Doctor insights on:
Distal Femoral Epiphysiodesis
Good question: Osteotimy is a cut in the bone. In a derotational osteotimy, the bone is cut and then rotated to a better position and this corrected position is usually then held in place by a plate and screws. In this case, the surgery is done on the tibia and femur. The most common indication would be severe malalignment of the leg such as a severe case of "in- toeing." ...Read more
Surgery type: If you have a knee angular deformity, it can be corrected by cutting a bone (an osteotomy) near the knee joint to change the alignment of the knee. A knock-knee deformity is also called genu valgum, from the latin roots. The correction of a knock knee is usually done by cutting the end of the femur to make the correction. The term "distal" refers to end of the femur at the level of the knee. ...Read more
Hip fracture: In teenagers, the ball of the hip is like an ice cream ball on an ice cream cone. It is possible for the "ball" (epiphysis) to move out (slip) of the "cone." this occurs through the growth plate (physis). ...Read more
Mri, mild joint efusion seen, thickning lateral colateral legamnt sugest tendinosis, bone edema involve femora condyle n tibial plateu further treatment?
Athroscopic debridement & menisectomy, partial medial & lateral. Grd1 oa changes lt medial femoral condyle, large posterior horn tear lateral meniscus?
Yikes: The wear on your lateral side and lateral meniscus tear is a not great. The lateral meniscus is responsible for balancing and distribution of force more so than the medial. Be very cautious returning to plant and pivot sports. ...Read more
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
Diffuse grade 2-3 chondromalacia in lateral compartment w/lg area of full thickness cartilage loss & fissuring f/weightbearing lat. femoral condyle?
Left knee medial compartment joint replacement hardware with abnormal
uptake of tracer in the medial left femoral condyle proximal to the prosthesis.
Varies : It varies in part on the type of scan you underwent and the timing of when your knee replace my was done as well. A standard bone scan will light up with increased bone activity and would be concerning for loosening, infection, or fracture. A white blood labeled scan that lights up whilst be concerning for infection. I would discuss with your surgeon. ...Read more
Complete overriding fracture distal thirds of radius and ulna, bayonet apposition heals? How long?
Needs surgery: If the pt you are describing is you (26 years old) then the answer is it would most certainly be best to have this fracture fixed surgically after which it would take about 3 months for it to heal reasonably well but 2 years for it to fully remodel also check you vit d level and try to get it up to >50 ng/ml for optimal healing. ...Read moreSee 2 more doctor answers
Patella dislocation after lateral release. 2nd lateral release medial reticulum repair , medial menicus repair. How long average recover?
6 Month: What take too long to heal is the repair of the medial meniscus. ...Read more
31 yr-old with right wrist fracture via injury Oct. 2015. ORIF & median nerve decompressed. January xray: collapse of distal radial reduction.....?
Unfortunate: If the reduction has been lost, unfortunately you are probably going to need further surgery to get the fracture back in anatomical alignment. The danger in not doing this will be to develop post traumatic arthritis and a poor outcome. You might want to consider a second opinion from a hand specialist before proceeding with a second surgery if it can be obtained quickly. ...Read moreSee 8 more doctor answers
If failed nonop: If all nonoperative measures for suspected patellar instability have been tried and failed, then T.T. osteotomy can be used to treat this problem. However, the success rate with this surgery is fair to good with a long recovery. I would make sure you have been through a long course of PT and used a quality brace first. If can help, then join my care team at www.healthtap.com/dr-clarkeholmes ...Read more
Whats the long term prognosis of lateral tibial plateau fracture following orif/ 2 screw placement?
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