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Doctor insights on: Distal Femur Replacement

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What is the recovery time for a 10 YO with a distal femur benign tug lesion/cortical desmoid? Are activities like volleyball that don't cause pain ok?

What is the recovery time for a 10 YO with a distal femur benign tug lesion/cortical desmoid? Are activities like volleyball that don't cause pain ok?

Brief recovery time: This is a benign and self limited lesion that requires no more than rest and pain relief with ibuprofen if needed. It is not serious and usually occurs in the presence of athletic activity. Sometimes it is found as an unrelated and insignificant finding on MRI done for other reasons. A few weeks at most of rest and use of ibuprofen if painful and activities that do not cause pain are ok ...Read more

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My son is15, bone age 17.Some of his growth plates are not completely closed(rad/cub,little space at distal femur.Is it still possible to treat him?

My son is15, bone age 17.Some of his growth plates are not completely closed(rad/cub,little space at distal femur.Is it still possible to treat him?

Growth plates: Your son is 15 yrs and his bone age is 17 yrs, he is close to his maximum height. For short stature treatment he is beyond a growth stage to make much of a difference. Growth hormone at this stage would close those open growth plates faster. I am assuming that this is the treatment you are asking about. ...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 ?

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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I fractured my distal femur and tibia at the knee, i'm healed but I have pain on my outer knee along with a distorted look. What could this be?

I  fractured my distal femur and tibia at the knee, i'm healed but I have pain on my outer knee along with a distorted look. What could this be?

Hard to say: There are a lot of possibilities. An exam and x-ray would almost surely determine the cause. If you had surgery, it could be a prominent screw. Sometimes extra bone will form around a fracture that can appear as a lump that will usually remodel. Consider being seen, . ...Read more

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My son who is 9 has a distal femur fracture. What does that mean?

My son who is 9 has a distal femur fracture. What does that mean?

Broken bone above --: the knee joint. He needs treatment for it, from an Orthopedic surgeon. Good luck. ...Read more

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What do you suggest if my son who is 9 has a distal femur fracture?

What do you suggest if my son who is 9 has a distal femur fracture?

This is quite an: open ended question. Could you clarify what specifically you would like to know and re-ask. Thanks much. ...Read more

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2 distal femur stress fx in 7 months. Ortho dx. Docs at a loss for causes. Any ideas? Bone density normal. Normal labs except vit. D

2 distal femur stress fx in 7 months. Ortho dx. Docs at a loss for causes. Any ideas? Bone density normal. Normal labs except vit. D

Any ovary issue?: Although it's uncommon to have menopause at your current age, have you had any ovarian surgery? Low vitamin d can decrease the amount of calcium being absorbed. It is the building block for bones. How low is your vitamin d level? ...Read more

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Ortho diagnosis distal femur stress fracture no known cause would you recommend searching for cause given unique location? How to find cause?

Ortho diagnosis distal femur stress fracture no known cause would you recommend searching for cause given unique location? How to find cause?

Rule out osteoporosi: I recommend you see your family doctor to rule out early causes of osteoporosis by appropriate testing. May need an endocrine consult and should rule out hypophosphatasia if labs point towards that with a chronically low alkaline phosphatase level. Parathyroid tests will need to be run. Best wishes. ...Read more

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I have a tumor in my left distal femur that has caused a hairline fracture last year. I have been feeling pressure and pain. Should i be concerned?

Osteonecrosis: Yes! be concerned. The tumor you had was probably a benign non-ossyfying fibroma. Usually, if your growth plate has closed (you've stop growing), then the bone growth won't exceed your bodies ability toget rid of the dying bone so that it won't cause problems. When you continue to grow osteonecrosis (dead bone) can remain and cause pain, or the the tumor can recur. Both require an mri- immediately. ...Read more

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MRI shows cyst in anterior cortex of distal femur and small joint effusion. Could this be causing my constant pain and can cyst be drained/treated?

MRI shows cyst in anterior cortex of distal femur and small joint effusion. Could this be causing my constant pain and can cyst be drained/treated?

There are many: types of "cystic" bone lesions and most do not represent true fluid-filled cysts. Some types of these lesions are completely innocuous and require no treatment, others can be more serious. So it is difficult to render an opinion without evaluating the images or at least knowing the specific description in the MRI report. ...Read more

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What is the difference between extra-articular, partial-articular, complete-articular and intra-articular? (for a distal femur fracture)

What is the difference between extra-articular, partial-articular, complete-articular and intra-articular? (for a distal femur fracture)

Related to the joint: Fracture of the femur and other bones can be described as Extra/Outside of joint , Partial/involving part of joint, complete/entire joint, Intra/inside of the joint . Treatment can sometimes depend on the type of joint involvement. ...Read more

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MRI confirmed recurrent/ residual stress fracture in rt distal femur (1st 9/18/13, 2nd 7/31/14). Despite rest, still lots of pain. Is this normal?

No: No, it's not normal. Bones usually take 6-8 weeks to heal. But healing can be slowed down by certain medications, smoking, among other things. A fracture that hasn't healed after 3 months is called a nonunion and may require surgery. You should see your orthopedic doctor for more specific treatment options about your case. ...Read more

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What does altered marrow signal in distal femur and proximal tibia accompanied with hemosiderin deposition & thickened synovium in MRI left knee mean?

What does altered marrow signal in distal femur and proximal tibia accompanied with hemosiderin deposition & thickened synovium in MRI left knee mean?

Hemosiderin MRI: This may be consistent with a condition of the knee called pigmented villodular synovitis. This is caused by inflammation of the lining of the knee joint (synovium) and resulting deposit of breakdown of blood products. The cause is largely unknown. The diagnosis of pigmented villonodular synovitis is confirmed by biopsy, and the treatment of choice is synovectomy. ...Read more

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Why would the hemoglobin and hematocrit be low in a non-surgical patient with a distal femur fracture?

Why would the hemoglobin and hematocrit be low in a non-surgical patient with a distal femur fracture?

Common..: Femur fracture needs substantial force........that causes surrounding tissue damage. Bleeding trapped in the soft ....significant amount can be reflected in Hb/HCT ...Read more

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Bone cyst in anterior cortex of distal femur. What does it mean? Could this be causing constant pain in my knee? Plus small joint effusion

Cyst can cause pain: A bone cyst in the distal femur is a common finding on x-ray of the knee. It is possible that the cyst can cause pain and a small effusion. The next step is to see a medical provider and have an MRI performed on the knee including the distal femur to evaluate the cyst and knee joint in more detail. ...Read more

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I need to find an orthopedic surgeon that specializes in total femur replacement?

I need to find an orthopedic surgeon that specializes in total femur replacement?

Look in this adress: Orthopedic oncology service, massachusetts general hospital and the harvard medical school, boston, ma 02114, usa. Call them and ask them, which were the procedure started. ...Read more

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Having a knee/partial femur replacement to remove cancer in 20 days, what can I do to prepare?

Having a knee/partial femur replacement to remove cancer in 20 days, what can I do to prepare?

Get informed well: Removal of your knee area bones means having to adjust to an artificial knee joint. For this you should plan/ learn how to get rehabilitated after the surgery is over you will need strong muscles to get you thru this journey and be able to start walking normally again.You should exercise/walk to strengthen your muscles around the knee ...The quads and hamstring(back thigh) muscles. Good luck! ...Read more

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What is the partial hip replacement procedure that replaces just the acetabellum not the femur head?

What is the partial hip replacement procedure that replaces just the acetabellum not the femur head?

Acetabular osteotomy: There are acetabular osteotomies that reorient the acetabulum but do not actually replace the surface. ...Read more