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Author: Angela
Date: 07-22-02 12:19
Hello,
My client is extremely active: plays polo (on horse) 2x/wk and strength trains 3x/wk and does cardio/flexibilty 3x/wk, as well as, play golf.
He might have to have a joint removed from the right big toe. His friend, which is the best orthopedic surgeon, recommends to have the joint removed- and DO NOT place it with an artificial joint.
What do you think??
He is 55 and has no ROM w/ big toe since he was 20 yrs. old.
Angela
AFAA Personal Trainer
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Author: perry
Date: 07-22-02 12:45
To make a recommendation other than see another physician is out of the question. But if if this guy is "the best orthopedic surgeon" why do that?
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Author: GymMachine
Date: 07-22-02 18:25
beats me, thats out of our area..depends on how (if at all) it limits movements..maybe when he comes back to do his weights and such, goes to squat and gets a bit unsteady, so maybe it may take some getting used too...on the other hand maybe its no dramas at all?
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Author: Michelle
Date: 07-23-02 09:24
For joints where range of movement is not paramount - the metatarsal joint of the big toe is an example - removing the joint, and fusing the two bones involved may be the wiser option (or are they proposing to amputate the whole toe?).
It's all matter of weighing the pro's and the con's of things, and in the case of having an artificial joint placed (anywhere for that matter), it means a risk of arthritis later on in the joint, and a lifetime preponderance for serious infection in the area. Not to mention the big difference in cost between the two operations.
I really doubt loss of big toe flexion and extension will be paramount to anyone's lifestyle (although he might need to adjust his body to a new balance and stance especially in playing golf), and with the risks involved in joint replacement, it really is not worth it. In fact, my knowledge on joint replacement may not be up to date (being that I'm not an orthopod), but due to the above-stated reasons, I've never really heard of anyone having a toe joint replaced - the major joints like the hip the knees and the shoulders - yes - but even a lot of hand/wrist orthopedic joint surgery do not involve joint replacement.
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