Doctor insights on:
Which Complications Have Resulted From The Use Of Bioabsorbable Bone Screws
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
If the metal plate is removed from the 5th metacarpal bone (after complete healing) ... Are there any high chances of re-fracture and nerve damage?
I have significant amounts of fibrosis in the background of the slide of bone marrow tissue from the reaming for a femur nail. What could cause this?
Depends: If the fibrosis is there after the nail has been in place for a while, it may be just natural scarring that the body produces around a foreign body. However, if the fibrosis was found before the nail is in place, it could be a sign of a bone marrow problem; this would likely manifest with other symptoms like anemia or low platelet count. Discuss with your doctor to see the context! ...Read more
How risky when a rod pinned to femur removed again due to infections or bone death at the union of fractured bones, any alternatives?
Complicated: Sounds like a complicated problem which would require a more complete history and review of X-rays. If you have a delayed or possibly infected non union of a fracture, the treatment centers around eradicating the infection and also getting the bone to heal. If to have a pun tract infection from an external fixatir and a delayed union, this is sometimes treated with an intramedullary rod. ...Read more
When can I have titanium screws removed from hip and femur after accidental fall in july?What are the risk factors for accidental falls?+
I suffered fractures of the C3-T1. Also burst fractures of the T9, T11 and T12.I had 2 rods and screws inserted. What is the recovery time normally?
The cartilage between the hip bone and the thigh bone is destroyed or eroded , can we replace the cartilage without surgery ..Like stem cell or drug?
No: That technology is not available. Platelet enriched plasma is also still experimental. ...Read more
Scaphoid surgery November21/14 with bone graft, one of the screws is pushing hard against skin and causing pain, can it be removed sooner?
If a low grade infection is found in the joint fluid after ACL repair is there any risk to the graft itself or problems in the future?
Yes: The "low grade" infection can infect the graft, the joint (destroy the cartilage) and or invade the bone and give you a bone infection in the bone tunnels. Antibiotics are a must as well as serious consideration to irrigating the the knee out arthroscopically 1-3 times and if it progresses removing the graft itself. F/u closely with your surgeon ...Read more
Will a distal femoral osteotomy on someone without arthritis stop or minimize the chance of arthritis in the future? Also will the plates used remain?
Possibly: I'm assuming you have severe genu valgus in both?knees.A distal femoral ostetomy can be used to correct a severe 'knock- kneed' deformity whereas the proximal tibia is used for the opposite( bow legged)alignment.Your deformity must be severe and / or causing pain for this to be considered;usually the plates stay in unless they cause pain later on. Get 2nd opinion. Best of Luck! ...Read more
Non union fracture of two years at distal pole of scaphoid which recieves 100 blood supply.What are the chances of avascular necrosis setting in?
Rare: As you stated, the distal pole of the scaphoid receives good blood supply. I believe you have a simple non-union that if it is not causing pain, no need for further treatment. The waist of the scaphoid is the most risky for avascular necrosis as it does not have good blood supply. If you are having pain, surgery to remove the non-union is possible. If no pain, recommend leaving it alone. ...Read more
what is the possibility that a nerve tissue receiving 90% damage can heal in the foot and ankle? The surgical procedure already used was to insert staples
Nerve damage: There is another answer that very accurately describes nerve damage and recovery times. Your best source is your surgeon. Even if you are healed they are there for you. There are more questions that need to be answered before an accurate diagnosis can be made. Best of luck. ...Read moreSee 1 more doctor answer
Not always helpful: The only reason to "scrape" cartilage would be if your MRI showed a cartilage flap that was displaced and then an arthroscopic surgery can be done using a small suction shaver to trim off the flap and contour the remaining edge smooth. However, if you have full thickness cartilage loss, a micro fracture technique can make little holes in bone to try and stimulate scar cartilage to fill in the area. ...Read moreSee 1 more doctor answer
How traumatic is septoplasty? Lots of scar tissue common? Deviation in in the back of left nostril. Is that bone there?
Septoplasty: Septoplasty is one of the best operations I perform on a regular basis. Fixing the deviation is analogous to seeing tv in black and white and then in color. Your breathing will be vastly different and you will feel wonderful. Do not fear this surgery. It is not very painful. Most patents do not use the pain meds I prescribe. 90% of my patients do not get nasal packing. There is bone there. ...Read more
Can the TMJ retrodical tissue break entierly? In the case of a peforated and completly displaced disc,condyle deformity. Wht are the consequeces?
Retrodiscal Tear: is a common condition when due to the trauma a retrodiscal tissue is squeezed like a sponge and allows the TMJ condyle to be fully seated in it's socket. The disc is usually positioned anteromedially causing pain, locking jaw and limited range of motion. See an orofacial pain specialist for evaluation and treatment. ...Read moreSee 1 more doctor answer
Busted Bone Blues: Among the serious complications are fat embolism (where droplets of oil float in the blood and travel to cause problems in other vessels), DVT and pulmonary embolism (leg blood clots traveling to the lung), hemorrhage due to arterial injury, nerve injury, shortening or rotation of the extremity if not positioned correctly to heal, and chronic pain associated with non-union, even after surgery. ...Read moreSee 1 more doctor answer
What are the pros and cons of late surgery (5 weeks since accident) on the talus bone? 3 other fractures in the foot (cuboid and 2 metatarsals).
Talus fracture: If your orthopaedic surgeon is recommending operative treatment of your talus 5 weeks after surgery it is likely that it may be displaced and require realignment. A displaced talus fracture that is not treated will likely result in pain, disability, and progression to arthritis. At 5 weeks after injury it may be difficult to properly align the talus but it can be done. ...Read moreSee 2 more doctor answers
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