibly a joint aspiration can prove which most of the time. You can get a cortisone shot in the joint when they do the aspiration. I find a shot (in arm or buttocks) of the NSAID Totadol gives 80% - 90% relief in 30 minutes for gout but not infection. Either can ruin the cartilage, infection in 2 days, gout in a few months. Get checkd
A 59-year-old male asked:
Dr. Walker Wynkoop
Orthopedic Surgery 36 years experience
Locking Volar Plate: Locking Volar Plates were designed specifically for wrist fractures in the older patient with osteoporosis by Jorge Orbey MD about 20 years ago. The non-union rate is so low that his technique has spread around the world and has replaced external fixators 95% in my and other docs that do a lot of wrists. FIND A NEW DOC that uses a volar plates with 6 or 7 distal screws/pegs and get her opinion.
A member asked:
Dr. Walker Wynkoop
Orthopedic Surgery 36 years experience
Paraspinal Muscles?: Paraspinal muscles position the spine. Keeping these healthy reduces arthritis, disc and nerve (radiculopathy) problems. I have severe lumbar arthritis, Not getting surgery. I do core strengthening and flexibility exercises every day. Google exercises on core muscular strengthening, low back mobility, hamstring stretching. Then do the exercises as often as needed. Every day is not too often.
A male asked:
Dr. Walker Wynkoop
Orthopedic Surgery 36 years experience
Referred to sub specialist: Volar plates work because they have distal locking pegs or screws. I prefer a volar plate with six or seven locking smooth pegs directly under the cartilage and I have not seen those collapse like this. Also, the dorsal comminution can easily be stabilized from the volar side with locking technology fixation. I would let the subspecialist do the tenolysis and the redo distal radius surgery and median nerve decompression after appropriate EMGs.
A 25-year-old male asked:
Dr. Walker Wynkoop
Orthopedic Surgery 36 years experience
Distal clavicle?: Have you ever injured left shoulder by falling on it? Trace your clavicle with your fingers out towards your shoulder. If the bump is out at the end of your clavicle, you have torn your acromial-clavicular ligaments. A very common hockey player injury from checking. They participate in sports and daily living without surgery. Occasionally, it requires surgery. I recommend clavicle shortening,
A 24-year-old male asked:
Dr. Walker Wynkoop
Orthopedic Surgery 36 years experience
Simple skin irritation: Start by just observing. If it's gone in 1-5 days, Don't worry. If it's getting worse or persisting more than five days look for an irritation source like clothing or an exercise machine that pushes/rubs too hard on your skin there. Try simple skin creams.
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A 22-year-old female asked:
Dr. Walker Wynkoop
Orthopedic Surgery 36 years experience
Nope.: Could be anything from a simple bruise to a meniscal tear, to a torn ligament that would heal by itself, or an ACL tears that won't heal itself. How long has it been hurting? Getting better after 7-10 days, maybe a bruise. What makes the pain better, Worse? Does the knee feel unstable? Yes, maybe major ligament torn. Is there locking that comes and goes. Yes, maybe meniscus torn
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