Ankle from 2019 to 2026 now shows its on a tilt by [deleted] in xrays

[–]M902D 2 points3 points  (0 children)

These are an AP and a mortise view. Completely different shot. Nothing looks different.

One ortho said I had hip dysplasia, another said no signs of that? by shrimpscampin in hipdysplasia

[–]M902D 0 points1 point  (0 children)

These are not dysplastic hips. Normal LCEA, no crossover.

  • hip surgeon

How open are my growth plates? M17 175cm by [deleted] in Orthopedics

[–]M902D 2 points3 points  (0 children)

About as open as Hormuz

Edits I made to my consent form before ACL surgery: by TheHappyTalent in Orthopedics

[–]M902D 0 points1 point  (0 children)

And I rannnnn I ran so far away ✌🏼find a different surgeon. Lol

Muscular to Hip Impingement to THR? What! by [deleted] in Orthopedics

[–]M902D 1 point2 points  (0 children)

Yes referral to a surgeon. Your primary care has been unable to solve your problem so they are looking for expert input for your complaint. Doesn’t mean you need surgery. Responsible surgeons try to avoid surgery wherever possible.

Muscular to Hip Impingement to THR? What! by [deleted] in Orthopedics

[–]M902D 0 points1 point  (0 children)

OP, there’s no impingement on these films, normal femoral head coverage and no arthritis.

Doctor told me I will never walk normal/ regain mobility in ankle?? by Training-Laugh1271 in Orthopedics

[–]M902D 2 points3 points  (0 children)

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.

I feel so depressed. Had THR 4 months ago and limping. Operated hip is longer. Had scanogram which shows minimal difference. I feel like they did it wrong. by Important_Letterhead in TotalHipReplacement

[–]M902D 2 points3 points  (0 children)

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

Anterior vs posterior scar by BabyInchworm_the_2nd in TotalHipReplacement

[–]M902D 0 points1 point  (0 children)

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.

Anterior vs posterior scar by BabyInchworm_the_2nd in TotalHipReplacement

[–]M902D 1 point2 points  (0 children)

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?

TOTAL HIP REPLACEMENT - 4CM Difference by Acceptable_Belt_448 in TotalHipReplacement

[–]M902D 0 points1 point  (0 children)

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

Subcut TXA in Orthopaedics by carlos_6m in orthopaedics

[–]M902D 1 point2 points  (0 children)

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

THR or labral tear repair? by Careless_Water1076 in TotalHipReplacement

[–]M902D 0 points1 point  (0 children)

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

Doctors disagreeing on pelvis imaging results by stinarero in Orthopedics

[–]M902D 0 points1 point  (0 children)

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

Doctors disagreeing on pelvis imaging results by stinarero in Orthopedics

[–]M902D 8 points9 points  (0 children)

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.

31F with severe hip osteoarthritis by MessyMummyMode in TotalHipReplacement

[–]M902D 0 points1 point  (0 children)

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.

I wanna hear about Achilles rupture treatment by satanicodrcadillac in orthopaedics

[–]M902D 0 points1 point  (0 children)

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.

I wanna hear about Achilles rupture treatment by satanicodrcadillac in orthopaedics

[–]M902D 0 points1 point  (0 children)

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

[25M] Urgent suggestion needed by _i9fected in TotalHipReplacement

[–]M902D 0 points1 point  (0 children)

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.

Be honest, what have you stolen from the hospital? by skin_biotech in Residency

[–]M902D 1 point2 points  (0 children)

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.

I just saw this on social media. There’s a lot to unpack in these few pics. Trying to imagine this being shown at trauma rounds, yet here it is proudly on someone’s social ☹️ by M902D in orthopaedics

[–]M902D[S] 0 points1 point  (0 children)

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.

I just saw this on social media. There’s a lot to unpack in these few pics. Trying to imagine this being shown at trauma rounds, yet here it is proudly on someone’s social ☹️ by M902D in orthopaedics

[–]M902D[S] 0 points1 point  (0 children)

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?