Doctor insights on:
Osteotomy involves the surgical cutting of a bone, followed by realignment in a way to change the alignment of the bone. This can be done for fractures healed in a crooked manner, bone and joint development abnormalities, and to relieve pressure and pain in arthritic joints. The osteotomy site is usually fixed with some type of hardware to hold the site ...Read more
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
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
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
Yes: Most knee replacements are made of cobalt alloys because they are harder. The titanium is generally too soft to work as a knee surface. There is, however, one total knee replacement made of titanium where they have hardened the end of the titanium (making it a ceramic compound). ...Read moreSee 1 more doctor answer
Be patient.: takes awhile for bone healing, then PT over the course of time. some pain and swelling to be expected. ...Read more
Glenohumeral joint debridement,microfracture,anterior labrum repair,subacromial bursectomy decompression.5mos physio Why ROM restricted above shoulder?
Very common in your-: -age group. it takes a lot of therapy above and beyond your formal sessions to gain the notion. daily passive 2-3 times a day which requires a partner. you do what the PT protocol says to do but much more intense at home. in the long run most everyone looses ,motion after surgery. the first 2-3 months are the most important ...Read more
This depends on ...: What kind of dislocation? I would guess your knee cap slid out of position and when it came back a piece of the knee cap fractured. In this case the knee cap fracture dictates the treatment course. If the fracture is out of position you may need surgery. If it is not, bracing followed by pt can be helpful. Ultimately if knee cap is unstable you may need surgery to repair ligaments. ...Read more
35 lady w/bilateral femoral hip impinge, rgt labral tear, osteoarthritis, 200 lbs 5'9'. PT, Ned's no help. Hip arthroscopic or total hip replacement?
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
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
Depends: Many hip injections are done for bursitis (greater trochanteric bursitis - the side of the hip) - these injections are superfical, outside of the joint, and would be highly unlikely to cause infection of a hip replacement. However, if you have had an actual injection into the joint itself, then there is certainly the possibility of an infection occurring, however chances are still low. ...Read more
Covered by insurance: In most cases the procedure is covered by insurance. Codes exist for most of the main procedures that are performed. Some portions of the procedure are "unlisted" and patients sometimes need to pay this up front and then work with the insurance to pay this back to patient directly. ...Read moreSee 2 more doctor answers
Multiple kneecap dislocations. Two failed lateral release 8 months. Trochler groove pretty straight across. Arthritis . Tkr vs mpfl?
Let me explain: It depends on how much arthritis you have in the knee, if the joint really have a lot of arthritis i would advise tkr. If the changes are not much you have the reconstruction for know and possibly the tkr if needed when are more older . Good luck. ...Read moreSee 1 more doctor answer
Commonly done: Hip pin is commonly used to help treat SCFE. many experts would recommend it if a pt has SCFE I am not sure what you are asking. ...Read more