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Doctor insights on: Distal Femur Replacement

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Left knee medial compartment joint replacement hardware with abnormal uptake of tracer in the medial left femoral condyle proximal to the prosthesis.

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

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Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

Maybe: This decision is best made by your own orthopedist who has direct access to your x rays. A second opinion never hurts. In someone so young, if you can get away with something short of a total joint replacement, it is always preferable to do so. ...Read more

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What is tibial derotation osteotomy along with femoral derotation osteotomy?

What is tibial derotation osteotomy along with femoral derotation osteotomy?

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

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Whats the long term prognosis of lateral tibial plateau fracture following orif/ 2 screw placement?

Whats the long term prognosis of lateral tibial plateau fracture following orif/ 2 screw placement?

Tibial Fracture: If the joint surface is exactly restored it is unlikely that arthritis will develop. All should go well after the healing period and pt. ...Read more

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Knee injury. MRI report "PCL Avulsion fracture of tibia (6-7mm displacement) with adjacent tibial bone edema. fibers are intact." is surgery needed?

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

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Bone bruising involving the medial aspect of the medial femoral condyle. Partial thickness tear of the medial collateral ligament adjacent to the fem.

Bone bruising involving the medial aspect of the medial femoral condyle. Partial thickness tear of the medial collateral ligament adjacent to the fem.

Orthopedic followup: Sounds like a traumatic injury, athletic or otherwise. How recent? How much pain, swelling do you have? What level of activity are you returning to? An orthopedic specialist & physical therapist can help. ...Read more

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Can arthroscopic knee surgery correct fracture of femoral condyle?

Can arthroscopic knee surgery correct fracture of femoral condyle?

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

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Right knee advanced loss of articular cartilage in medial compartment of tibio femoral and patella femoral joints. What are surgical options?

Right knee advanced loss of articular cartilage in medial compartment of tibio femoral and patella femoral joints. What are surgical options?

Best answered by Ur-: Treating ortho. There R a few options, but one needs 2 C Ur x-rays and do a hands on xam. The options R from a high tibial osteotomy, arthroscopic debredment,or TKA, tho Ur young 4 the TKA? There R also injections like synvisc (hylan g-f 20) or steroids. ...Read more

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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 more

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Hip osteotomy or hip replacement. Which is better?

Replacement: There are very, very few indications for an osteotomy in this day and age. If the arthritis is bad enough, replacement is usually the most reliable choice. ...Read more

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Athroscopic debridement & menisectomy, partial medial & lateral. Grd1 oa changes lt medial femoral condyle, large posterior horn tear lateral meniscus?

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

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2 failed lateral releases in 8 months/dislocations .& tears. Shallow trochler groove. Total knee or patellar realignment? Medial pain full thicartil

2 failed lateral releases in 8 months/dislocations  .& tears. Shallow trochler groove. Total knee or patellar realignment? Medial pain  full thicartil

Try realignment : 53 is still young 4 tka. Find a good knee specialist who can do xam x-rays & other imaging 2help u make an informed decision. ...Read more

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PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?

PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?

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

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Does a distal humerus supracondylar fracture require surgery?

Does a distal humerus supracondylar fracture require surgery?

Displacement: If the fracture is not properly aligned, surgery is typically recommended for the best outcome. ...Read more

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Regarding ankle fracture, where on the ankle is the "posteromedial fracture fragment" (1 screw) and "posterolateral fracture fragment" (2 screws)?

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

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Is fixation of hip fracture is better than total hip replacement?

Is fixation of hip fracture is better than total hip replacement?

It depends: It depends on many things. What is the age of the patient? Is there pre-existing arthritis? What is the type of fracture? Most of the time, if you can preserve the normal bone and cartilage it is better than metal and plastic. For elderly, they already have arthritis or the bone is too soft for screws, etc. So the best option is a replacement. ...Read more

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27 year old female..Had lateral patellar dislocation in feb.My MRI shows bone bruise on lateral condyle of femur and minimal joint effusion.Treatment?

27 year old female..Had lateral patellar dislocation in feb.My MRI shows bone bruise on lateral condyle of femur and minimal joint effusion.Treatment?

Conservative : Treatment- nsaids, warms packs /ace wrap application, physical therapy, immobilization with a brace.The small fluid accumulation may resolve by itself otherwise it needs to be drained if it builds up. Follow up with ur orthopedic. Best wishes! http://reference.Medscape.Com/article/90068-treatment#showall. ...Read more