Doctor insights on:
Hip Resurface Or Replace
The cartilage between the hip bone and the thigh bone is destroyed or eroded , can we replace the cartilage without surgery ..Like stem cell or drug?
No: That technology is not available. Platelet enriched plasma is also still experimental. ...Read more
Femur bone: In a knee replacement only the most distal aspect of the femur is replaced along with the proximal tibia and underlying portion of the patella. In extreme situations such as bone/soft tissue cancer that involves the femur shaft or infection can the entire femur bone be replaced. Even then the hip region may be salvaged. Choices are metal implants or cadaveric bone. Evenutally we will have scaffol. ...Read moreSee 1 more doctor answer
What kind of attachments are used in knee replacement? How are knee implants attached in knee replacement? Are screws used, or rods, or something different?
Broken bones: If u break your artificial hip you usually get it fixed not your leg amputated. ...Read more
Does a high grade partial tear or the medial retinaculum in the knee require surgery or is physical therapy a better option?
Therapy 1st: If u have dislocated your patella and injured the medial patellofemoral ligament( retinaculum) then physical therapy to strengthen the quads is a good first choice. If your patella continues to 'slip' or dislocate despite aggressive vmo strengthening/patellar brace then see a board certified ors . Surgical procedures ( including repair/ reconstruction of mpfl) can be discussed. Gl! ...Read more
Is there an option to repairing a knee that has worn out cartilage, other than total knee replacement?
MAKOplasty: I have performed over 560 makoplasty procedures and it is very very safe . It is superior to all other techniques for precise installation of partial knee replacements. When performed by an experienced makoplasty surgeon, it allows us to balance the tension of your ligaments within a millimeter and make the implants track centrally so they last decades. Mine all go home the same day, little pain. ...Read moreSee 3 more doctor answers
Low impact: A joint replacement of the hip or knee can withstand normal day to day activities. High impact activities such as running or jumping will lead to increased wear and potentially premature failure of the prosthesis. Keep your muscles healthy and conditioned via a regular program of low impact activities such as walking, swimming, biking is recommended. ...Read moreSee 1 more doctor answer
No cartilage in knees, bone on bone, and knee caps are misaligned. Do i need total knee replacement surgery?
Total knee surgery: Possibly, however the decision to perform a total knee replacement doesn't just depend on xray findings of "bone on bone" arthritis. Many non-surgical options are available to improve symptoms of knee arthritis in an effort to delay surgery such as: medications, injections, braces, activity modification, and physical therapy. ...Read moreSee 1 more doctor answer
1.5yrs recovery of pedicle subtraction osteotomy. Now have hip labral tear from 12-3o clock + more. Pt told me a hip replacement would be an easier recovery than a labral repair. Agree or not and why?
Either:- 4 the foll-: Owing reasons: 1: metal ones can be seen easily seen on xrays, so if they back out or break, or get loose, the problem can be easily confirmed; while with the dissolvable, the true nature cannot be ascertained. So DX can be made earlier & treated sooner. 2: the dissolvable ones do not need to be removed. 3: metal are easier to work with, than dissolvable ones. 4: personal choice of the orthopod. ...Read moreSee 1 more doctor answer
Can a menisectomy, extruded meniscus stage 3 osteoarthritis lead to an earlier total knee replacement?
Yes: If you have stage 3 oa, you have lost much of the cartilage on that side of the knee. If the rest of the knee is normal, there are options such as osteotomy or partial knee replacement that can work well if medical treatments or injections do not keep you comfortable. ...Read moreSee 1 more doctor answer
Any new procedures for medial knee pain, without a total arthroplasty or the supartz (hyaluronic acid) injections? I have taken all injections.
MAKOplasty: I have performed over 560 makoplasty procedures and it is very very safe . It is superior to all other techniques for precise installation of partial knee replacements. When performed by an experienced makoplasty surgeon, it allows us to balance the tension of your ligaments within a millimeter and make the implants track centrally so they last decades. Mine all go home the same day, little pain. ...Read moreSee 2 more doctor answers
85 year old torn meniscus in right knee, pain/inflammation when walking. Recommend hyaluronic acid joint injection? Other non-surgical therapies?
If your joint is in-: -good condition, a menisectomy would be advised, even if borderline. This can slow down further degeneration & possibly avoid a replacement. Hyaluronic acid if the joint is bad & the only option is a replacement, if you are one of the people that get great results, you still may avoid a TKA. If successful they do need to be repeated over time. ...Read more
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