General: How do I find an orthopaedic surgeon?
The American Academy of Orthopaedic Surgeons (AAOS)has a find a surgeon site. You can select by nation, state, city or even name. (New York has 400 OS on this list). The list is a filter of a modest sort. All the people on it are members or international
affiliates of the AAOS so they have bothered to join and pay several hundred $ to be
More importantly (IMHO) you can go through the list and find the docs who have taken the
trouble to set up a website with the AAOS. This is a free service but very few members
have taken advantage of it. So if you find a doc in your area who has an AAOS website you
can find out a lot more about him/her and you know that he/she is attuned to the Internet
and might be ready to exchange information rather than just dish it out. At least he/she
will be one of the few who think the Internet is significant.
A modest collection of practice websites is posted on the OWL
page of Clinics and Practices which is
organised by nation (and state for the USA).
Patients and friends are good resources for finding out how
well the OS communicates; but they often don't really know much about the skills and
qualifications of an OS. Their experience is usually a one off - I had this problem, saw
this guy and it turned out well/ho hum/lousy. General Practitioners have the job
of advising their patients which specialist to see so they would be a very good resource
to turn to.
From: Mandy Pallatina
URGENT TREATMENT AND ADVICE NEEDED NOW!
PLEASE Do not discard the E-Mail before you have read it.
PLEASE Read my story.
PLEASE Give advice or contact names of people who may be able to help me.
I am telling you who i am, and what happened to me and providing extracts from medical notes before finally telling you the horrendous options which are open to me. My full medical notes can be forwarded if you are interested. I am sure that some where, somebody in this busy world will have a better answer for me. I know new technology + research is taking place all the time and i am even willing to be a trial project.
PLEASE, PLEASE HELP ME.
My name is Mandy Pallatina i am 41 years old and i live in the UK.
In 1997 at the age of 36 i was involved in a very serious road accident and sustained amongst other injuries bilateral open femoral fractures.In medical terms i had a segmental femoral diaphyseal fracture on the right and a severe comminuted open femoral intercondylar fracture on the left. I also had a wound in the right knee with some damage to the patella tendon.
Initially i was treated by debridement of both femoral fractures. The right segmental fracture was treated by the introduction of an unreamed AO nail and the left intercondylar femoral fracure was treated with Zickel nails.
Further surgery in Oct 998, noted that my right ankle was very unstable and i had sustained significant lateral collatal ligament damage.
In Nov 1997, a femoral cast brace was applied to the left side because the Zickel nai had not provided rigid fixation and was subsequently readmitted to hospital for bone grafting of the left femoral supracondylar area.
Further operations followed in 1999 and 1000, but to date i am still very disabled and in constant pain.
Details of my Radiological Examination are available if you should wish to see them but my major concerns are with the recent medical opinions and the formidable options which are available to me. (Full edtails are also available if wish to read.)
1)A supracondylar demoral osteotomy to straighten the leg and them once the osteotomy has united to have a knee replacement. QUOTE\"A huge risk the osteotomy might not unite and a fairly high risk of infection given the amount of surgery alrady received. If there was a infected non-union after a supracondylar osteotomy it would almost certainly result in an above the knee amputation.
Even if knee replacement was successful it would loosen in an above the knee amputation.
Even if knee replacement was successful it would lossen probably in 8-10 years and would require revision knee surgery in the furture>\"
2) Alternative option would be to fuse the knee-this would leave a slightly shorter leg. Again the potential problem is ingection and if this occurred an above knee amputation qouls almost certainly result.
3) QUOTE-the other area in which surgery should be considered is to the right ankle - an arthrodeses of the ankle.
\"It can be seen that the decision to go ahead with further surgery is not an easy one. It is very difficult surgery and would have to be undertaken by an expert\".
The prognosis is clearly poor...and for a woman of 41 years of age her physical condition is poor.
So i am asking that you give a little thought to my problem and if possible give advice or procide me with names of experts in this field. At 41 years of age i do not want to under go a,putation and i am desperately seeking further help annd advice.
Thank you for taking the time to read this letter. I look forward to hearing from you shortly.