Doctor insights on:
Ankle Bone Graft
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
I googled it: And found a supplement. Supplements are great for those who have deficiency in that area, but they dont add anything for most healthy individuals. Excess calcium ends up your .. Toilet. Not to say that there arent those who need calcium and vitamin supplements but the mechainsm of bone healing isnt influenced by unless there is a knowm metabolic issue or dietary deficiency. ...Read more
Arthritis or fractur: Sesamoiditis is painful inflammation of the sesamoid apparatus, which is located in the forefoot most patients will describe a deep achy and sharp pain in the ball of the foot behind the big toe with every step taken. It will be difficult to perform many weight bearing activities. Most patients do not have pain when at rest. Could be treated by consevatie means. Or surgical means. ...Read moreSee 1 more doctor answer
Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?
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
Regeneration?: Bone grafting mostly produce a regeneration effect, which meant eestablish a loss bone height (hard to achieve in horizontal defect) or bone width (easily achieved). Your jaw bone growth can only achieved with bmps (bone morphogenetic proteins) and patient should be at young age. ...Read moreSee 1 more doctor answer
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
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
Non-union ulnar [email protected], obl cut w/lag screw.On extnl usbone stimulator x7wks.When to do bone graft?What if graft doesn't take?
Inside bone/tendons.: Bone cysts r contained inside the bone, any where from simple benign @ malignant and need watching. Spurs r at the edges of the bone as in arthritis, or in response 2 tendinitis where a tendon attaches. As patellar tendinitis or where ligaments attach as in heel spurs ( planter fasciitis). Treatments r different 4 each & multiple 4 each. B followed & rx'd by an orthopedic surgeon. ...Read more
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
Weight bear as tol.: Since you can not put the sacrum in a cast (it's above the tailbone) only time can heal a sacral fracture. Weight bearing as tolerated is the best treatment. Of concern is there a diagnosis of osteoporosis due to menopause, low testosterone or high blood calcium (parathyroid adenoma) ? A work-up may be needed. ...Read more
Injured for >2 months. MRI reveals extensive bone marrow edema in midfoot and navic and subchondral fx navicular. X-ray shows the fx. Will this heal?
Probably: Should be under care of orthopedic doctor. With proper immobilization with cast or brace and then probably some physical therapy the injury will probably heal.Sometimes there may be ligamentous injury but your mri would detect this aberration. Healing process may take longer since injury already two months old. ...Read more
Ankle pain, no injury. Start with heel pain on L, ankle, move to achilles, outer ankle bone, then L ankle can't bear weight. Then, R outer ankle bone?
See below: When a tooth is removed/extracted the socket is like an empty glass. It will partially fill with bone and partially with gum tissue - leading to incomplete healing. A bone graft/bone regeneration will stimulate the bone to more fully heal - filling about 96%+ of the socket/glass. ...Read moreSee 3 more doctor answers
Yep, I bet it does: Most heal without surgery without resulting in significant residual pain and/or dysfunction. If the doctor is concerned that it won't heal without surgery or that it would heal and result in pain and/or dysfunction, the doctor will discuss surgery. Those that require surgery usually do great after surgery. ...Read moreSee 1 more doctor answer