Doctor insights on:
Skull Flap Replacement
I'm considering tmj disc repositioning surgery. Is there difference between suturing and screwing ligaments to fossa when fixing disc in right place?
Hip -focal 3 mm full-thick hyaline cartilage defect involving the superiolateral acetabulum that partially undermines the superiolateral labrum??
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
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
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
Should I consider surgery?
SLAP tear extending from superior posterior to anterior
inferior labrum. Possible tear of middle glenohumeral ligament. Partial-thickness bursal surface supraspinatus tendon tear. Focal cartilaginous loss of glenoid.
Wear a 2 unit nesbit. Will abutted teeth move out of position when near future involves gum grafting of an abutted tooth (cannot wear nesbit)?
Have multidirectional instability; dislocation chipped cartilage & caused frozen shoulder. Rom revived thru partial capsular release. Concerns?
One tooth anchoring a 2 unit removable bridge needs gum graft due to recession. What may take the place of the space until graft heals? Shifting?
Graft: This is a tough question because it is specific to your mouth and cannot be answered generally. However, if the etiology of the problem has been aptly identified and if that problem causing the recession has been addressed, then a gingival graft should heal without to many sequelae, but please be aware that there are often concomitant disease processes which must be identified and treated. ...Read moreSee 1 more doctor answer
"batten"grafts/valve: Nothing is a guarantee here these cases. Best to ask the operative surgeon the potential results... ...Read more
Medial meniscal tear & full thickness cartilage fissuring flap over the lateral patellar facet adjacent to apex w/ associated joint effusion?
Full thickness labral tear (hip) with separation, and surface tear. Bone on bone. Hip arthroscopy, 2013 fail. Severe pain, no walking. What now?
I have complex lateral meniscal tear w/ the lateral flap involving the anterior horn and body. Full thickness cartilage injuries to wt bearing surface?
Arthritis: Lateral meniscal tears are always a concern, but even more worrisome when arthritis is present. The tear could be incidental. Assess the joint space with standing straight, flexed views and assess alignment. Be very cautious when discussing the source of your pain and optimal treatment. ...Read moreSee 1 more doctor answer