Post-Tibial Fracture: Understanding Long-Term Effects and Recovery
Will there be any sequelae after a tibial fracture? Hello, Doctor. I apologize for bothering you, but I have a few questions. Two months ago, my friend suffered a left tibial shaft fracture (approximately 10 cm above the ankle) due to a car accident. During surgery, titanium allo...
Dr. Shi Guozheng reply Orthopedics
1. If the fracture has healed properly, there are usually no significant sequelae. 2. Removal is necessary only if there is irritation or if it affects joint mobility. 3. It is advisable to consume nutritious foods and ensure adequate calcium intake.[Read More] Post-Tibial Fracture: Understanding Long-Term Effects and Recovery
Can My Child Resume Table Tennis After Distal Radius Fracture Surgery?
Distal radius fracture of the right wrist? Hello, Doctor: The patient is an 11-year-old child who underwent surgical fixation with a steel pin for a distal radius fracture in the right wrist two months ago. The X-ray images show good bone healing at this point. May I ask if the p...
Dr. Shi Guozheng reply Orthopedics
If the fracture has completely healed and there is pain in the joint area, but joint movement is normal, then you can start exercising.[Read More] Can My Child Resume Table Tennis After Distal Radius Fracture Surgery?
Impact of Custom Steel Plate on Knee Flexion After Tibial Plateau Fracture
Medial tibial plateau fracture I would like to ask if the installation of a self-funded steel plate on the inner posterior tibial plateau of the right knee will affect the flexion angle of the knee. Currently, after the installation, I am unable to flex my knee to 105 degrees lik...
Dr. Shi Guozheng reply Orthopedics
1. Factors that may be affected. 2. You can seek assistance from the rehabilitation department; it is important to start rehabilitation as soon as possible to potentially increase the angle of curvature. 3. It is still considered normal for the fracture line to gradually disappea...[Read More] Impact of Custom Steel Plate on Knee Flexion After Tibial Plateau Fracture
Understanding Second Metatarsal Fractures and Treatment Options
Second metatarsal fracture Hello Doctor, I am a male who loves strength training. On April 22, I had an accident on my way to practice, where my left foot was trapped under the front wheel of a car for over 20 seconds before I was able to pull it out. After an emergency examinati...
Dr. Shi Guozheng reply Orthopedics
Based on the assessment of several physicians, it appears that there is no serious fracture as you described. A cast immobilization is sufficient, and currently, there is no need for shockwave therapy. The fracture is expected to heal in approximately six to eight weeks. Typicall...[Read More] Understanding Second Metatarsal Fractures and Treatment Options
Understanding Patellar Tendon Injuries: Surgical Options and Recovery
Patellar tendon On March 18, I was injured while riding a motorcycle and underwent debridement and patellar tendon repair surgery. I was sent to the hospital's emergency department and referred to the orthopedic department. During the debridement, it was found that the tendo...
Dr. Shi Guozheng reply Orthopedics
Consulting an orthopedic specialist is advisable, as the physician can reassess the situation. Typically, strength training can be effective for partially torn patellar ligaments.[Read More] Understanding Patellar Tendon Injuries: Surgical Options and Recovery
Understanding Femoral Fractures: Surgery vs. Natural Healing Options
Comminuted femoral fracture Hello, doctor. I was in a car accident on November 20, 2021, and was diagnosed with a comminuted femoral fracture. It has been nearly six months since then, and the X-ray shows that the newly formed bone has not completely covered the area, with a thin...
Dr. Shi Guozheng reply Orthopedics
Typically, a femoral fracture is considered to have delayed union if it has not healed after six months. However, it is important to assess the X-rays during follow-up to see if there is gradual bone growth. If there is no evidence of bone formation after several consecutive eval...[Read More] Understanding Femoral Fractures: Surgery vs. Natural Healing Options
Can Growth Hormone Therapy Help Increase Height in Preteens?
Bone age and growth height issues? Currently in sixth grade, the actual age is 12.5 years. Recently, the bone age was assessed to be 13.9 years. The height is 148.5 cm. There are some signs of voice change, but no Adam's apple or pubic hair development. Is there a chance of ...
Dr. Shi Guozheng reply Orthopedics
The height of children is related to genetics, meaning that the height of your parents is associated with your own height. Generally, the taller the parents, the more likely the children will be taller as well. It is not recommended to use medication to artificially enhance or de...[Read More] Can Growth Hormone Therapy Help Increase Height in Preteens?
Ankle Injury: Persistent Swelling and Pain After Trauma
Ankle sprain? Hello, a few years ago I stepped on someone’s foot and my right foot rolled outward. It hurt so much that I thought I had broken a bone (it was probably quite serious, but I couldn't see a doctor at the time). Since then, I have frequently sprained my ankle, an...
Dr. Shi Guozheng reply Orthopedics
When a joint is newly injured and swollen, applying ice can help reduce the swelling. Additionally, immobilizing the joint (using a cast or brace) can also alleviate some pain. Most importantly, it is essential to see a physician for an evaluation.[Read More] Ankle Injury: Persistent Swelling and Pain After Trauma
Understanding Recovery Challenges After Tibial Plateau Fracture Surgery
Medial tibial plateau fracture I underwent a self-funded interlocking titanium alloy fracture surgery on my right tibial plateau on March 23. It has been approximately 5 weeks since the surgery, and I can now achieve a 90-degree bend and stand on both feet. However, I notice that...
Dr. Shi Guozheng reply Orthopedics
It is inevitable that the range of motion in the knee joint will decrease after surgery. To restore it to the pre-injury condition, active rehabilitation is necessary. However, overdoing it can lead to pain. If there are concerns about the displacement of the fixation plate, an X...[Read More] Understanding Recovery Challenges After Tibial Plateau Fracture Surgery
Post-Operative Care for Elderly Knee Surgery: Managing Swelling and Circulation Issues
Postoperative Care for Elderly Family Members with Knee Joint Surgery After the elderly patient is discharged from the hospital following knee surgery, they are advised by the doctor to wear compression stockings (to prevent blood clots and help reduce swelling). However, if ther...
Dr. Shi Guozheng reply Orthopedics
Yes, however, the darkening of the dorsum of the foot may be caused by the pooling of blood from the knee joint surgery. Typically, no special treatment is required, and it will usually resolve on its own in about four to six weeks.[Read More] Post-Operative Care for Elderly Knee Surgery: Managing Swelling and Circulation Issues
Recovering from a Torn Medial Collateral Ligament: Tips and Strategies
Tear of the left ankle collateral ligament? On March 1st of this year, I fell in the bathroom and directly hit the inner side of my knee, which led to difficulty walking. I later underwent an MRI that revealed a collateral ligament tear, but the doctor said surgery was not necess...
Dr. Shi Guozheng reply Orthopedics
Injuries to the knee's collateral ligaments typically take two to three months to gradually heal. It is advisable to wear a knee brace to protect the knee joint and prevent excessive tension on the ligaments. Additionally, quadriceps strengthening exercises, as well as knee ...[Read More] Recovering from a Torn Medial Collateral Ligament: Tips and Strategies
Understanding Plantar Fasciitis: Symptoms and Treatment Options
Plantar fasciitis I have noticeable swelling in my left foot that started yesterday. This has happened three times in the past 3-4 months, always occurring the day after hiking for about 3-5 hours. I suspect it might be plantar fasciitis, but I would like to inquire further. The ...
Dr. Shi Guozheng reply Orthopedics
Based on the description, it may not be solely a plantar issue, and it is advisable to consult a physician for an examination. Typically, plantar fasciitis is confined to the sole of the foot, and there should not be any swelling in the ankle.[Read More] Understanding Plantar Fasciitis: Symptoms and Treatment Options
Understanding Wrist Recovery: Can You Regain Full Motion After Surgery?
Radial bone issues The wrist radius underwent surgery on January 27 of this year, where a steel pin was inserted and wrist ligament reconstruction was performed. It has been almost three months since then, and I have been actively rehabilitating. I have received a graduation cert...
Dr. Shi Guozheng reply Orthopedics
With diligent rehabilitation, it may be possible to return to normal function if the joint surface was not injured during the fracture.[Read More] Understanding Wrist Recovery: Can You Regain Full Motion After Surgery?
Post-Surgery Care for Left Leg Fracture: Addressing Concerns
Surgical intervention for a left calf fracture? Dear Doctor, my husband had surgery for a fracture in his left calf almost two weeks ago, and he is gradually starting to put weight on it. However, he is now unable to put weight on his other leg, and I am really worried. Can you p...
Dr. Shi Guozheng reply Orthopedics
Sitting on a chair, the individual can perform knee flexion exercises and thigh raises to strengthen the thigh muscles. Afterward, they can practice walking, of course, using assistive devices such as a walker or a cane for support.[Read More] Post-Surgery Care for Left Leg Fracture: Addressing Concerns
Guidance Needed for Recovery from Middle Toe Amputation
Toe (middle toe amputation) Request for guidance! My factory driver accidentally injured his toe (middle toe severed). He has completed the wrapping and has been resting for over a month, but the bones are healing slowly. He is unable to drive for work, which is causing difficult...
Dr. Shi Guozheng reply Orthopedics
Fracture surgeries typically use internal fixation to allow the bones to heal, and currently, there are no adhesives available for use on fractures.[Read More] Guidance Needed for Recovery from Middle Toe Amputation
Post-Surgery Recovery from Femoral Fractures: Common Concerns and Solutions
Postoperative Recovery from Femoral Fracture Surgery Hello doctor, I was in a car accident at the end of October 2021, resulting in fractures of my left femur and arm. I underwent surgery for steel nail fixation about five days later. Now, in mid-April 2022, I still experience fr...
Dr. Shi Guozheng reply Orthopedics
A femoral fracture typically heals in about six months. After healing, the pain at the fracture site will gradually subside. Therefore, it is important to first check if the fracture has healed. If the fracture has already healed, the pain may be due to tendonitis or inflammation...[Read More] Post-Surgery Recovery from Femoral Fractures: Common Concerns and Solutions
How Tall Can I Grow? Understanding Height Potential and Growth Factors
Height growth issues Hello, Doctor: 1. I am currently about 162 cm tall. What is the maximum height I can reach? My father is about 165 cm and my mother is around 150 cm. 2. Until what age can I continue to grow, and is there still room for improvement? 3. I often get teased ...
Dr. Shi Guozheng reply Orthopedics
It is necessary to check whether the growth plates have closed. If the growth plates have already closed, theoretically, there will be no further height increase.[Read More] How Tall Can I Grow? Understanding Height Potential and Growth Factors
Impact of Post-Surgery Displacement in Metacarpal Fractures
Postoperative displacement after metacarpal fracture? A fracture of the third and fourth proximal phalanges was treated with internal fixation using a steel pin. However, during the follow-up visit for pin removal, it was noted that there is still a retraction of 0.2 cm. Currentl...
Dr. Shi Guozheng reply Orthopedics
It will not significantly affect hand mobility.[Read More] Impact of Post-Surgery Displacement in Metacarpal Fractures
Understanding Neck Cracking Sounds: Causes and Concerns
Neck crepitus? Hello, recently I have been experiencing a cracking sound in my neck when I look up or down. I was diagnosed with cervical degeneration a while ago. Is this related? Could there be any potential harm? Thank you, doctor.
Dr. Shi Guozheng reply Orthopedics
There is no harm in having sounds without any associated issues, but the degeneration of the cervical spine should be assessed for its severity. If there is compression of the nerves, treatment is necessary.[Read More] Understanding Neck Cracking Sounds: Causes and Concerns
Post-Patellar Fracture Rehabilitation: Managing Pain and Weakness
Postoperative care for patellar fracture? Hello Doctor: I would like to ask about my recovery after a patellar fracture surgery. I have a cast extending to my thigh, and when I try to do basic rehabilitation exercises, such as moving my legs side to side on the bed or practicing ...
Dr. Shi Guozheng reply Orthopedics
1. It is normal to experience weakness around the joint after a fracture. 2. It is possible.[Read More] Post-Patellar Fracture Rehabilitation: Managing Pain and Weakness