Surgical Questions for a Tibial Rodding Procedure
- How bad is the fracture?
- What do we do now?
- Are we casting? Long, PTB or short? Why?
- Can s/he weight-bear?
- If not, how do we stop him/her?
- What activity limitations should s/he have?
- How do we manage pain today?
- Surgery?
- What kind?
- When?
- What if s/he has a cough/runny nose?
- What if I do? Can I stay at the hospital with him/her?
- What kind of rod are you planning to use?
- Telescoping? What kind?
- Is the rod a large enough diameter to hold her leg bones in place?
- Odds it will bow/break??
- Will the ends of the rod be fixed (so it doesn’t shift?)
- How often will s/he need revisions?
- Non-telescoping? What kind?
- Will the rod go through her ankle or knee?
- How often will s/he need revisions?
- Telescoping? What kind?
- Where is the rod inserted?
- What kind of scarring? Where?
- What can we do for pain management post surgery?
- Immediate post-surgery? (hospital)
- At Home?
- Are you cutting out the bowed portion?
- If yes, how big a portion will be removed?
- Do you anticipate any Limb Length Discrepancy?
- How will you compensate?
- Do you anticipate any Limb Length Discrepancy?
- If yes, how big a portion will be removed?
- Are you using BMPs or bone chips?
- What are your thoughts on:
- Fixators
- External? or Internal?
- Zometa?
- Collagen sponges?
- Bone grafts? Bone Graft wrap?
- From my child or a donor?
- If my child, from where? Leg/hip?
- From my child or a donor?
- Fixators
- What is the expected success rate?
- If all goes according to plan, how many additional surgeries will she need?
- What are indications for the next surgery?
- How long will s/he be non-weight bearing?
- Walker? Wheelchair?
- Activity restrictions?
- How often will s/he have follow-up x-rays?
- At this point, what are the chances of no activity restrictions and being pain free once s/he is healed from surgery?
*If you wish to make changes, click on the above link/picture, and download in the format you desire. From there, you can make any changes or additions for your child’s specific case. Drop me a line if you have added any questions. Your additions might prove helpful to other families!
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