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Bone and Orthopedic Conditions
Question #10822
247 days ago
336

Request for Free Online Orthopedic Consultation - #10822

Endrit

Certainly! Here's an English summary you can use to request a free online orthopedic consultation: --- Dear Doctor's I hope this message finds you well. I am seeking a free online orthopedic consultation regarding my 3-year-old child's tibia fracture. The injury occurred [insert date], and the leg has been immobilized with a spica cast. After 10 days, a follow-up X-ray shows a slight gap between the bone fragments. There are no other symptoms—no pain, swelling, or fever—but I am concerned about the alignment and healing progress. I would appreciate it if you could review the X-ray images and provide your professional opinion on whether the current healing process is proceeding normally or if further intervention is necessary. Thank you in advance for your time and expertise. Best regards,Endrit

Age: 38
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
247 days ago
5

Hello dear Please be advised See usually childern suffer from green stic fracture Reactions are usually not recommended since healing is comparatively Faster in children However still i suggest you to please share x ray pics for final confirmation Accordingly I can suggest Further treatment Regards

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For an orthopedic query about your child’s tibia fracture, it’s important to ensure proper healing and alignment as they recover. If the follow-up X-ray indicates a slight gap between the bone fragments, it’s generally crucial to continue monitoring the healing. In children, bones tend to heal efficiently, but alignment is equally important to avoid potential issues as they grow. Right now, since there are no alarming symptoms like pain, swelling, or fever, and the leg has been immobilized properly with a spica cast, the healing process might just be slower but still on track. However, keeping in close consultation with your orthopedic specialist is crucial in these early stages of healing. They can advise whether continued observation, additional imaging, or changes to treatment, like adjusting the cast or exploring surgical options, might be necessary. It’s common for slight gaps in fractures to appear early on, and a next step could be a follow-up X-ray in another couple of weeks to track progress. Make sure to keep communications open with your healthcare provider; they can give tailored advice based on the progress seen in subsequent exams. If you notice any increase in symptoms, like new pain or changes in skin color or temperature, reach out to your doctor immediately—it could indicate a complication. Being proactive about attending all scheduled follow-up appointments is vital for ensuring that your child’s recovery goes smoothly and as planned. Addressing any concerns as soon as they arise with your healthcare provider is key to adopting the best approach for your child’s healing.

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