Nathan Daniel
10-14-2011, 05:03 PM
quick questions - trying to get some input from people I trust and respect (ie decent nurse and doctor friends and wholistcally minded folk)
Ok - I will write my "tale of woe" here:
1. I broke my patella
2 Basically because of the drama with my biz partner - I took it out of the cast too quickly - and did not get it checked - because of drama with biz partner - and that over-rided the larger medical logic of what was called for in the moment - but I was under great stress at the time.
3. Consequence of that is the bone did not fuse.
4. So scar tissue links to bone fragments
5. Went to see specialist in UK - he said if he were me and I can walk ok and function ok - not to have operation with wire to fuse the bone fragments
6. I don't feel I have anywhere near the mobility I had before - I am very much leaning toward operation
7. Doctor friend found these links:
http://www.ncbi.nlm.nih.gov/pubmed/9181502
http://www.ncbi.nlm.nih.gov/pubmed/20680273
http://www.ncbi.nlm.nih.gov/pubmed/16170504
8. I have 3 questions I need to answer before Thursday when I go back to specialist - want your input if willing (ok if you are not)
Questions:
1. does having a wire versus not having a wire (ie leaving it as it is and relying on scar tissue bridge) impact the likelihood of arthritis in later life? Surgeon I met said no. No difference. Looking for other/2nd opinions
2.Surgeon said if after 8 weeks the bone does not fuse it never will. Hence operation only possibility. Or leaving it as it is.
Is there a choice of metals? I know with teeth research has been done that introducing mercury into body impact body badly. Obviously they won't use mercury. Doubt they would use Titanium because of expense - but probably most inert and strongest metal out there - right? What metal is it likely to be and any insight on impact on body's bio-physical reality over short and long term? I am guessing after bone fuses (6 weeks in brace again) they leave the wire/metal rod bridge (the two alternatives)
right? Or is it possible to take out? Need to check if they will and if it is recommended etc I am likely having operation on the NHS - ie in the UK on public health.
3. Third question I think my body has answered for me and basic logic also. The scar tissue that the body produces to bridge the gap is made of ligaments I would guess....I guess there is a mm or two break between the two bone fragments of the patella in my knee (the x-ray shows this). Is that bridge strong enough to go on with? It does not feel right and so I am leaning toward having the operation. Because my hunch is that the operation will bring me the normal proportional alignment back to the body and this will lesson the likelihood of back problems in later life (from the imbalance in the two legs).
Grateful for any input you might have to share. My questions to you are largely grounded in the pragmatic and physical reality realm. ie how best to treat the machine of walking consciousness for next 60 odd+ years etc
ND
Ok - I will write my "tale of woe" here:
1. I broke my patella
2 Basically because of the drama with my biz partner - I took it out of the cast too quickly - and did not get it checked - because of drama with biz partner - and that over-rided the larger medical logic of what was called for in the moment - but I was under great stress at the time.
3. Consequence of that is the bone did not fuse.
4. So scar tissue links to bone fragments
5. Went to see specialist in UK - he said if he were me and I can walk ok and function ok - not to have operation with wire to fuse the bone fragments
6. I don't feel I have anywhere near the mobility I had before - I am very much leaning toward operation
7. Doctor friend found these links:
http://www.ncbi.nlm.nih.gov/pubmed/9181502
http://www.ncbi.nlm.nih.gov/pubmed/20680273
http://www.ncbi.nlm.nih.gov/pubmed/16170504
8. I have 3 questions I need to answer before Thursday when I go back to specialist - want your input if willing (ok if you are not)
Questions:
1. does having a wire versus not having a wire (ie leaving it as it is and relying on scar tissue bridge) impact the likelihood of arthritis in later life? Surgeon I met said no. No difference. Looking for other/2nd opinions
2.Surgeon said if after 8 weeks the bone does not fuse it never will. Hence operation only possibility. Or leaving it as it is.
Is there a choice of metals? I know with teeth research has been done that introducing mercury into body impact body badly. Obviously they won't use mercury. Doubt they would use Titanium because of expense - but probably most inert and strongest metal out there - right? What metal is it likely to be and any insight on impact on body's bio-physical reality over short and long term? I am guessing after bone fuses (6 weeks in brace again) they leave the wire/metal rod bridge (the two alternatives)
right? Or is it possible to take out? Need to check if they will and if it is recommended etc I am likely having operation on the NHS - ie in the UK on public health.
3. Third question I think my body has answered for me and basic logic also. The scar tissue that the body produces to bridge the gap is made of ligaments I would guess....I guess there is a mm or two break between the two bone fragments of the patella in my knee (the x-ray shows this). Is that bridge strong enough to go on with? It does not feel right and so I am leaning toward having the operation. Because my hunch is that the operation will bring me the normal proportional alignment back to the body and this will lesson the likelihood of back problems in later life (from the imbalance in the two legs).
Grateful for any input you might have to share. My questions to you are largely grounded in the pragmatic and physical reality realm. ie how best to treat the machine of walking consciousness for next 60 odd+ years etc
ND