Doctor’s notes (May 1st visit)
He would like to have his screws taken out with the idea of getting back into the Marines and finishing training, which is a possibility for him, as long as he heals in the lateral cortex. He does understand that with the varus deformity, he is at slightly increased risk to have a fracture in that region again due to training and any impact activities and is willing to accept that risk, understanding that it is likely treatable. The other problem that he may encounter over time is avascular changes in the head. At this time, the x-rays show some minimal disuse changes in the superolateral anterior femoral head, which are minimal and not in the weight bearing area and are not very concerning, but this is something that will need to be watched on a regular basis and he understands it can occur for up to 5 years.
We will schedule screw removal and he will be on light activities after that until the lateral cortex bridges.
Dr. T, M.D.
Director of Orthopaedic Trauma