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Doctor insights on: Tibia Suite

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Transverse, comminuted distal tibial fracture 4m ago. Surgery was carried out wid plates. Can walk wid brace, uneven gait. Will i b abl 2 walk properly?

Transverse, comminuted distal tibial fracture 4m ago. Surgery was carried out wid plates. Can walk wid brace, uneven gait. Will i b abl 2 walk properly?

Maybe: It depends on the nature of the distal tibia fracture and if it involved the articular surface or not. Fractures that involve the joint surface can be life-changing injuries. If the articular surface was uninjured, you should regain normal walking cadence, but it could take several months as distal tibia fractures are slow to heal. It's hard to say without seeing the x-rays. ...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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PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?

PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req?

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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High tibial osteotomy, outpatient or inpatient surgery?

High tibial osteotomy, outpatient or inpatient surgery?

Elective: As an elective procedure, this can be done on an inpatient or 23hr observation with only a few days of admission. However, it's surgeon/ patient preference as some may be willing to do it outpatient. For pain control and depending on medical history, it's more likely to at least have 1-2 nights inpatient. ...Read more

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Where exactly on ankle is a "posteromedial fracture fragment" and a "posterolateral fracture fragment" requiring screws? (Trimalleolar fx).

Where exactly on ankle is a "posteromedial fracture fragment" and a "posterolateral fracture fragment" requiring screws? (Trimalleolar fx).

Trimalleolar fractur: A trimalleolar ankle fracture by definition is an unstable ankle fracture that requires operative fixation. It includes the the distal fibula( lateral maleolous ), the medial distal end of the tibia( medial maleolous ), and the lower end of the tibia in the back of the ankle ( posterior maleolous ). The medial and lateral maleolous typically need fixation. Posterior maleolous only if >25% of joint ...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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Cuboid antero-medial margin focal Bone bruise -oblique nondisplaced fissure fracture, spring ligament & cfl grade 2 sprain. hw long to heal?Overweight

Cuboid antero-medial margin focal Bone bruise -oblique nondisplaced fissure fracture,
spring ligament & cfl grade 2 sprain.
hw long to heal?Overweight

A primary healing: usually takes 6 weeks, and then it continues to mold and get more strength. It also depends upon your overall health and immunity state. And your calcium and bone mineral state. Add calcium to your diet and increase water. Wish you good luck. ...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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Avulsion fracture of cuboid left foot. Sprain of calcaneofibular ligament in tibial walker boot, triathlete. Time to return to training??

Avulsion fracture of cuboid left foot. Sprain of calcaneofibular ligament
in tibial walker boot, triathlete. Time to return to training??

It takes about 6-8: weeks for bone to heal. If your a triathlete then I would not recommend you returning until this time elapses to ensure complete healing. Obviously you need to work closely to the doc you are seeing who will evaluate you clinically and radiographically. ...Read more

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What is tibial derotation osteotomy along with femoral derotation osteotomy?

Good question: Osteotimy is a cut in the bone. In a derotational osteotimy, the bone is cut and then rotated to a better position and this corrected position is usually then held in place by a plate and screws. In this case, the surgery is done on the tibia and femur. The most common indication would be severe malalignment of the leg such as a severe case of "in- toeing." ...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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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