Doctor insights on:
What Are The Indications For Having An Artificial Disc Replacement
In essence the adjoining surfaces of a vertebra are cut off to expose good healthy bleeding bone. A metallic implant flat on the bone side and concave and rimmed on the disc side are imlpanted with a metal ball bearing trapped my the concavity and rim complete the implants. As one moves the ball bearing is allowed to move within the precisely machined nd matched plates, ...Read more
What hip replacement materials exist? What are the different material options for hip replacement and their pros and cons?
Hip Materials: Engineers are always trying new materials in hope of making hips last longer. Sadly most of the new materials have not worked as well for the majority of patients. Ceramics break and squeak, metal on metal has caused some problems for patients with metal reactions, leaving metal on plastic (the old fashioned way) as the best answer for most patients. The plastics are newer and may last longer. ...Read moreSee 1 more doctor answer
After having hip replacement is it feasible to have knee replacement and what are duration procedure involved?
Pain relief: Joints are typically replaced when they become arthritic and painful. Artificial joints do not function as well as normal joints, but do perform better than painful/arthritic joints. Range of motion and strenght are typically improved with joint replacement surgery, which leads to better function. Artificial joints will all eventually wear out and there are some limitations with there use. ...Read more
What are the benefits of the ifuse surgery for the si joint vs the old procedure to help repair an si joint. And who does that procedure?
Do not have it done!: Outcome rates are not as good as touted! what are you having for? Did you avulse you sij-inwhich case it would have my qualified "yes, " you did not identify your problem! ...Read more
Are there any post treatments recommended after a hip replacement surgery to lower the risks of dislocation?
They depend on the-: -approach used, either posterior or anterior. But 4 post, no internal rotation of the hip or crossing legs. These R basic. Ant. avoid external rotation of the hip. Each of these mimic the way the hip is dislocated @ surgery. Be sure to ask your surgeon about this, he/ she is the person to ask. ...Read more
No one right answer: There is no one size fits all graft for acl reconstruction: each has pros/cons. I individualize graft to what will be best for a particular person; choices include autograft (patellar tendon, hamstring, quad tendon) or allograft/cadaver graft (pt, hs, qt, achilles, etc). Age<25, higher demand athletes should in general have autograft; talk to your md; he/she should discuss options in detail. ...Read more
Disadvantage : 1. Psychologically you still know it's artificial. 2. Make you look like and function like more normal, whenever you do not want to. 3, limb stump skin discomfort, even brakes down. 4. Requires you to have appropriate joint range of motion, which needs physical therapy and your effort to put in. 5. You have more chance to fall than just sitting in wheel chair. 6. Needs more energy to spend. ...Read more
I have had probable navicular fracture. The left foot MRI is scheduled to confirm this. What are the pros and cons of surgical vs nonsurgical treatment?
Pro vs con: Surgery: pro - addresses pathology directly, possibly shorter recovery (study supported), decrease chances of re-fracture. Con- risks include same risks for all surgeries. No surgery: pro - no surgery, incision, of possible surgical complications, or recovery period from surgery, cheaper. Con- may not heal fracture on timely manner, may need surgery anyways and you just wasted 3 months in cast. ...Read moreSee 2 more doctor answers
What manufacturer of the hardware needed for tkr surgery would you recommend? The patient is an active, 58 year old male that is slightly overweight.
Many good choices: The choice of implant vendor for a total knee replacement prosthesis is usually made by your orthopaedic surgeon. There are many high quality options available. For the younger, more active tka patient my choice is the verilast knee, from smith & nephew (full disclosure - i receive no royalties or financial compensation from smith & nephew). ...Read more
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