Understanding Bone Graft Durability After Femoral Decompression Surgery
Femoral decompression with bone necrosis exposure? On the 23rd of this month, I underwent femoral decompression surgery, which was triggered by alcohol consumption. Two years ago, I had a failed decompression on my left leg, which resulted in a second total knee arthroplasty. The...
Dr. Shen Boquan Reply:
Hello, the ischemic necrosis of the femoral head decompression surgery may help alleviate pain. As for the addition of bone graft or artificial bone, whether it can delay or treat the necrosis of the femoral head, I apologize as I have not explored or tried this. If you have furt...[Read More] Understanding Bone Graft Durability After Femoral Decompression Surgery
Chronic Coccyx Pain: Seeking Solutions After Nearly a Year of Discomfort
Coccyx pain for nearly a year? Hello, Dr. Shen. I have been experiencing pain in my coccyx since early May of last year. The pain is located about 2 centimeters above the tip of the coccyx, seemingly at the junction with the sacrum. The pain is triggered by certain positions, suc...
Dr. Shen Boquan Reply:
Hello, the causes of lower back pain are numerous. Statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high stress levels can all contribute to discomfort. If ...[Read More] Chronic Coccyx Pain: Seeking Solutions After Nearly a Year of Discomfort
Understanding Wrist Fractures: When to Consider Hardware Removal
Wrist fracture I would like to ask about a wrist fracture I sustained from a fall in September 2020. I underwent self-funded surgery for a plate and screws. Since last year, I have been experiencing occasional pain in my wrist, and this year, I have developed persistent spasms an...
Dr. You Dianqi Reply:
Each person's condition and recovery process is different, so it is best to discuss this with your attending physician. Thank you.[Read More] Understanding Wrist Fractures: When to Consider Hardware Removal
Understanding TFCC Injuries and Possible Distal Radioulnar Joint Dislocation
TFCC injury, uncertain if there is a distal radioulnar joint dislocation? Hello, doctor. I injured my right triangular fibrocartilage during weight training in mid-January. I have seen many doctors and changed hospitals several times. Most of them advised me to rest and observe, ...
Dr. You Dianqi Reply:
Hello, for minor injuries, you can use protective gear along with rehabilitation. If the injury is severe, surgical repair may be considered. It is advisable to return for a follow-up appointment and discuss this with your attending physician as soon as possible. Thank you.[Read More] Understanding TFCC Injuries and Possible Distal Radioulnar Joint Dislocation
Understanding Ankle Ligament Calcification: Causes, Treatment, and Surgery
Calcification of the ankle ligaments Hello, doctor. I recently sprained my ankle and went to the hospital for an X-ray. The doctor mentioned that I have calcification of the ligaments due to a previous injury, which is causing pain (I did have pain before the sprain). He suggeste...
Dr. You Dianqi Reply:
The treatment approach should depend on your condition and the degree of ligament calcification. If it is mild, conservative treatments such as medication and rehabilitation may be considered first. If these are ineffective, other treatment options, such as surgery, may be consid...[Read More] Understanding Ankle Ligament Calcification: Causes, Treatment, and Surgery
Understanding Left Ankle Closed Fractures: Recovery and Care Tips
Closed fracture of the left medial malleolus? Hello, I apologize for the inconvenience. I sustained a closed fracture of the left lateral malleolus (1 cm long) in a car accident on April 12, 2024. Initially, I had a cast for immobilization, but due to swelling and pain caused by ...
Dr. Chen Yongxue Reply:
Hello, fractures must be stabilized for proper healing. If the fracture is stable, it can be immobilized using a cast, splint, or even a brace. However, for lower limb fractures, it is advised to avoid weight-bearing and to use crutches for mobility. The duration of immobilizatio...[Read More] Understanding Left Ankle Closed Fractures: Recovery and Care Tips
Managing L1 Vertebral Fractures: Treatment Options and Recovery Guidance
Fracture of the first lumbar vertebra? I was involved in a car accident on April 8 and was taken to the emergency room where X-rays and a CT scan indicated a fracture of the first lumbar vertebra. The doctor said surgery is not necessary, but I need to wear a brace. The diagnosis...
Dr. Chen Yongxue Reply:
Hello, if you have a diagnosis report or any questions related to your condition, it is advisable to discuss them with your attending physician. Additionally, for compression fractures, you can seek consultation in either orthopedics or neurosurgery. Thank you.[Read More] Managing L1 Vertebral Fractures: Treatment Options and Recovery Guidance
Displaced Fourth Metatarsal Fracture: Surgery vs. Non-Surgery Outcomes
The difference between surgical and non-surgical treatment for a displaced fourth metatarsal fracture? Due to a fall from a height, a fracture of the fourth metatarsal in the right foot occurred, with an oblique displacement. Initially, a cast was applied in the emergency departm...
Dr. Shi Guozheng Reply:
A single metatarsal fracture with minimal displacement can be treated conservatively, and it will heal in the future; however, continuous outpatient follow-up is necessary.[Read More] Displaced Fourth Metatarsal Fracture: Surgery vs. Non-Surgery Outcomes
Post-Surgery Care for Rotator Cuff Repair: Can You Remove the Sling at Night?
Postoperative Care for Rotator Cuff Repair Hello, doctor. I have been reading through some discussions, and I noticed you answered a question regarding the frequent use of a sling for a "left shoulder acromioclavicular dislocation." I am dealing with a "rotator cuf...
Dr. Chen Bochen Reply:
You can take it off while sleeping![Read More] Post-Surgery Care for Rotator Cuff Repair: Can You Remove the Sling at Night?
Can Congenital Radioulnar Adhesion Qualify for Disability Benefits?
Radial bone issues Is it possible to apply for a disability certificate due to congenital radioulnar synostosis causing limited forearm rotation (currently, the left hand, which has undergone surgery, has a rotation angle of about 45 degrees, while the right hand has about 90 deg...
Dr. Chen Bochen Reply:
It has not yet reached the mild standard.[Read More] Can Congenital Radioulnar Adhesion Qualify for Disability Benefits?
Understanding L5 Vertebral Arch Fractures: Recovery and Sports Impact
Fracture of the fifth lumbar vertebra? Hello, doctor. I am an athlete, and I have had a fracture of the fifth lumbar vertebra for a year and a half, which is particularly pronounced. I would like to ask: 1. How long will it take to heal after minimally invasive surgery? 2. Will I...
Dr. Chen Bochen Reply:
Vertebral arch fractures are a common issue, occurring in about 1 in 20 individuals. Most cases do not require surgery; rehabilitation and strengthening of the core muscles are usually sufficient. I, myself, have experienced a vertebral arch fracture, and after rehabilitation and...[Read More] Understanding L5 Vertebral Arch Fractures: Recovery and Sports Impact
Post-Tibial Osteotomy: Managing Infection and Surgical Concerns
Post-Tibial Osteotomy Surgery Hello: I underwent corrective surgery on my right leg on September 14, 2023 (using allograft bone and titanium alloy plate fixation). On January 25, February 7, and March 7, 2024, I experienced post-surgical wound infections and underwent wound debri...
Dr. Chen Yongxue Reply:
Infections are a frustrating complication, and if an infection occurs, the healing process of the bone will slow down. In principle, if the plate can be removed, controlling the infection after debridement will be easier. However, the section of the bone that needs correction wil...[Read More] Post-Tibial Osteotomy: Managing Infection and Surgical Concerns
Understanding Thigh Weakness and Knee Pain from Cellulitis
Weakness in lifting the thigh? The patient is experiencing weakness in lifting the left thigh and has knee pain while walking, but has strength in lifting the calf. What could be the underlying issue? Thank you!
Dr. Chen Yongxue Reply:
Hello, "The weakness in lifting the left thigh and the knee pain while walking may be due to cellulitis." It is advisable to visit an orthopedic or surgical outpatient clinic for examination. Thank you.[Read More] Understanding Thigh Weakness and Knee Pain from Cellulitis
Post-Hip Replacement Surgery: Understanding Left Calf Numbness and Nerve Damage
Loss of sensation in the left calf following hip replacement surgery? I underwent left hip joint replacement surgery on November 14th of last year. After the surgery, I noticed that the back of my left calf, from below the knee to the ankle, had no sensation. Touching it feels li...
Dr. Chen Yongxue Reply:
Hello, according to the letter, the electromyography findings indicate: (1) left sciatic neuropathy, (2) coexisting chronic lumbosacral radiculopathy, and (3) an underlying sensorimotor polyneuropathy may also be considered. Thank you.[Read More] Post-Hip Replacement Surgery: Understanding Left Calf Numbness and Nerve Damage
Post-Surgery Pain Management After Distal Radioulnar Joint Dislocation
Postoperative issues following remote distal radioulnar joint dislocation and open fracture of the radius and ulna? Hello Doctor, I have had my cast on for three weeks post-surgery. Initially, when using the sling, my palm was facing down. After my follow-up appointment and X-ray...
Dr. Zhan Xian Reply:
Hello, Xiao Cheng. For these symptoms, you should consult your attending physician and continue to monitor your condition. Wishing you good health.[Read More] Post-Surgery Pain Management After Distal Radioulnar Joint Dislocation
Flying After Orbital Floor Fracture: What You Need to Know
Can a person with an orbital floor fracture fly on an airplane? Due to a skiing accident resulting in a fall that impacted the left side of the face, a Japanese doctor has initially diagnosed a possible orbital floor fracture. Currently, vision is normal, there is no double visio...
Dr. Zhan Xian Reply:
Hello Vanessa, to confirm whether there is bleeding in the brain, please consult a neurologist. Wishing you safety.[Read More] Flying After Orbital Floor Fracture: What You Need to Know
Knee Pain After Stitching: Is It Normal and When to Seek Help?
The knee has been sutured, but it still hurts? Hello doctor, I was in a car accident in December 2022 and had four stitches. It has been over a year since the stitches were removed, but the area still hurts when I touch it or kneel down, and it can be extremely painful if I bump ...
Dr. Chen Yongxue Reply:
Hello, please visit the orthopedic clinic for further examination. Thank you.[Read More] Knee Pain After Stitching: Is It Normal and When to Seek Help?
Persistent Knee Pain After Stitches: When to Seek Medical Attention?
The knee has been sutured, but it still hurts? Hello doctor, I was in a car accident in December 2022 and had four stitches. It has been over a year since the stitches were removed, but the area still hurts when I touch it or kneel down, and it can be extremely painful if I bump ...
Dr. Chen Yongxue Reply:
Hello, please visit the orthopedic outpatient clinic for further examination. Thank you.[Read More] Persistent Knee Pain After Stitches: When to Seek Medical Attention?
Understanding Materials for Tarsal Fusion Surgery: Insurance vs. Out-of-Pocket Costs
Materials for Tarsometatarsal Fusion Surgery In the case of tarsal coalition surgery, the choice of materials, such as steel implants, can be covered by health insurance or may require out-of-pocket expenses. The difference between the two options typically lies in the quality an...
Dr. Shi Guozheng Reply:
Self-paid materials are usually more effective, making it easier for the surgeon during the procedure.[Read More] Understanding Materials for Tarsal Fusion Surgery: Insurance vs. Out-of-Pocket Costs
Post-Surgery Concerns: Blood from Scar After Elbow Injury
More than a month after surgery, there is bleeding from the scar area after being bumped? Hello, it has been over a month since my surgery for an olecranon fracture. At that time, they used non-dissolvable sutures. I accidentally bumped the scar area, and my elbow hurt for about ...
Dr. Shi Guozheng Reply:
If the wound is not open, you can wait a while before returning for a follow-up. However, if the wound is significantly open, you should seek medical attention immediately to prevent infection and inflammation.[Read More] Post-Surgery Concerns: Blood from Scar After Elbow Injury