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Author Topic: Ever have 2 very different opinions?  (Read 833 times)

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Offline sig820

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Ever have 2 very different opinions?
« on: October 31, 2008, 12:16:57 AM »
Took my wife to a “Knee Specialist” (KS) today for a second opinion after OS said her patella has re-fractured and “must not have been healed” after 10 weeks.  Wow, what a difference of opinion.  We expected to hear either the same prognosis or, that we were heading back to surgery. Instead KS believes the knee is actually not re-fractured.  He laid out 4 x-rays in front of us.  Pre-op, post op, prior to start of PT, and the latest one where he diagnosed re-fracture.  KS pointed out several variations in the x-rays.  The main being, that in each x-ray the screws are in a different position.  Some show them parallel and others show them crossing.  His synopsis is, that each x-ray was taken from a slightly different angle and the piece that appeared fractured in the latest x-ray was just not visible from the others and that the piece was actually sticking out the entire time just not noticed.  Being that this piece is on the outer surface it is nothing to be concerned about.  (makes a ton of sense to me). KS wants her back to PT immediately. KS main concern in that she has been in knee brace for 8+ weeks and there is probably a lot of scar tissue building up.  He would have had her in PT 2-4 weeks after surgery.  His belief is that if screws or pins are inserted properly there is no reason to delay the start of PT.  (makes a ton of sense too)  KS feels at this point we have a 50/50chance of  PT being successful otherwise she will need scar tissue removed.  Is it time for a third opinion? This KS was so sure of himself he didn’t even want to take another x-ray.    He spent over an hour with us drawing pictures and explaing everything so we would understand.  He really built my confidence,  but am i crazy for not getting a 3rd opinion?
8/10/08 Patella Fracture with Dislocation
8/11/08 Surgery
8/20/08 Staples removed
9/8/08 Start PT
9/12/08 30deg ROM
9/19/08 40deg ROM
9/22/08 Patella re-fractured
10/30/08 Specialist says"no fracture"
10/31/08 Back to PT
11/14/08 Stuck @ 40 deg
11/19/08 Arthro Surgery with MUA

Offline Audice

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Re: Ever have 2 very different opinions?
« Reply #1 on: October 31, 2008, 11:44:09 AM »
So long as there's doubt in either your wife's mind or yours, I suspect you won't rest until you know for sure what's happening & a third opinion would hopefully concur with either the first or second opinion. I'd go for it. Wishing you well...Ellie
April, 2005 - ACL rupture, medial meniscus tear within posterior horn to articular surface, abnormal signal within lateral meniscus, partial tear MCL, bone contusions tibia/fibula, Baker's cyst.
No repairs.

Offline eaglemom

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Re: Ever have 2 very different opinions?
« Reply #2 on: October 31, 2008, 12:31:37 PM »
If either you or your wife have any doubts - your off for a third opinion.  But, the third opinion might not be the same as opinion #1 or opinion #2.  I think the reason for that is each os/ks have different ways they handle different problems. 

Having said that don't do as I did - "he's a nice os and I really like him" so I kept with him.  However that os wasn't doing a thing for me but "we'll see how you are next month."  I feel into the trap of not wanting to hurt anyone's opinions - at the expense of my knee.  I've moved on, and frankly am seeking another opinion/suregon becauce the 2nd opinion thinks medication medication and more medication will help.  He is correct medication kills the pain but I'm so looped I don't care - to me (and my family) that isn't acceptable.

Decide and don't look back.  Let us know what you all come up with.  eagle