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Doctor insights on: Interposition Arthroplasty Thumb

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Glenohumeral joint debridement,microfracture,anterior labrum repair,subacromial bursectomy decompression.5mos physio Why ROM restricted above shoulder?

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

Dr. Bertrand Kaper
437 doctors shared insights

Arthroplasty (Definition)

Surgical procedure for replacing a joint in the body which is diseased (e.x. arthritis) ...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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Is sternoclavicular joint total anterior dislocation curable?

Is sternoclavicular joint total anterior dislocation curable?

Sure: Young people tend to heal very well, but realize that sometimes a cure will involve surgery. See an orthopedic surgeon. ...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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Is tennis elbow [lateral epicondylitis] surgery painful?

Is tennis elbow [lateral epicondylitis] surgery painful?

Tennis elbow: No the surgery is not too painful. It can be done through a small incision or an arthroscope as an outpatient procedure. ...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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Should I do surgery of subtle volar fracture through proximal base of proximal phalanx of thumb with volary distraction of avulsed fracture fragment?

Should I do surgery of subtle volar fracture through proximal base of proximal phalanx of thumb with volary distraction of avulsed fracture fragment?

See a hand surgeon: Fractures through joint surfaces are generally more problematic than those outside of joints. Depending on a number of factors, they may predispose to the onset of early arthritis in the joint if the surface is not reconstructed accurately. I would see a hand surgeon to evaluate the particulars of your case. Good luck. ...Read more

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Multiple kneecap dislocations. Two failed lateral release 8 months. Trochler groove pretty straight across. Arthritis . Tkr vs mpfl?

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 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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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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In thumb spica splint for suspected scaphoid fracture. Pain in entire thumb area while in splint normal?

In thumb spica splint for suspected scaphoid fracture. Pain in entire thumb area while in splint normal?

Yes and no: If the thumb is swollen then the cast may become too tight, yes, if there is no swelling have the cast rechecked, it may need to be redone. In the meantime elevate your hand above your heart for 15-20 minutes to see if that reduces the pain/swelling and call your dr. ...Read more

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Tfcc injured. Will immobilization of the wrist heal cartilage?

Tfcc injured. Will immobilization of the wrist heal cartilage?

Varies: It varies quite a bit, depending in part on the severity of the injury to the TFCC. Some people may have a very mild injury and do fine without even immobilization, while others can have injuries severe enough they need surgery. Initial immobilization is appropriate for many TFCC injuries to see if they will heal. May want to discuss specifics if your injury with your MD. ...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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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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Tore my lateral meniscus. Is surgery eminent?

I belive so: Some kind of surgery either to repair or to take out the torn portion. ...Read more

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Is arthroscopic knee surgery painful?

Not particularly. : Most arthroscopic knee surgery is not too painful and can be controlled with mild narcotics, anti-inflammatories, ice and rest. Arthroscopic acl and PCL reconstructions are more painful but still routinely done as outpatient surgery. ...Read more

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Complete dislocation of pip joint on 3rd finger, deviated toward thumb. Reduced in under 60 sec, no fracture. Healing time?

Complete dislocation of pip joint on 3rd finger, deviated toward thumb.  Reduced in under 60 sec, no fracture. Healing time?

6 wks+: U tore the ulnar collateral ligament. Buddy tape 2 the ring finger. B sure u have seen an ortho 2 confirm no fx. Some use casts but i find there is 2 much loss of motion 2 deal with. ...Read more

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Knee dislocation 1mth ago recent MRI says lrg joint effusion-oedema in region of medial patellar retinaculum& patellofemoral ligament-meaning how2 fix?

Knee dislocation 1mth ago recent MRI says lrg joint effusion-oedema in region of medial patellar retinaculum& patellofemoral ligament-meaning how2 fix?

? Patellar dislocate: Sounds more like a patellar dislocation. Rx varies with traumatic, 1st time, no trauma involved, also depends on ur alignment . Could b surg repair 2 realignment procedure , soft tissue or boney or both. A lot needs 2 b taken into evaluating the cause & then deciding on a rx. ...Read more