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Sig Forum Orthopods: A compu-consult please

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November 24, 2017, 07:44 AM
rduckwor
Sig Forum Orthopods: A compu-consult please
Yeah, I know you can't say until I see the MRI. But, youngest sister, mid-50's had a knee injury at work - workmans' comp case.

She lives in a medium Mississippi town with, in my estimation, questionable practitioners.

MRi showed a torn meniscus, per local ortho. He scoped knee. Found no torn meniscus, but "arthritis" which he "cleaned out". Now four+ months post-op, she is still having significant pain, and mobility limitations (limp).

It has been a very long time for me and I just do not remember recovery expectations for this procedure (which did not exist in my days).

Is this in line with what you would expect with a typical patient?

I will try to get copies of the MRI DVD's but with these guys, they may be hard to pry loose.

Thanks,

RMD




TL Davis: “The Second Amendment is special, not because it protects guns, but because its violation signals a government with the intention to oppress its people…”
Remember: After the first one, the rest are free.
November 24, 2017, 10:47 AM
sybo
I’ve had each of my knees done twice over the years. The last two that I had done I was up and running in about two weeks!! Literally running!
November 24, 2017, 12:31 PM
Tavman
I think it depends on the surgeon. When I was in the Navy I had a meniscus tear repair that took almost a year for it to be back to "normal". Later I had another done and was back to doing normal things within a couple of weeks with no pain.
November 24, 2017, 02:49 PM
BurtonRW
I’m not an ortho, but I am a worker’s comp attorney, so sometimes I think I am. I certainly deal with messed up knees and related medicals on a daily basis.

What was the original mechanism of injury? How old is she?

Did she have any complaints at all prior to that?

Is she better, the same, or worse since the surgery?

Happy to make some educated guesses, but if there was no meniscus tear, I’d love to know exactly what the surgeon did. You can’t “clean up” arthrits, but you can scrape and smooth the bony rubbing surfaces in an effort to reduce friction. If he debrided damaged tissue that wasn’t meniscal, I’m not sure what it was. Finally, meniscus don’t heal and typically the more you take off to “repair” a tear, the more likely they are to tear in the future.

Sounds like she had at least some moderate pre-existing degeneration.

Don’t need to see the MRI, but the radiologist’s report and op note should be enough to at least give you a non-ortho surgeon translation of what’s going on with her knee.

-Rob




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November 25, 2017, 06:28 AM
rduckwor
quote:
Originally posted by BurtonRW:
I’m not an ortho, but I am a worker’s comp attorney, so sometimes I think I am. I certainly deal with messed up knees and related medicals on a daily basis.

What was the original mechanism of injury? How old is she?

>>Early fifties


Did she have any complaints at all prior to that?

>>Not to my knowledge

Is she better, the same, or worse since the surgery?

>>Worse she says.

Happy to make some educated guesses, but if there was no meniscus tear, I’d love to know exactly what the surgeon did. You can’t “clean up” arthrits, but you can scrape and smooth the bony rubbing surfaces in an effort to reduce friction. If he debrided damaged tissue that wasn’t meniscal, I’m not sure what it was. Finally, meniscus don’t heal and typically the more you take off to “repair” a tear, the more likely they are to tear in the future.

>>Yeah, I agree (for what that is worth). I suspect he tried to clean some of the cartilage up, but do not know what he truly did.

Sounds like she had at least some moderate pre-existing degeneration.

Don’t need to see the MRI, but the radiologist’s report and op note should be enough to at least give you a non-ortho surgeon translation of what’s going on with her knee.

>>I would like to read it as well. Maybe I can get a copy.

-Rob


Thanks for the reply.

RMD




TL Davis: “The Second Amendment is special, not because it protects guns, but because its violation signals a government with the intention to oppress its people…”
Remember: After the first one, the rest are free.
November 25, 2017, 06:42 AM
downtownv
Look into this!
http://www.amnioxmedical.com/flo.html

My wife was damn near crippled shot 100 mgs into the knees and was back doing thing she hasn't for years.

Works on any joints including spine.

It regenerative tissue from umbilical cords, no rejection, company is based in Atlanta, call them for a physician in your area!

Insurance typically does NOT pay for this.
What's your level odf pain and what's it worth to you.


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November 25, 2017, 11:36 AM
rduckwor
Thanks. It might be a worthwhile therapy.

RMD




TL Davis: “The Second Amendment is special, not because it protects guns, but because its violation signals a government with the intention to oppress its people…”
Remember: After the first one, the rest are free.