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Doctor insights on: Tibial Osteotomy

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Tibial lateral plateau fracture?

Tibial lateral plateau fracture?

Fracture: The tibial plateu is the part of the top of the tibia that forms the knee joint. There is a lateral and medial part of the joint called the plateu. The lateral plateu is the outside oart of the joint. It can be fractured. ...Read more

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Osteotomy (Definition)

Osteotomy involves the surgical cutting of a bone, followed by realignment in a way to change the alignment of the bone. This can be done for fractures healed in a crooked manner, bone and joint development abnormalities, and to relieve pressure and pain in arthritic joints. The osteotomy site is usually fixed with some type of hardware to hold the site ...Read more


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What is tibial derotation osteotomy along with femoral derotation osteotomy?

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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Surgery time for tibial tubercle osteotomy?

If failed nonop: If all nonoperative measures for suspected patellar instability have been tried and failed, then T.T. osteotomy can be used to treat this problem. However, the success rate with this surgery is fair to good with a long recovery. I would make sure you have been through a long course of PT and used a quality brace first. If can help, then join my care team at www.healthtap.com/dr-clarkeholmes ...Read more

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What's fulkerson osteotomy?

What's fulkerson osteotomy?

Kneecap realignment.: It is a kneecap realignment procedure, usually recommended for individuals who have had recurrent kneecap instability and pain. ...Read more

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Can arthroscopic knee surgery correct fracture of femoral condyle?

Can arthroscopic knee surgery correct fracture of femoral condyle?

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

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Hip osteotomy risks?

Hip osteotomy risks?

Many: Possible nonunion, infection, nerve or blood vessel injury, avascular necrosis of the femoral head. It is major surgery with many possible complications. Find a specialist who does this procedure frequently. ...Read more

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Pateller strain or tibia shin splints?

Pateller strain or tibia shin splints?

Depends: Depends where the pain is. Patellar tendonitis pain is higher up near the knee cap, and shin splints are lower down on the inner aspect of the tibia bone. ...Read more

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What does "left distal femoral osteotomy genu valgum" mean?

What does "left distal femoral osteotomy genu valgum" mean?

Surgery type: If you have a knee angular deformity, it can be corrected by cutting a bone (an osteotomy) near the knee joint to change the alignment of the knee. A knock-knee deformity is also called genu valgum, from the latin roots. The correction of a knock knee is usually done by cutting the end of the femur to make the correction. The term "distal" refers to end of the femur at the level of the knee. ...Read more

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What is high tibial osteotomy?

Arthritis surgery.: It is a procedure that could be performed to to unload the arthritic compartment of your knee. It can buy you roughly 5-15 years before requiring knee replacement, in many cases. ...Read more

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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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Reconstructive knee surgery (fulkerson osteotomy), what to expect?

Reconstructive knee surgery (fulkerson osteotomy), what to expect?

Be patient.: takes awhile for bone healing, then PT over the course of time. some pain and swelling to be expected. ...Read more

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What is a tibial osteotomy?

Bone realignment.: It is a bony realignment procedure, used to unload the arthritic portion of your knee. It is a salvage procedure, to buy one time, before a knee replacement is needed. ...Read more

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Is posterior tibial tendonitis the same as posterior tibial tendon dysfunction?

Is posterior tibial tendonitis the same  as posterior tibial tendon dysfunction?

Very close.: Tendonits is a bit more acute and sharply painful. Dysfunction (pttd) refers more to the overuse/overstrecthing of the tendon for mechanical reasons. A person with pttd can also have tendonitis, whereas a patient with tenodonitis may or may not have pttd. ...Read more

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Athroscopic debridement & menisectomy, partial medial & lateral. Grd1 oa changes lt medial femoral condyle, large posterior horn tear lateral meniscus?

Athroscopic debridement & menisectomy, partial medial & lateral. Grd1 oa changes lt medial femoral condyle, large posterior horn tear lateral meniscus?

Yikes: The wear on your lateral side and lateral meniscus tear is a not great. The lateral meniscus is responsible for balancing and distribution of force more so than the medial. Be very cautious returning to plant and pivot sports. ...Read more

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Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

Maybe: This decision is best made by your own orthopedist who has direct access to your x rays. A second opinion never hurts. In someone so young, if you can get away with something short of a total joint replacement, it is always preferable to do so. ...Read more

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Is posterior tibial tendonitis the same condition as posterior tibial tendon dysfunction?

No: Tendonitis is inflammation of the tendon. Dysfunction is where the tendon does not work in the proper way. Tendonitis can lead to dysfunction. ...Read more