Understanding Pin Displacement After Finger Fracture Rehabilitation
Dislocation of the little finger? Hello, I fractured my little finger in mid-April. After the stitches were removed, the doctor taught me how to rehabilitate it myself. Recently, after rehabilitation, a certain point on my little finger has become very painful and swollen. After ...
Dr. Chen Yongxue reply Orthopedics
Hello, a fracture of the little finger generally requires fixation with a steel pin. However, the bone quality of the little finger is not very good, so the fixation effect is naturally poorer compared to other bones. The displacement of the pin is not ideal and may be related to...[Read More] Understanding Pin Displacement After Finger Fracture Rehabilitation
Assessing the Need for Dynamic Intramedullary Nail Surgery After Two Years of Nonunion
Is surgery for dynamization necessary for a femoral nonunion that has persisted for two years? Hello Dr. Chen, Two years ago, in February 2022, I was involved in a car accident and underwent surgery for an intramedullary nail fixation of the femur. Since then, the results have ...
Dr. Chen Yongxue reply Orthopedics
Hello, the attached X-ray shows a nonunion of the right femoral shaft fracture after treatment with intramedullary nailing. At this point, a "dynamization" approach can be utilized (removing the locking screws at the ends to promote compression at the fracture site), wh...[Read More] Assessing the Need for Dynamic Intramedullary Nail Surgery After Two Years of Nonunion
Risks of Leaving Bone Screws and Plates in After Fracture Surgery
Risks of leaving bone screws and plates in place? Hello Doctor, I had a tibial plateau fracture in my left leg due to a car accident in 2019. At that time, I had a titanium alloy plate and screws inserted at my own expense, with plans to remove them after a year. However, I becam...
Dr. Chen Yongxue reply Orthopedics
Hello, 1. In the future, if osteoporosis occurs with age, will it have an impact? No. 2. If a severe injury leads to a fracture, will the existing bone screws affect the fracture surgery? This is possible. Additionally, implants do not provide benefits when placed in the body...[Read More] Risks of Leaving Bone Screws and Plates in After Fracture Surgery
Recovery Timeline for Distal Radius Fracture After Surgery
Distal radius fracture I had a car accident on April 28, resulting in a distal radius fracture in my left wrist. I underwent surgery to have a titanium alloy plate inserted at my own expense. It has been 11 days since the surgery, and I would like to ask the doctor how long it wi...
Dr. Chen Yongxue reply Orthopedics
Hello, the action of "riding a bike" is manageable, but pulling the bike requires too much strength. Additionally, in case of an emergency, your wrist is not suitable for exerting force. Therefore, it is advisable not to take any risks for the next two months. Thank you...[Read More] Recovery Timeline for Distal Radius Fracture After Surgery
Understanding PCL Avulsion Fractures: Healing Status After Six Months
PCL avulsion fracture (six months duration) Hello Doctor: I had a car accident last November and was diagnosed with a PCL avulsion fracture. At that time, I did not undergo surgery and was only immobilized for two months. It has now been six months, and my orthopedic doctor arran...
Dr. Chen Yongxue reply Orthopedics
Hello, according to the MRI report you provided, the posterior cruciate ligament has not yet healed (which is actually to be expected). As for the treatment you should pursue, it depends on your daily activities: if you are an active person who enjoys sports, especially those tha...[Read More] Understanding PCL Avulsion Fractures: Healing Status After Six Months
Understanding Recovery After Distal Radius Fracture Surgery
Postoperative care for distal radius fracture? Hello Dr. Chen, I would like to ask if it is normal that my wrist cannot rotate more than four months after surgery for a distal radius fracture? I can't even twist a towel... Is it also normal for my hand to tremble when I hold...
Dr. Chen Yongxue reply Orthopedics
Hello, distal radius fractures are quite common and often occur when someone falls and tries to catch themselves with their hands. If a locking plate is used for fixation, the cast can usually be removed in one to two weeks, allowing for early rehabilitation. However, if a tradit...[Read More] Understanding Recovery After Distal Radius Fracture Surgery
Understanding Ankle Fractures: Surgery, Healing, and Walking Impact
Left ankle fracture and swelling of the left calf due to a car accident? Hello, I apologize for the inconvenience. I fractured my left ankle on May 2, 2024, and I had an X-ray taken. 1. There is slight displacement in the left ankle; is surgery necessary? 2. After the fracture he...
Dr. Chen Yongxue reply Orthopedics
Hello, I apologize for not being able to see your X-ray. If the medial malleolus fracture is non-displaced or minimally displaced, it can be treated with a cast without the need for surgery. However, if there is significant displacement or if there are associated fractures of the...[Read More] Understanding Ankle Fractures: Surgery, Healing, and Walking Impact
Slow Recovery After Limb Lengthening Surgery: Common Concerns and Rehab Tips
Slow recovery after bone lengthening surgery? Hello, Doctor. I underwent a left femur lengthening surgery on April 2034, achieving an extension of 4 cm. In October 2023, the external fixator was removed and replaced with an internal fixation plate (not intramedullary nails), spec...
Dr. Chen Yongxue reply Orthopedics
Hello, if there is a discrepancy in leg length, it often accompanies issues with spinal scoliosis. When the lower limb is lengthened, the spinal curvature may not improve immediately, which can lead to other problems, making it feel as though the legs are still unequal in length....[Read More] Slow Recovery After Limb Lengthening Surgery: Common Concerns and Rehab Tips
Understanding Fifth Metatarsal Base Fractures: Treatment Options and Recovery
Base of the fifth metatarsal fracture? Hello Doctor, I sustained an injury from a fall on March 1st, and on March 2nd, an orthopedic evaluation diagnosed me with a fracture at the base of the fifth metatarsal. During my follow-up on March 16th, it was noted that the fracture gap ...
Dr. Chen Yongxue reply Orthopedics
Generally, fractures of the base of the fifth metatarsal typically do not require surgery. They usually heal well with approximately 8 to 10 weeks of cast immobilization, followed by about 4 to 6 weeks of rehabilitation after the cast is removed. However, a small number of patien...[Read More] Understanding Fifth Metatarsal Base Fractures: Treatment Options and Recovery
Foot Pain Relief: Choosing the Right Insoles for Ankylosing Spondylitis
Foot pain insoles Hello Dr. Chen: I am a patient with ankylosing spondylitis. Ever since my diagnosis, whether in the morning or evening, if I stand for more than ten minutes, the soles of my feet start to feel sore and numb, similar to how a typical person feels after walking se...
Dr. Chen Yongxue reply Orthopedics
Hello, if you are unable to stand for long periods, it may be due to fascia inflammation. You can visit an outpatient clinic for further examination and treatment. Thank you.[Read More] Foot Pain Relief: Choosing the Right Insoles for Ankylosing Spondylitis
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 Orthopedics
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 Orthopedics
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
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 Orthopedics
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 Orthopedics
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 Orthopedics
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
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 Orthopedics
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 Orthopedics
Hello, please visit the orthopedic outpatient clinic for further examination. Thank you.[Read More] Persistent Knee Pain After Stitches: When to Seek Medical Attention?
Recovery After ACL and Tibial Plateau Fracture: When Can You Ride a Motorcycle?
Diagnosis: Tear of the anterior and posterior cruciate ligaments with associated fracture? I had a car accident on January 3rd this year, resulting in a tibial plateau fracture and tears of both the anterior and posterior cruciate ligaments. I underwent surgery where plates and s...
Dr. Chen Yongxue reply Orthopedics
Hello, riding a motorcycle is generally fine, but in case of an emergency situation, your affected limb may not be able to react in time. It is advisable not to attempt it before you are able to exercise properly. Thank you.[Read More] Recovery After ACL and Tibial Plateau Fracture: When Can You Ride a Motorcycle?
Understanding Fifth Metatarsal Fractures: Treatment and Recovery Insights
Fracture of the fifth metatarsal bone of the left foot? Hello Doctor: 1. On the evening of April 4th, I accidentally stepped into a gap in the hot spring pool and fractured the fifth metatarsal of my left foot. On the morning of April 5th, I went to the emergency department at ...
Dr. Chen Yongxue reply Orthopedics
Hello, 1. Surgery is not necessary. 2. Swelling will persist, as it is a fracture... Please elevate the affected limb (above the heart) to help reduce swelling. 3. Please use crutches under both armpits for mobility; do not put weight on the affected limb. 4. Initial heal...[Read More] Understanding Fifth Metatarsal Fractures: Treatment and Recovery Insights
Preventing Traumatic Arthritis: Is Annual PRP Treatment Recommended?
Preventing Traumatic Joint Degeneration Hello, doctor! I am only 35 years old, but I have undergone anterior cruciate ligament reconstruction and meniscus repair on my left knee. I want to prevent further issues arising from these injuries. In this situation, do you recommend con...
Dr. Chen Yongxue reply Orthopedics
Hello, PRP has benefits, thank you.[Read More] Preventing Traumatic Arthritis: Is Annual PRP Treatment Recommended?