Physical Rehabilitation Medicine/fractured femur

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Question
I would appreciate it if you could respond to the following two questions.

What is the implication of bowing of the rod and screw seen on an x-ray 8 weeks after surgery to repair a Comminuted fracture right below the femoral neck? My husband is 58.

My husband is experiencing significant knee pain which makes even partial weight bearing difficult.  The x-ray didn't show obvious problems with the knee but did show the bowing described above. My husband's healing is slower than expected so the doctor does not want to do an MRI yet.  He is afraid that the micro movements from an MRI would interfere with his healing. What are the possible causes of the knee pain?

Thank you

Answer
Dear Roxy,
First one is confused.
Possible causes for the knee pain are,
1.Arthritis- Painful inflammation and stiffness of the joints
2.Bursitis- Inflammation of a bursa
3.Tendonitis- Inflammation of a tendon, most commonly from overuse but also from infection or rheumatic disease
4.Bakers cyst- A benign swelling of the semimembranous bursa found behind the knee joint.
Chondromalacia patelle- Inflamation of the patello femoral joint.
5. Injury to the ligaments.(ACL,PCL,MCL,LCL etc)

So by the investigations it must be found the cause.

Physical Rehabilitation Medicine

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MMA Ravindu Bandara

Expertise

I can answer any physiotherapy related conditions.such as, 1. Any Orthopaedic condition. 2. Rheumatological conditions. 3. Neurological conditions. 4. Respiratory conditions. 5. Paediatric conditions. 6. Soft tissue managements. 7. Pr and post operative management.

Experience

I am Sri Lanka Medical Council registered physiotherapist. I have completed the Diploma in Physiotherapy in School of Physiotherapy and Occupational Therapy, Colombo in 2004. I have done my Advanced Diploma in Physiotherapy in Command Hospital Indian Air Force, Bangalore, India in 2006. I specialize in paediatric, Orthopaedic and Neurological conditions.

Education/Credentials
1. Advanced level- Bio Science stream. 2. Diploma in Physiotherapy-School of Physiotherapy and Occupational Therapy,Colombo, Sri Lanka. 3. Advanced Diploma in Physiotherapy- Command Hospital Indian Air Force, Bangalore, India. 4. Bachelor of Information Technology, University of Moratuwa, Sri Lanka.

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