Doctor insights on:
Acl Repair Screw Bone
Knee injury. MRI report "PCL Avulsion fracture of tibia (6-7mm displacement) with adjacent tibial bone edema. fibers are intact." is surgery needed?
Yes, it should if-: -U expect 2 have a functioning knee 4 the rest of Ur life. It can only separate more, & a simple reduction & fixation will do what U want it 2 do, reunite the fragment 2 the tibia. The image is a tear & requires a major reconstruction if not fixed. U risk the fragment becoming a nonunion. ...Read more
Because an acl (anterior cruciate ligament) cannot heal itself on its own, an acl is "reconstructed" by placing a graft tendon substitute (from your own or donor cadaver tendon) placed into tunnels made in the original acl position, and fixed in place with screws, buttons, or other fixation device. The body then replaces the cells and structure of the graft over 6-8 months, ...Read more
No: Hyaline cartilage has a very limited ability to heal. There are hosts of scientists looking at how to enhance its healing potential. However, there are no good ways to do it currently. If a fracture that enters a joint also damaged the hyaline cartilage, the best that can be done is to get the joint fracture repaired as anatomically as possible. ...Read more
Non-union ulnar osteotomy@18wks, obl cut w/lag screw.On extnl usbone stimulator x7wks.When to do bone graft?What if graft doesn't take?
Possibly: There are many different types of implants used for shoulder repair. Here is a video with more information about the different options: http://www.Youtube.Com/watch?V=eq2pnqumydi&list=uu15uuhuqiy9zdpywwxf31jg&index=21. ...Read more
My daughter had ACL recon 18 months ago; hamstring autograft. Using endobutton in femur; bioabsorb screw in tibia NOT crossing growth plate retear?
Can assist: Certain fracture patterns of the femoral condyle can be assisted by using arthroscopy. It can judge whether out not the fracture is significantly displaced or if there is an associate cartilage damage. Some fractures can be percutaneusly resuced and screws place tohold the fragments in place and not require an open procedure. ...Read more
Very successful: Anterior cruciate ligament reconstruction surgery has undergone considerable changes over the past decade. Intensive research into the biomechanics of the injured and the operated knee have led to a movement away from the techniques of the early 1980's characterized by post operative casting and delayed rehabilitation, to the current early rehabilitation program which in made the result better. ...Read more
Good options: Acl reconstruction at your age is a good option if you have knee instability. Only a small percentage of patients (copers) do well without surgery. Micro fracture at the same setting to address small cartilage defects is fine, but an oats procedure maybe better, where. Cartilage plugs are harvested from another area of the knee and implanted to the affected area. Check with your surgeon about it. ...Read moreSee 2 more doctor answers
Depends on the graft: There are many variables when it comes to acl grafts. Often has to do with a availability and demand of the particular type. (econ 101). Soft tissue grafts are often less than grafts with bone on the ends.There are many different sterilzation techniques that are important to consider which have different costs but also different affects on the quality of the graft. Can cost btw $1200 and $5000! ...Read more
Grade 2 ?3 MCL tear after patella dislocation . Tkr may . Injury november . Surgical repair. Hinged brace now. He thinks heal. 2 fail lateral releases
Depends on reexamni-: Nation findings ; your symptoms. Ask all these questions of your treating surgeon, who knows you and probably did your surgery. You don't want to second guess him. Wait and be patient. No one can tell you whether its healing or not? He should be your best source of all information ; advice. Liston to him. Good luck and happy holidays. ...Read more
Regarding ankle fracture, where on the ankle is the "posteromedial fracture fragment" (1 screw) and "posterolateral fracture fragment" (2 screws)?
Medial/ lateral: Medial is the inner side of the ankle, lateral the outer side. Posterior is towards the back. Hope it helps . ...Read more
Varies: It does vary in part on surgeons preference and also the nature of the bone and fracture involved. When the screw is removed, there is a hollow bone tunnel left where the screw was that slowly fills in with bone. In some situations, this can act as a stress riser to create a new fracture and that is the usual rationale for protecting some patients with a cast after screw removal. Thank you. ...Read moreSee 1 more doctor answer
What is the recovery time for ACL reconstruction using hamstring, plus MCL repair plus lateral meniscus repair plus impact fracture of tibial plateau?
Difficult to say: You describe a fairly significant knee operation and set of injuries. It's hard to say without examining you and reviewing your studies. Your orthopedic surgeon is in the best position to answer this question. It's safe to say that your recovery will last for several months with a lot of physical therapy. ...Read moreSee 2 more doctor answers
Yes: People need a performance status to go through transplant. Ideally people should have healed from a broken hip before going through a transplant. Patients after transplant may need steroids and that can make the problem worse. Someone with myeloma or lymphoma needing an auto can have this issue addressed before a transplant to get better benefit ...Read moreSee 2 more doctor answers
Where exactly on ankle is a "posteromedial fracture fragment" and a "posterolateral fracture fragment" requiring screws? (Trimalleolar fx).
Trimalleolar fractur: A trimalleolar ankle fracture by definition is an unstable ankle fracture that requires operative fixation. It includes the the distal fibula( lateral maleolous ), the medial distal end of the tibia( medial maleolous ), and the lower end of the tibia in the back of the ankle ( posterior maleolous ). The medial and lateral maleolous typically need fixation. Posterior maleolous only if >25% of joint ...Read more
Follow surg's plan: Ur surgeon has the answer 2 ur specific situation . Follow his/her protocol 4 recovery recommendations. ...Read more
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
- Talk to a doctor online
- What is the main difference between bone plugs and screws for acl reconstruction?
- Acl screw pain
- Repair of acl
- Bone plates and screws
- Complications bone screws
- Recovery time for acl repair
- Hamstring acl repair
- Repair torn acl
- How long are the pins and screws used to repair bones last?