Doctor insights on:
Plastic Meniscus Implant
Not necessarily: Sometimes the bite of the teeth are fine and only a chin implant is needed. Other times both have to be addressed. Too many times plastic surgeons just address the chin and fail to recognize the importance of the tooth alignment. Form and function ought to go together! ...Read moreSee 2 more doctor answers
It's not. : Cartilage is found at the ends of bones, where they articulate. When the hip is replaced, usually both sides of the joint are replaced. The hip joint is a ball and socket. The head of the femur is the ball and the acetabulum is the socket. The two replacement parts slide against each other, so there is no need for cartilage. If we replace cartilage, it might be simpler! ...Read moreSee 1 more doctor answer
Depends on the graft: There are many variables when it comes to acl grafts. Often has to do with a availability and demand of the particular type. (econ 101). Soft tissue grafts are often less than grafts with bone on the ends.There are many different sterilzation techniques that are important to consider which have different costs but also different affects on the quality of the graft. Can cost btw $1200 and $5000! ...Read more
Unnecessary: Screws used in acl reconstruction are either absorbable (which means the body will incorporate it), or non absorbable. A nonabsorbable screw is typically buried in bone and doesn't cause damage to surrounding tissues. If it really needs removal, we must ensure the acl reconstruction has matured completely. Waiting a year after reconstruction before removal is preferred. ...Read more
Post Op Care: Surgeons are always on the look out for complications following surgery. You would have been given specific instructions after surgery on what to watch for and how to contact your surgeon should a complication arise. Given your worry it is time to sign off of the internet and to contact your surgeon. ...Read more
Very successful: Anterior cruciate ligament reconstruction surgery has undergone considerable changes over the past decade. Intensive research into the biomechanics of the injured and the operated knee have led to a movement away from the techniques of the early 1980's characterized by post operative casting and delayed rehabilitation, to the current early rehabilitation program which in made the result better. ...Read more
Complete full-thickness retear of infraspinatus 1.5cm retract @15wks post-op revision rotator cuff repair. Can use bioinductive implant in re-repair?
Yes: Increases fusion rates which are already excellent, equivalent alternative is auto graft hip bone and six weeks in collar allograft donor bone with plate and limited post op immobilization has yielded excellent results for decades . benefits: no second surgical site and no immobilization can be achieved with cervical disc replacement as well sucess rate for relief if arm pain well documented ...Read more
69 Y.O. male, rotater cuff surgery 8/14.Had sepsis, pneumonia, abscessed tooth after. He's planning on torn meniscus surgery 9/11. Wise choice?
No for two reasons!: You may need crutches after meniscal surgery for several days, and probably should not use them given your recent rotator cuff surgery less than a month prior. The additional risk of elective surgery given recent acute sepsis and infection is also avoidable and can be decreased toward normal risk by merely waiting several weeks perhaps ...Read more
3 protruding moles on face. Want removed. Price? Limited scarring choice? Dermatologist or plastic surgeon?
Plastic surgeon: Moles are something that both dermatologists and plastic surgeons deal with. Dermatologists are experts at diagnosing the types of moles and conditions of the skin. They typically perfrm biopsies and shave biopsies. Plastic surgeons are the experts in "sewing" or closing wounds. For cosmetic mole removal plastic surgeons will remove them in the most discrete way leaving the most favorable scar. ...Read moreSee 1 more doctor answer
Probably: There are many surgeons that perform double bundle acl reconstructions. However, since there are many ways to perform them, we do not know which method is better, or whether it is any better than an anatomic acl. Perhaps a better question is whether a double bundle acl reconstruction is right for you. I perform both, but i still question whether it is better. I am in los angeles though. ...Read more
No, but...: Both are done by plastic surgeons. Reconstructive surgery starts with an abnormality; the surgeon attempts to bring things back towards normal. Cosmetic (or aesthetic) surgery starts with the normal and tries to make it better. Plastic surgeons may perform one or the other and/or hand surgery, craniofacial surgery, microsurgery, and other procedures as well. ...Read moreSee 5 more doctor answers
Middle of your foot: This is most likely a fusion of the 1st, 2nd and 3rd metatarsal or long bone in your foot to the cuineoform bones which are in the tarsal area of your foot. The bones are held together with hardware, plates, screws, staples any of these can be used to allow the bones to heal together. Usually the hardware does not need to be removed. ...Read more