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Doctor insights on: Tibia Quests

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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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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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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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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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Questions on slipped capital femoral epiphysis. Will your leg end up shorter?

Questions on slipped capital femoral epiphysis. Will your leg end up shorter?

It could: The more severe the slip, and higher the chance of complications. Growth arrest and having a shorter femur can be a result. Other problems include avascular necrosis, and hip impingement. ...Read more

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How to walk after tibia plateau fracture fixed with plate?

How to walk after tibia plateau fracture fixed with plate?

Tibial plateau: You will usually walk with crutches with no weight on the leg until the fracture heals which can take 6 weeks. ...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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Non-union ulnar osteotomy@18wks, obl cut w/lag screw.On extnl usbone stimulator x7wks.When to do bone graft?What if graft doesn't take?

Non-union ulnar osteotomy@18wks, obl cut w/lag screw.On  extnl usbone stimulator x7wks.When to do bone graft?What if graft doesn't take?

Let me explain: I would give this bone stimulator about six month to see if it works before I do bone graft on it. About the second part of the question, what was the for the osteotomy done for? Let me know i will answer you. Good luck. ...Read more

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"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally do u think cast will heel up?

"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally
do u think cast will heel up?

Probably: Fortunately the cuneiforms are pretty rigid with alot of soft tissue/capsular attachment that help form the midfoot. A cast should help to allow things to heal and ossify. This may predispose you to some midfoot pain/arthritis as you get older. A good arch support may help longterm. I'd let your orthopod determine if cast or boot or postop shoe is appropriate w/o seeing films. ...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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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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Had light leg tibial bone fracture on lefside in Lift crash accident 2 year back, ACL ligament is lax leading to mal aligned knee,my age(34), suggest?

Had light leg tibial bone fracture on lefside in Lift crash accident 2 year back, ACL ligament is lax leading to mal aligned knee,my age(34), suggest?

See a specialist: Without more details, it's impossible to know the best course of action. See a knee specialist, get imaging and testing, and the doctor will help you to determine a course of action to take. Good luck! ...Read more

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Tkr may patella dislocation nov grade 2 tear mcl. In hinged brace. 2 failed lateral release previous tkr with patella out 2! what next move. Scared?

Tkr may patella dislocation nov grade 2 tear mcl. In hinged brace. 2 failed lateral release previous tkr with patella out 2! what next move. Scared?

May need more surg: U obviously have mal alignment ; may need some more surg 2 correct or help. Could have had a head start if done @ time of injury. U may need more realignment of soft tissues proximately such as medial tightening. A distal boney realignment is hampered by the tibial stem of the component. It could still b done ; both injuries can heal @ the same time. ...Read more

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Mri scan report - acl, PCL are normal. Lcl, MCL are normal. Small osteochondral defect are noted in intercondylar region of tibial articular surface.

Mri scan report - acl, PCL are normal. Lcl, MCL are normal. Small osteochondral defect are noted in intercondylar region of tibial articular surface.

Essentially: This is a small fracture through the cartilage of the tibial articular surface that extends down into the bone. These defects (fracture fragments) can be attached to the rest of the tibia or loose in the joint. ...Read more