Understanding Post-Surgery Bone Protrusion After Ulnar Fracture
There is a protrusion at the site of the fracture sutures? Hello Doctor, my condition is an ulnar olecranon closed fracture. It has been two months since my surgery, and the doctor said that the recovery looks good after checking with an X-ray. However, I have recently noticed th...
Dr. Hong Ximing reply Orthopedics
Hello: Two months after the ulnar olecranon fracture surgery, you should be able to perform rehabilitation exercises as much as possible. The prominence at the wound site may be more noticeable after swelling has subsided. You can visit a hospital in your county to consult with a...[Read More] Understanding Post-Surgery Bone Protrusion After Ulnar Fracture
Enhancing Healing in Orthopedic Fractures: The Role of Bone Grafts
Delayed healing Dr. Hong, there may have been a misunderstanding. What I meant was how to promote healing and growth using autologous bone for a comminuted fracture. Is it necessary to perform a vascularized bone flap? What is the effect on perfusion? Thank you, Dr. Hong.
Dr. Hong Ximing reply Orthopedics
Autologous bone grafting or vascularized bone flaps are considered based on the extent and location of the bone defect, primarily to promote fracture healing. Of course, vascularized bone flaps have a better perfusion effect due to the presence of blood vessels.[Read More] Enhancing Healing in Orthopedic Fractures: The Role of Bone Grafts
Enhancing Bone Healing: Autografts vs. Vascularized Bone Flaps
Fracture healing promotion Is using autologous bone for fracture healing effective? How does the use of vascularized bone flaps promote revascularization? What are the effects of both methods? Thank you.
Dr. Hong Ximing reply Orthopedics
Hello: Autologous bone grafting and vascularized bone flap are used depending on the specific defect at the fracture site; the two cannot be compared. Hong Hsi-Ming.[Read More] Enhancing Bone Healing: Autografts vs. Vascularized Bone Flaps
Managing ACL Injury: Tips to Delay Further Knee Damage
Inquiry about anterior cruciate ligament (ACL) tear? Hello, I recently suffered a torn anterior cruciate ligament (ACL) while playing basketball. The doctor recommended surgery, but due to work commitments, I cannot take time off for at least six months. However, I have recently ...
Dr. Hong Ximing reply Orthopedics
Hello: For a complete tear of the anterior cruciate ligament (ACL), it is essential to confirm the diagnosis first. If it is a complete tear, surgery will be necessary to reconstruct the ligament using a graft from other ligaments. In the meantime, it is important to use a knee b...[Read More] Managing ACL Injury: Tips to Delay Further Knee Damage
Removal Surgery for Broken Screws in Ankle Fracture Repair
Removal surgery for broken metal pins? The right ankle has a fibula fracture, with the ankle stabilized by four steel screws and the fibula secured with a plate. Six months post-surgery, it was discovered that one of the transverse screws in the ankle has broken, and the fracture...
Dr. Hong Ximing reply Orthopedics
Ankle fracture and fibula fracture, after six months of surgical fixation, should be healed. If the transverse screw is broken and there are no symptoms, it may not need to be removed. However, X-ray confirmation is necessary to make a decision. It is recommended to discuss this ...[Read More] Removal Surgery for Broken Screws in Ankle Fracture Repair
Understanding Outer Knee Pain: Causes and Treatment for Cyclists
Pain on the outer side of the right knee? Hello, this is my first time asking a question in this way... 1: I often ride my bicycle, usually around 50 to 100 kilometers, but one time I suddenly rode 150 kilometers at a fast pace. During the ride, I experienced pain on the outer ...
Dr. Hong Ximing reply Orthopedics
Hello Mr. Chen, the outer knee pain you are experiencing after cycling 150KM is likely due to friction between the lateral cartilage of the patella and the femoral condyle, which can lead to cartilage wear. It is advisable to rest early and consult an orthopedic specialist for ap...[Read More] Understanding Outer Knee Pain: Causes and Treatment for Cyclists
Understanding Costochondral Protrusion: Causes, Symptoms, and Recovery
Costal cartilage protrusion My friend was playing a game of swinging arms with friends while running, and during the run, he was hit and felt a vibration in his upper body. When he got home, he noticed a protrusion in his chest area. After visiting the emergency room for an exami...
Dr. Hong Ximing reply Orthopedics
The described protrusion in the thoracic cavity requires direct examination for diagnosis; please have a specialist physician evaluate it.[Read More] Understanding Costochondral Protrusion: Causes, Symptoms, and Recovery
Understanding Partial Clavicle Healing After Fracture: What to Do Next?
Clavicle fracture, with partial bone healing? Hello! I was in a car accident and fractured my left clavicle (midshaft location). The fracture ends are significantly displaced. I did not undergo surgery. Each time I visited the doctor (I have seen him four times), he said, "T...
Dr. Hong Ximing reply Orthopedics
Midshaft clavicle fractures typically heal with figure-of-eight bandaging. If there is significant displacement, consideration should be given to surrounding soft tissue entrapment, which may lead to delayed or poor healing. If healing is inadequate, surgical intervention should ...[Read More] Understanding Partial Clavicle Healing After Fracture: What to Do Next?
Sudden Pain and Swelling Years After Tibia Fracture Healing
Sudden swelling and pain long after a fracture has healed? Hello Doctor: I would like to ask, my tibial fracture in the lower leg has healed for about 8 years. I have previously gone for follow-up examinations, and they all indicated no issues. However, recently, when I press on ...
Dr. Hong Ximing reply Orthopedics
The tibial fracture has healed for 8 years, and the adjacent muscle soreness is likely not significantly related to the fracture. It may be due to increased physical activity recently. For a detailed evaluation, it is advisable to consult with the original orthopedic physician in...[Read More] Sudden Pain and Swelling Years After Tibia Fracture Healing
Understanding Persistent Mild Discomfort in Right Hand and Foot
There is some soreness in my right hand and right foot? Hello Doctor: For about 7 years, I have been experiencing mild discomfort in my right hand and right foot (it's very slight, and if I don't pay special attention to it, it feels okay). I initially thought it might ...
Dr. Hong Ximing reply Orthopedics
If you feel a bit of soreness in your limbs but your functions are normal, there is generally no need for any tests. It is recommended to practice exercises that increase muscle strength.[Read More] Understanding Persistent Mild Discomfort in Right Hand and Foot
Understanding Recovery Time and Rehabilitation for Humeral Head Fractures
I have a fracture in my humeral head? Hello Dr. Hong: I accidentally fell while playing basketball and fractured my humeral head. I had a cast for one month and have completed five sessions of rehabilitation, but my arm has only recovered to about 45% of its previous function. Qu...
Dr. Hong Ximing reply Orthopedics
The healing time for a humeral fracture typically takes 6 to 8 weeks. A month of cast immobilization and 5 sessions of rehabilitation are insufficient; please seek further assistance from your orthopedic physician. Wishing you a speedy recovery.[Read More] Understanding Recovery Time and Rehabilitation for Humeral Head Fractures
Understanding Skull Shape Changes: Is It Normal at 19?
The bones of the skull? Hello, doctor. I have a question: I previously didn't have a bump on the top of my head, but recently I've been feeling very anxious, which often leads to a throbbing pain at the top of my head. When I massage it, I noticed a protrusion (the pain...
Dr. Hong Ximing reply Orthopedics
The protrusion on the top of the head can be revealed by a skull X-ray, and by the age of 19, the skull should be fully formed, which suggests it is unrelated to mental processes. Any confusion in thoughts may fall under the domain of psychosomatic medicine.[Read More] Understanding Skull Shape Changes: Is It Normal at 19?
Post-ACL Surgery: Understanding Nerve Sensations and Recovery Tips
Post-operative complications of anterior cruciate ligament (ACL) surgery? Hello: About three years ago, I underwent arthroscopic surgery for anterior cruciate ligament reconstruction in my right knee. Since then, I have been experiencing unusual sensations on the outer side of my...
Dr. Hong Ximing reply Orthopedics
After undergoing knee joint surgery, many patients experience numbness in the skin on the outer side, which is likely a residual sensory symptom following the surgery. Symptoms can be improved through regular heat application and massage, or by consulting a specialist physician f...[Read More] Post-ACL Surgery: Understanding Nerve Sensations and Recovery Tips
Understanding Wrist Pain After a Fall: Causes and Treatments
Experiencing significant pain in the wrist after using the hands to brace during a fall? Today, I fell off the pull-up bar and caught myself with my hands. Initially, I couldn't move my hand, so I applied ice. Now, my right hand can only bend inward at a 35-degree angle.
Dr. Hong Ximing reply Orthopedics
Hello: After supporting yourself with your hands, there are limitations in movement, and there should be swelling. It is best to go to the hospital for an X-ray to ensure there are no fractures, which will allow for accurate diagnosis and treatment. Wishing you a speedy recovery....[Read More] Understanding Wrist Pain After a Fall: Causes and Treatments
Understanding Avascular Necrosis of the Femoral Head: Treatment Options and Recovery
Avascular necrosis of the femoral head Hello, Doctor: I was diagnosed with avascular necrosis of the femoral head in early February this year at the Penghu Naval Hospital, affecting both legs, with a smaller area of necrosis in the right leg. I will undergo a decompression surger...
Dr. Hong Ximing reply Orthopedics
Bilateral femoral head necrosis is best supported by X-ray evidence. Before the acetabulum is damaged, a hemiarthroplasty can be performed, but ultimately a total hip arthroplasty will be necessary. Decompression surgery is a procedure performed prior to joint replacement. Curren...[Read More] Understanding Avascular Necrosis of the Femoral Head: Treatment Options and Recovery
Understanding Weight Bearing After Knee Injury: What It Means for Recovery
"踩地"的意思是指用腳踩在地面上，通常用來形 Hello Dr. Hong, I have a knee fracture from a car accident, but I did not undergo surgery; I only had the laceration on my knee sutured. After being discharged, I was wearing a type of plastic shell (similar to a cast). After two weeks, I returned...
Dr. Hong Ximing reply Orthopedics
A knee fracture that does not require surgery is likely non-displaced and can be treated with a fiberglass cast for immobilization. Once the sutures are removed and weight-bearing is permitted, it indicates that you can support your weight, but it is advisable to use crutches for...[Read More] Understanding Weight Bearing After Knee Injury: What It Means for Recovery
Understanding Abnormal Noises in the Left Ankle: When to Seek Medical Advice
Abnormal sounds in the left ankle? Hello Doctor: More than ten years ago, my left ankle would make an abnormal sound ("dīā" "dīā") with slight rotation, but it did not affect my mobility. However, in the past month or two, due to frequent running, my left ankl...
Dr. Hong Ximing reply Orthopedics
If there are abnormal sounds in the ankle joint but no symptoms, it is likely not a concern. However, if there is a mild aching sensation, it is advisable to wear an ankle brace during physical activity to provide protection and increase stability. If symptoms worsen, medical att...[Read More] Understanding Abnormal Noises in the Left Ankle: When to Seek Medical Advice
Managing Pain and Strength Imbalance After an Ankle Sprain
Right ankle sprain? Hello Doctor: I sprained my right ankle in November of last year, with an inversion injury. Over the past year, I have undergone electrical stimulation therapy and heat therapy. Recently, I have noticed an increasing imbalance in strength between my left and r...
Dr. Hong Ximing reply Orthopedics
Hello John, Your ankle sprain has lasted for over 6 months, and you are experiencing pain in the muscles on the dorsum of your foot, indicating joint instability and uneven load distribution. It is recommended that you wear an ankle brace while walking to increase the stability...[Read More] Managing Pain and Strength Imbalance After an Ankle Sprain
Post-Operative Symptoms After Knee Arthroscopy: What to Expect
Postoperative condition after knee arthroscopy? Hello, doctor. I recently visited a nearby orthopedic clinic due to a car accident. After a thorough examination by the orthopedic surgeon, it was found that my left knee makes an abnormal sound when bent, and I was advised to under...
Dr. Hong Ximing reply Orthopedics
It is normal to experience swelling and pain after arthroscopic surgery, which may be due to residual synovial swelling within the joint. It is important to allow the joint to rest, engage in light movement, and gradually return to normal activities.[Read More] Post-Operative Symptoms After Knee Arthroscopy: What to Expect
Sudden Knee Weakness: Causes and When to Seek Medical Advice
Sudden knee weakness? Hello Doctor, last December, while I was walking a longer distance in Tokyo, mostly on flat ground or slight inclines, I suddenly felt weakness in my right knee joint, but there was no pain. After resting for a bit, I felt fine. Since then, I have occasional...
Dr. Hong Ximing reply Orthopedics
Based on your description, the symptoms in your right knee are more similar to patellofemoral syndrome, which is caused by cartilage softening. This typically occurs after a period of excessive activity and can improve with rest; however, prolonged issues may lead to cartilage we...[Read More] Sudden Knee Weakness: Causes and When to Seek Medical Advice