Doctor insights on:
What Are The Indications For Having An Artificial Disc Replacement
In essence the adjoining surfaces of a vertebra are cut off to expose good healthy bleeding bone. A metallic implant flat on the bone side and concave and rimmed on the disc side are imlpanted with a metal ball bearing trapped my the concavity and rim complete the implants. As one moves the ball bearing is allowed to move within the precisely machined nd matched plates, ...Read more
What hip replacement materials exist? What are the different material options for hip replacement and their pros and cons?
Hip Materials: Engineers are always trying new materials in hope of making hips last longer. Sadly most of the new materials have not worked as well for the majority of patients. Ceramics break and squeak, metal on metal has caused some problems for patients with metal reactions, leaving metal on plastic (the old fashioned way) as the best answer for most patients. The plastics are newer and may last longer. ...Read moreSee 1 more doctor answer
After having hip replacement is it feasible to have knee replacement and what are duration procedure involved?
Pain relief: Joints are typically replaced when they become arthritic and painful. Artificial joints do not function as well as normal joints, but do perform better than painful/arthritic joints. Range of motion and strenght are typically improved with joint replacement surgery, which leads to better function. Artificial joints will all eventually wear out and there are some limitations with there use. ...Read more
What are the benefits of the ifuse surgery for the si joint vs the old procedure to help repair an si joint. And who does that procedure?
Do not have it done!: Outcome rates are not as good as touted! what are you having for? Did you avulse you sij-inwhich case it would have my qualified "yes, " you did not identify your problem! ...Read more
Are there any post treatments recommended after a hip replacement surgery to lower the risks of dislocation?
They depend on the-: -approach used, either posterior or anterior. But 4 post, no internal rotation of the hip or crossing legs. These R basic. Ant. avoid external rotation of the hip. Each of these mimic the way the hip is dislocated @ surgery. Be sure to ask your surgeon about this, he/ she is the person to ask. ...Read more
No one right answer: There is no one size fits all graft for acl reconstruction: each has pros/cons. I individualize graft to what will be best for a particular person; choices include autograft (patellar tendon, hamstring, quad tendon) or allograft/cadaver graft (pt, hs, qt, achilles, etc). Age<25, higher demand athletes should in general have autograft; talk to your md; he/she should discuss options in detail. ...Read more
Disadvantage : 1. Psychologically you still know it's artificial. 2. Make you look like and function like more normal, whenever you do not want to. 3, limb stump skin discomfort, even brakes down. 4. Requires you to have appropriate joint range of motion, which needs physical therapy and your effort to put in. 5. You have more chance to fall than just sitting in wheel chair. 6. Needs more energy to spend. ...Read more
I have had probable navicular fracture. The left foot MRI is scheduled to confirm this. What are the pros and cons of surgical vs nonsurgical treatment?
Pro vs con: Surgery: pro - addresses pathology directly, possibly shorter recovery (study supported), decrease chances of re-fracture. Con- risks include same risks for all surgeries. No surgery: pro - no surgery, incision, of possible surgical complications, or recovery period from surgery, cheaper. Con- may not heal fracture on timely manner, may need surgery anyways and you just wasted 3 months in cast. ...Read moreSee 2 more doctor answers
What manufacturer of the hardware needed for tkr surgery would you recommend? The patient is an active, 58 year old male that is slightly overweight.
Many good choices: The choice of implant vendor for a total knee replacement prosthesis is usually made by your orthopaedic surgeon. There are many high quality options available. For the younger, more active tka patient my choice is the verilast knee, from smith & nephew (full disclosure - i receive no royalties or financial compensation from smith & nephew). ...Read more
Like a fusion: Similar to a disk fusion, access to the spine is from the front. The disk is removed, the vertebrae are prepared and the disk replacement is placed in between the two vertebrae. Find a neurosurgeon or ortho spine surgeon who does many of these to achieve maximal success. ...Read moreSee 2 more doctor answers
An X-Stop is : Indicated for treatment of lumbar spinal stenosis at one or two levels but not usually at l5-s1 as there is usually not proper available anatomy to secure its placement there. Artificial disc is indicated for treatment of back pain without presence of severe degeneration or spinal stenosis or any instability at that spinal segment. They are used for different diagnoses so not interchangeable. ...Read more
No: X-stop, achieves decompression by elevating the two dorsal processes, into a slightly bent forward position, which simulates bending forward on a shopping cart to reduce symptoms of spinal stenosis. An artificial disc actually replaces a damaged disc and provides more normal intervertebral biomechanics and does not, ideally alter sagittal balance. ...Read more
Hmm more details?: Repeat anterior approaches can be fatal one rule ilived by only one anterior lumbar approach in a life time good saftey guidline i can only think of two reason to fuse after a replacement catastrophic mechanical implant failure and facet arthritis desparate diagnostic confusion never operate if confused about the scource of pain facet arthritis is a contraindication for replacement can I have more. ...Read moreSee 1 more doctor answer
Depends: Artificial disc replacement can be done for cervical and lumbar conditions. Revision surgery in the cervical spine to either add a fusion or convert the replacement to a fusion is effective, with minimal added surgical risk. Such procedures in the lumbar spine, depending on the implant used and the level(s) treated, can carry significant added surgical risks. Discuss with your surgeon. ...Read moreSee 1 more doctor answer
Poor functional goal: Artificial disc replacement is a solution designed to improve range of motion, speed of recovery, physical capacity and ultimately to reduce the risk of adjacent level disc disease. People who are not committed to good physical health and who do not have functional goals are probably less good candidates for artificial disc. Medically, osteoporosis and severe arthritis complicate tdr treatment ...Read moreSee 2 more doctor answers
Prehab: I encourage passive cervical range of motion, beneath aggravation of nerve symptoms, long walks to get the body ready for the mild trauma of surgery, improve lung function and minimize risk of blood clots, and most importantly visualize the recovery process in a positive proactive way. ...Read moreSee 1 more doctor answer
Progressive: For cervical, encourage ambulation day one, with progress towards longer walks, getting the heart rate up. Simultaneously, passive range of motion of the neck, increasing as tolerated, with return to low impact upper extremity weights, bands after two weeks, increased as tolerated, keeping total weight to a level where the surgical site is isolated and effort is smooth, and easy. ...Read moreSee 1 more doctor answer
Need specialist: There are several locations and surgeons who perform many disk replacements and can answer your questions about who can get a disk replacement. Fda regulations specify age 18-59. There cannot be much instability in the segment being considered for disk replacement. Make sure you investigate the place where you're considering having it done- preferably a place that participated in the studies. ...Read moreSee 1 more doctor answer
Like a fusion: A cervical disc arthroplasty (disc replacement) is approached the same way a cervical fusion is done. Which is through a small incision in the front of the neck. But instead of placing bone graft in the space that the disc used to occupy for fusion, it is replaced with a mobile disc replacement. The procedure takes just as long as a fusion. ...Read moreSee 2 more doctor answers
Is a 2 level cervical artificial disc replacement safe and effective? What is the longevity of the disc? How long has it been FDA approved?
Chartre': The artificial disc has been used in Europe for about a decade and in the US for about half that time. It has been highly successful and prevents adjacent disc injury. The operation for a skilled surgeon is quite simple and fast with minimal complications. ...Read more
I have subtle retrolisthesis. And extreme pain after artificial disc replacement surgery when using left arm to open heavy doors ?
Must know where pain: Pain in the shoulder opening door could be shoulder cuff or capsule.Should not relate to surgery. It's another problem unless it shoots pain into your hand. Then I would assume a surgical complication or another disc injury. Your age would help since cuff tears are more prevalent in older people esp weekend warriors. The sex would help. Men are more aggressive. Capsular tears more common. ...Read more
Is a neurosurgeon vs orthopedic spine surgeon better for performing cerv artificial disc replacement or vice versa?
Most experienced: Both orthopaedic spine surgeons and neurosurgeons can be trained to perform arthroplasty. I have trained hundreds of both and those with the most commitment to excellence, experience, surgical skill, thoughtful decision making and ultimately commitment to their patients, whether neuro or ortho are best. I encourge you to find a surgeon who has committed experience. ...Read moreSee 4 more doctor answers
Is c4-5 disc herniation related to lower limb paraesthesia? How long does it take for paraesthesias to get to normal after artificial disc replacement
Yes, it can.: A c4-5 disc herniation can cause compression of the spinal cord leading to lower limb symptoms including pain, numbness, and weakness. Assuming there is no longer any pressure on your spinal cord, it can take as long as one year (or even longer) for symptoms to improve. Weakness and numbness typically take the longest to return. Some symptoms may even be permanent even after surgery. ...Read moreSee 1 more doctor answer
Does cervical spine or lumbar spine surgery have the best prognosis and ease of surgery? Is artificial disc replacement or fusion surgery best for treating cervical spondylosis?
Many variations: Anterior or posterior, discectomy, decompression, or fusion. All affect recovery rates. For fusions, anterior cervical tends to be an easier recovery than lumbar. Cervical adr is quite comparable to fusion for short and mid-term outcomes. Longer term studies may show better long-term results than fusion, but we currently don't have enough data. ...Read moreSee 2 more doctor answers
See below: In essence the adjoining surfaces of a vertebra are cut off to expose good healthy bleeding bone. A metallic implant flat on the bone side and concave and rimmed on the disc side are imlpanted with a metal ball bearing trapped my the concavity and rim complete the implants. As one moves the ball bearing is allowed to move within the precisely machined nd matched plates, confined by the rim. ...Read moreSee 1 more doctor answer
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