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Doctor insights on: Correction Of Unequal Bone Length

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What are the surgical procedures to correct unequal bone length?

What are the surgical procedures to correct unequal bone length?

Many: There are many and depends on problem- can be one time surgery or with use of external fixator ...Read more

Bone (Definition)

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


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What are the short/long term effects of a hairline skull fracture. 3" in length from lambdoid suture forward toward the temporal bone.

What are the short/long term effects of a hairline skull fracture.  3" in length from lambdoid suture forward toward the temporal bone.

Usually none: In an adult, the type of fracture you describe really has no long-term effects. Short term problems really have to do with any associated intracranial problems (hemorrhages, contusions, etc.). Potential fractures requiring treatment are ones that are exposed through the scalp (open), significantly depressed, ones involving skull sinuses, which can leak csf, or "growing" fractures in young children. ...Read more

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Interval bony consolidation of the L5 pars fractures bilaterally. Coronal alignment is normal, exception of positional leaning to the left. explain?

Interval bony consolidation of the L5 pars fractures bilaterally. Coronal alignment is normal,  exception of positional leaning to the left. explain?

Ok: So, you initially had fractures in an area of the spine knows as the pars interarticularis, consolidation suggests they have now healed. The alingnment if the spine when viewed from the back is normal. I would not hesitate to go through your study with the person that ordered it as well. ...Read more

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A slight loss of anterior stature of the L1 vertebra is unchanged, compared to the CT scanogram of 2009. Other lumbar vertebrae are normal in stature. There is no lumbar spondylolisthesis. Axial images suggest a nondisplaced fracture of the L4 facet (imag

Need more info: Not sure what your question is, but how old are you and what are your symptoms? Have you had any trauma lately? All these factors help determine the significance of any radiographic abnormality. Also, when the radiologists use a term like "suggest", it means they can't tell for sure if an abnormality is really present or not. ...Read more

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Which vertebrae will be fused in the average scoliosis correction?

Which vertebrae will be fused in the average scoliosis correction?

Depends: Often the thoracic and lumbar vertebrae are involved with scoliosis. The number of vertebrae included in the fusion will depend on the severity and location of the scoliosis. Ask your spine surgeon for your specific situation. ...Read more

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What is the timing of fusion of metatarsal bones after fracture?

What is the timing of fusion of metatarsal bones after fracture?

Weeks: Generally 6-8 weeks depending on the alignment of fracture, bone quality and other factors; it can be up to 12 weeks. ...Read more

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What thresholds determine when a 3-piece LeFort is indicated to fix a skeletal open bite, in terms of curve of Spee and transverse discrepancy?

What thresholds determine when a 3-piece LeFort is indicated to fix a skeletal open bite, in terms of curve of Spee and transverse discrepancy?

Talk: Talk to Orthodontist. He/she will determine extent of your malocclusion and best path of treatment based on more criteria than there is room to discussed here. The Orthodontist will then prepare your occlusion so that skeletal discrepancies can be normalized by you Oral Surgeon. Malocclusions are like snowflakes, no two are identical. There are guidelines, not rules, that determine treatment. ...Read more

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I am looking for correction of shortened flail toe from previous hammertoe surgery. Digital lengthening with one stage autologous bone graft?

I am looking for correction of shortened flail toe from previous hammertoe surgery.  Digital lengthening with one stage autologous bone graft?

Homework.: There are several ways to go depending on your specific post-operative condition. Bone grafting, small digital implants or spacers, just to mention a few. You should be aware that the chances of having a normal functioning toe are limited at best. Having multiple opinions is definitely the way to be informed before you commit. ...Read more

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Broken fibula & tibia in 99. Leg length discrepancy of 1.5" but only tibia is short. Fibula bowing. Problems feet up. Pursue Taylor spatial frame?

Broken fibula & tibia in 99. Leg length discrepancy of 1.5" but only tibia is short. Fibula bowing. Problems feet up. Pursue Taylor spatial frame?

Other options?: You're 30 and no longer growing, problem won't get worse. A 3/4" heel lift on your shorter leg may resolve most issues. If not, surgery to lengthen the short tibia with external device is possible but results may not be worth the effort to get there. You really need to discuss with orthopedics your current issues with shorter leg and if they will resolve with surgery. ...Read more

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What is the correct position of the hand & wrist for casting of a trapezoid fracture/break? Natural, straight, relaxed position?

What is the correct position of the hand & wrist for casting of a trapezoid fracture/break? Natural, straight, relaxed position?

Neutral: I would place a patient in a short arm cast with the wrist in neutral or slight extension. This is a very rare fracture. If I can be of help, join my care team at www.healthtap.com/dr-clarkeholmes ...Read more

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Comminuted impacted fracture through the neck of the left humerus with associated mild valgus angulation of the humeral shaft. Can this heal in SLING?

Comminuted impacted fracture through the neck of the left humerus with associated mild valgus angulation of the humeral shaft. Can this heal in SLING?

In short YES. : I typically do not perform surgery on nondisplaced fractures of the proximal humerus. I tell people it is like having ice cream on a cone. If the ice cream (humeral head or ball) falls off the cone(shaft) then it needs surgery if the ice cream is tilted or slightly smashed no surgery. If it is blown to prices then surgery. ...Read more

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Can a lower expansion appliance change the size of my chin and length of lips.

Can a lower expansion appliance change the size of my chin and length of lips.

Not really: Lower expansion appliances work by tipping out the lower teeth. They do not actually expand the bone the way upper expansion appliances do. By tipping out your lower front teeth it will change the support your lips get from your teeth and may make your lips look longer by giving them more support. By 'filling out" this part of your face it may make your chin look smaller. ...Read more

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What are the risks of having surgery to correct congenital penile curvature?

What are the risks of having surgery to correct congenital penile curvature?

See below: There are two ways of correcting the anomaly: 1. Shorten the dorsal side with sutures if the penis has adequate length. 2. Add tissue grafts to the bottom of the penis if the length would be compromised. The first procedure is very successful in experienced hands and is associated with a low complication rate (infection, hematoma). The second procedure is more complicated: scarring, ballooning. ...Read more

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What is a Cobb angle of 12 degrees regarding scoliosis?

What is a Cobb angle of 12 degrees regarding scoliosis?

End vertebrae: A Cobb angle is measured by taking a line parallel to the end vertebrae of a scoliosis curve and a second line parallel to the vertebrae on the other end, and then measuring the angle between those two line. If the spine is perfectly straight, the cob angle would be zero. A Cobb angle of 12 degrees represents a very mild curve. ...Read more

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What are treatment options for painful chondromalacia the size of a quarter in the central third of the weightbearing portion of the distal femur ?

What are treatment options for  painful chondromalacia the size of a quarter in the central third of the weightbearing portion of the distal femur ?

There may be a few..: Treatment may rage from non-operative options to cartilage replacement/restoration procedures. Please see an orthopaedic surgeon in your area. One can be found at aaos.Org. ...Read more

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Complete overriding fracture are noted in the distal thirds of right radius and ulna possible of healing even without metal plates?

See an orthopaedist: Adults do not usually do better with reduction of the injury you describe. It might heal, but you would probably lose function (muscle strength, mobility to position your hand). See an orthopaedic surgeon that cares for upper extremity (arm) trauma. ...Read more

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Incomplete fx of the proximal phalanx of the right great toe w/ a 3mm chip type fx Also slight deviation of 1st metatarsophalangeal joint. Heal time?

Incomplete fx of the proximal phalanx of the right great toe w/ a 3mm chip type fx Also slight deviation of 1st metatarsophalangeal joint. Heal time?

4 to 8 weeks: This can take 4 to 8 weeks depending on whether you use crutches and remain non weight bearing and/or wear an air boot cast too. The deviation of the joint is a concern and may need prolonged splinting to prevent long term joint damage . ...Read more

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Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?

Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?

Fairly common: Description for imaging by age 30 relating more to age relatd degenerative changes particularly at the lower two disc spaces ascwell as involving the small joints or articular processes of the back with two facet joints found at each disc level. This can be further affcted if one smokes ;/or obese. Genetics also play a role while ther is mixed data as to other possible environmental causes. ...Read more

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"Xr lumbar spine there is some irregularity of the inferior end plate L5 increased sclerosis of the articular processes throughout the lumbar spine, ?"

Varies : Increased sclerosis on the articular processes throughout the spine is another way to say you have diffuse arthritic changes in you spine. The end plate irregularity is harder to say without seeing the film, it can also represent a change seen in arthritis, but can also represent a fracture or even be seen in an infection of the vertebrae. You should see your doctor to go through it with you. ...Read more