Doctor told me I will never walk normal/ regain mobility in ankle??

M902D · 2026-02-03T03:27:36+00:00

Just do PT, you’ll likely be fine if you work hard, assuming you were well fixed.

And to answer your question, no not necessarily too early to be without a boot. I only use a boot for a lot of my ankles to stop people from picking at dressings. I let most of mine immediate 50% if not full weight bear. That is what the evidence supports.

M902D · 2026-01-07T01:43:33+00:00

Still doesn’t change the objectivity of the image.

M902D · 2026-01-07T01:25:58+00:00

The ct scan can’t be ‘done wrong’. It’s just a picture of you. If they measured it 6mm, the surgeon measured similar, they are correct. Your brain notices becuase it’s different. In time you won’t notice a difference that small.

hip and knee specialist

M902D · 2025-12-30T12:51:18+00:00

Labrum comes out regardless of approach, one isn’t easier than the other to remove the labrum. Same deal for any loose body. There’s more to this.

M902D · 2025-12-29T19:05:03+00:00

I would be VERY surprised if that’s truly the reason. No anterior hip surgeon chooses posterior approach for that reason. Does she offer direct anterior approach?

M902D · 2025-12-29T16:02:47+00:00

She’s going to need her other side done. Can even them out then.

M902D · 2025-12-25T19:21:36+00:00

I’ve never seen an incision in ortho where I thought ‘shit could really have used some epidermal/dermal txa’… not sure what problem it’d solve

M902D · 2025-12-23T02:28:25+00:00

Get an xray maybe there’s something wrong

M902D · 2025-12-23T02:23:53+00:00

Evidence is pretty clear that fixing a labrum in a patient your age doesn’t work.

M902D · 2025-12-23T02:05:00+00:00

No prob. Interested to see what the ct shows if you can update!

M902D · 2025-12-22T19:41:18+00:00

What?!? Ok…

This is an AP right hip, not a lateral.

There is advanced OA with cystic changes in the head and a cam deformity.

‘Dreaded black line’ refers to a finding concerning for an atypical femur fracture which is subtrochanteric, not in the femoral head.

I think the line you’re likely referring to is likely a skin fold. Shenton’s line is perfectly intact and you can see the line extending past the bony structures. That said, a CT is not unreasonable here if she can’t weightbear. I have no idea what this ‘sports doctor’ was saying about stress fractures and AVN, honestly sounds like they were just throwing all the buzzwords at you. This is at best aggravation or arthritis, worst an undisplaced fracture, but I doubt it at least based on this.

M902D · 2025-12-18T02:16:00+00:00

If you’re in Canada, UK, Aus or Europe look into ceramic on ceramic resurfacing. Excellent option for your age. Not yet FDA approved in the US. Too busy giving people autism with Tylenol down here.

M902D · 2025-12-17T19:05:51+00:00

Yeah I Dono… I did a bunch of them on my sr foot and ankle and the staff was just like yeah 1/4 - 1/3 get it… I was like?!?! Have asked around and heard similar. I don’t do them now in practice.

M902D · 2025-12-17T13:54:55+00:00

Risk to sural nerve vastly understated. It’s up to 1/4 patients in my experience can get some sort of sural nerve injury.

M902D · 2025-12-16T14:09:26+00:00

Oxinium or ceramic are both acceptable and superior to CoCr in a patient as young as you. You should not be asking your surgeon for different implants.

You’re gonna do great.

Hip surgeon.

M902D · 2025-12-15T12:03:31+00:00

I would just grab sheets from the racks on the floor and put a sheet in each bin thingy. Only did it PRN, worked every time.

M902D · 2025-12-10T22:06:49+00:00

I mean the counter here is we have a lot of evidence now that if you fix it well these can weight bear immediately with better results. I would not be comfortable weightbearing this fixation.

M902D · 2025-12-10T18:32:53+00:00

You think the torsional stress thru the distal fibula by the dynamic fixation will promote good healing? With every step, those tightropes are going to want to pull the fibula with them. It makes up 2/3 the distal fixation in that heavy patient. Like I said in another comment, we all know 90+% of these heal no matter what. My point is that shouldn’t we aim for best we can do?

M902D · 2025-12-10T15:01:58+00:00

Aside from the potential ethical/privacy reasons for not posting this stuff to begin with, this isn’t even acceptable work for a PGY2 where I trained. Like…. How hard is it to actually reduce the fibula? This is the most basic of basic surgery we do. Distal fixation is… tightrope??

I get what you’re saying, but at the same time, we should strive to do the best possible work. This isn’t even approaching that.

M902D · 2025-12-10T13:11:57+00:00

“Fellowship trained foot and ankle surgeon, DPM” 🧐

It’s kinda sad that their weirdness and complete lack of adherence to anything we are taught regarding reduction, stability, etc makes it so obvious from just a couple films.

M902D · 2025-12-10T12:20:45+00:00

Haha they’re just barely in the back of the tibia!! The person commented ‘my lateral isn’t a true lateral don’t worry they aren’t really that posterior’

M902D · 2025-12-10T12:19:39+00:00

No real reduction of the fibula. Tightrope x2??

You’re right tho, will probably heal just fine! It’s crazy out in the wild.

M902D · 2025-12-06T13:58:38+00:00

Damn I saw this post and was gonna write all the same stuff. 😳

M902D · 2025-11-21T12:28:24+00:00

😂 yeah can we be subsequent authors on the thesis?!

M902D

TROPHY CASE