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Doctor insights on: Tibia Bots

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2 knee surgeries L knee, meniscus removal,tendon release,13 and 7yrs ago.Feels like bone on bone,severe arthritis,floating kneecap.Treatment options?

2 knee surgeries L knee, meniscus removal,tendon release,13 and 7yrs ago.Feels like bone on bone,severe arthritis,floating kneecap.Treatment options?

Need xrays/MRI: If there is full thickness cartilage loss allograft resurfacing is my first choice with an osteotomy as needed to unload the medial compartment Eventually some form of prosthetic knee replacement will be required but should be avoided as long as possible ...Read more

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Externally rotated tibia. Recurring compartment syndromes in leg/foot, gastroc contracture. Could proposed osteotomy help and why?

Externally rotated tibia. Recurring compartment syndromes in leg/foot, gastroc contracture. Could proposed osteotomy help and why?

No easy answer: This issue is to be addressed after a careful review of your history, physical exam and studies. There is no easy answer to this question. ...Read more

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Mva, 2005. Mult. Surgeries = r ankle fused, w/plates, pins, screws, metal rod to halfway up leg. Why sporadic pitting edema in both legs from standing?

Mva, 2005. Mult. Surgeries = r ankle fused, w/plates, pins, screws, metal rod to halfway up leg. Why sporadic pitting edema in both legs from standing?

Edema.: Edema in lower extremities comes from interplay of many factors - protein content of blood, hydrostatic pressure induced by gravity, the state of valves in veins, the amount of circulating fluid in bloodstream and the degree of competency of lymphatic system. If any of these - or a combination of these- is a bit off you get swelling. Might expect swelling worse on r but this might not happen. ...Read more

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Can knee braces straighten bowed legs in adults?

Can knee braces straighten bowed legs in adults?

Not likley: Either you are genetically destined to be bow legged or increasing wear along the inside of the knee with time is causing you to become bow-legged. Rarely a disease process could contibute to bowing of the legs. See an orthopedist for clarity in diagnosis. Unloader braces can be helpful with pain and function but cannot straighten an adult bowed knee. ...Read more

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My daughter had ACL recon 18 months ago; hamstring autograft. Using endobutton in femur; bioabsorb screw in tibia NOT crossing growth plate retear?

My daughter had ACL recon 18 months ago; hamstring autograft.  Using endobutton in femur; bioabsorb screw in tibia NOT crossing growth plate  retear?

Hard to say: Hard to say, is your daughter having problems? Potential causes of instability after ACL reconstruction include a retear, or simply "stretching out" the original graft, or injuring another stabilizing structure. ...Read more

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Swelling back leg isolated below gastrocnemius to ankle. MRI, arteriovenous US normal.Tightness both sides of leg near ankle w/ dorsiflex. Tendonitis?

Swelling back leg isolated below gastrocnemius to ankle. MRI, arteriovenous US normal.Tightness both sides of leg near ankle w/ dorsiflex. Tendonitis?

MRI of what?: This is tendonitis the MRI should have picked it up. If it was a Baker's cyst the US should have picked it up. What else did these examinations show? You need to discuss with your physician the results of the tests and what was and what was not imaged. ...Read more

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Ankle MRI report - ant tib tendon bowing, tendonitis in ant tib, tenosynovitis in posterior tib, mild tendonitis in Achilles'. Best treatment?

Ankle MRI report - ant tib tendon bowing, tendonitis in ant tib, tenosynovitis in posterior tib, mild tendonitis  in Achilles'. Best treatment?

Cold compresses help: I have found that tendinitis frequently responds to application of cold compresses, particularly gel devices kept in a freezer which when applied to tendinitis will cut the inflammation down and provide comfort without the potential side effects of listed medications (which help as well but can cause considerable side effects). Such gel devices can be found in drug stores (OTC). ...Read more

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Ankle pain, no injury. Start with heel pain on L, ankle, move to achilles, outer ankle bone, then L ankle can't bear weight. Then, R outer ankle bone?

Ankle pain, no injury. Start with heel pain on L, ankle,  move to achilles, outer ankle bone, then L ankle can't bear weight. Then, R outer ankle bone?

Pain: can be arthritis and compensating to other side causing pain. It is common issue with plantar fasciitis patient will favor the other side and then they get inflammation to the joint area ...Read more

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Knee arthritis from deep knee bends in hs. Are they still doing those?

Knee arthritis from deep knee bends in hs. Are they still doing those?

Closed chain ex: I do not understand by "hs". I always prefer leg press with differnt amount of resistance and required knee flexion depending upon degree of patellofemoral involvement. I rarely advised for any type of open chained exercises for knee. ...Read more

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Broken fibula & tibia in 99. Leg length discrepancy of 1.5" but only tibia is short. Fibula bowing. Problems feet up. Pursue Taylor spatial frame?

Broken fibula & tibia in 99. Leg length discrepancy of 1.5" but only tibia is short. Fibula bowing. Problems feet up. Pursue Taylor spatial frame?

Other options?: You're 30 and no longer growing, problem won't get worse. A 3/4" heel lift on your shorter leg may resolve most issues. If not, surgery to lengthen the short tibia with external device is possible but results may not be worth the effort to get there. You really need to discuss with orthopedics your current issues with shorter leg and if they will resolve with surgery. ...Read more

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In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

Yes: If the surgery is successful, you will be much better than you were before and as such should be able to participate in amucj higher activity level than before surgery. I would discuss your specific case with your surgeon. ...Read more

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What causes tibling below knee and in foot after torn menimous surgery?

What causes tibling below knee and in foot after torn menimous surgery?

Makes no sense: Your question makes no sense. Resubmit it if you want an answer. ...Read more

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Active runner. 26 y/o. Knee chrondroplasty, patella lateral release x2, removal of foreign bodies. Worried about developing arthritis - what can I do?

Active runner. 26 y/o. Knee chrondroplasty, patella lateral release x2, removal of foreign bodies. Worried about developing arthritis - what can I do?

Arthritis: May or may not develop from above causes, but keeping good weight, strengthening quads and collateral ligaments may help. ...Read more

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AnkleScrew removed 2wk ago.Now have marble size bone hard lump where screw was(seems like part of tibiaorfibia).appt pending.any insight before then?

AnkleScrew removed 2wk ago.Now have  marble size bone hard lump where screw was(seems like part of tibiaorfibia).appt pending.any insight before then?

Most likely its a --: hematoma, from the screw hole. The site depends on, whether the screw was removed from the Tibia or the Fibula. It must be quite tense, which probably gives a hard texture. I am sure your surgeon would be getting an Xray to ensure there is no new Fx through the screw hole. Good luck. ...Read more

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