Bone Displacement After Multiple Surgeries: A Patient's Inquiry - Orthopedics

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Is there a displacement of the bone?


Hello, doctor.
I would like to ask you about my injury.
I have had four surgeries on my right leg: a comminuted fracture of the tibia and a femur fracture in two places.
The tibia was injured a second time, and I have a brace, but I just had surgery about a month ago.
A few days ago, I was in a car accident; my leg is not broken, but it hurts a lot.
I'm wondering if there could be a dislocation.
I can walk a little with the brace, but I hope that’s not the case.
I spent over 70,000 NT dollars on that brace.
Please let me know what the doctor says.
Thank you.

XX, 20~29 year old female. Ask Date: 2015/12/09

Dr. Shi Guozheng reply Orthopedics


Whether there is a displacement or not, an X-ray examination is the most definitive way to check.
It is advisable to schedule an appointment for the examination.

Reply Date: 2015/12/09

More Info


It sounds like you have been through a very challenging and painful journey with your injuries and multiple surgeries. Understanding the implications of bone displacement after such extensive surgical interventions is crucial for your recovery and future mobility.

First, let’s discuss the nature of your injuries and the surgeries you have undergone. You mentioned that you have had four surgeries on your right leg, including treatment for a comminuted fracture of the lower leg and a significant fracture of the thigh. These types of injuries can lead to complications such as malunion or nonunion, where the bones do not heal properly, potentially resulting in displacement. Given that you have had multiple surgeries, it is essential to monitor the alignment of the bones closely.

After surgery, especially with complex fractures, it is common for patients to experience pain and discomfort as the body begins to heal. The presence of pain does not necessarily indicate that there is a displacement of the bones, but it is a signal that your body is undergoing the healing process. However, if you have concerns about potential displacement, it is vital to communicate these with your orthopedic surgeon. They may recommend imaging studies, such as X-rays, to assess the alignment of the bones and ensure that they are healing correctly.

Regarding your ability to walk with the aid of a brace, it is essential to follow your surgeon's recommendations. If you have been cleared to bear weight on your leg with the support of a brace, this is a positive sign that your surgeon believes your bones are stable enough to handle some load. However, if you are experiencing significant pain or instability while walking, it is crucial to stop and consult your doctor. They can provide guidance on whether you should continue to bear weight or if you need to modify your rehabilitation plan.

The financial aspect of your treatment is understandably a concern, especially after investing a significant amount in your care. It is essential to ensure that you are receiving the best possible treatment and that your recovery is progressing as expected. If you feel uncertain about the effectiveness of your current treatment plan or the use of the brace, do not hesitate to seek a second opinion from another orthopedic specialist. They can provide additional insights into your condition and the best course of action moving forward.

In summary, while it is normal to have concerns about bone displacement after multiple surgeries, it is essential to communicate openly with your healthcare provider. They can assess your situation through physical examinations and imaging studies to determine the status of your healing. Following their guidance on weight-bearing activities and rehabilitation exercises is crucial for your recovery. Remember, healing from such significant injuries takes time, and patience is key. Your focus should be on gradual recovery and regaining mobility safely.

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