Bone screws, Orthopedics FAQ

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Post-Surgery Concerns: Understanding Clavicle Fracture Recovery

Postoperative care for clavicle fracture? Hello doctor, I had a car accident on June 18 and suffered a right-sided clavicle fracture. I underwent surgery on June 18 to fix it with steel nails and plates. I had my stitches removed on July 1, but on July 7, I experienced discomfort...


Dr. Shi Guozheng Reply:
1. It is normal to feel discomfort during activity. 2. The tingling sensation near the plate may be due to the prominence of the bone screws or the plate itself. 3. If you are concerned, you should return for an X-ray.

[Read More] Post-Surgery Concerns: Understanding Clavicle Fracture Recovery


Understanding Tibial Fracture Recovery: To Remove Hardware or Not?

Tibial fracture Hello Doctor, my son is 23 years old and previously suffered a tibial shaft fracture in a car accident. He had titanium alloy implants with four screws for fixation, and it has been 1 year and 2 months since the surgery. During his follow-up visit, the physician m...


Dr. You Dianqi Reply:
Bone screws and plates are considered foreign objects in the body. Whether or not to surgically remove them depends on whether the patient experiences discomfort. If there is discomfort that affects daily life and work, it is recommended to follow up with the attending physician ...

[Read More] Understanding Tibial Fracture Recovery: To Remove Hardware or Not?


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:
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


Can I Exercise After Removing Bone Screws from My Arm?

Can I exercise after having metal pins removed? Today I had a follow-up appointment. I have a left-sided ulnar fracture due to a bicycle accident (on April 17). I just had the metal pins removed today (May 7). There is a plate in my left hand, and the doctor said my bone is heali...


Dr. Zhan Xian Reply:
Hello, it is not recommended to engage in intense exercise until one month post-fracture surgery. However, for detailed rehabilitation progress, you should consult your attending physician who performed the surgery. Wishing you a safe recovery.

[Read More] Can I Exercise After Removing Bone Screws from My Arm?


Post-Fracture Exercise: Pool Walking vs. Ground Running for Recovery

Post-fracture exercise issues? Hello Doctor, I would like to ask about exercising after a fracture. In January 2023, I had a car accident resulting in fractures of the second, third, fourth, and fifth metatarsals in my right foot, as well as a comminuted fracture of the talus and...


Dr. Chen Yongxue Reply:
Hello, after a fracture surgery, it is necessary to have a period of rest to promote healing, which usually takes about two to three months. During this time, it is best to avoid weight-bearing activities. Regarding the types of exercise mentioned in your letter, swimming is cert...

[Read More] Post-Fracture Exercise: Pool Walking vs. Ground Running for Recovery


Facial Numbness and Headaches: Addressing Post-Fracture Complications

Bone plate issues can cause facial numbness and headaches? Hello, Doctor. I would like to ask you something. In 1999, I suffered a fracture on the left side of my face due to a car accident. During the surgery, bone screws and plates were used for fixation. However, in recent yea...


Dr. Wang Shouji Reply:
Hello, these symptoms are not necessarily related to a frontal bone fracture. If they are related, most of them would persist after surgery. It is advisable to recheck the condition of the screws and consult a neurologist regarding the dizziness issue. Changhua Hospital cares abo...

[Read More] Facial Numbness and Headaches: Addressing Post-Fracture Complications


Concerns About Removing Intramedullary Nails After 4 Years

Questions about the removal of intramedullary nails from the femur? 1. If the intramedullary nails in both femurs have been in place for 4 years, it may be possible to remove them, but the difficulty of removal can vary depending on factors such as bone healing and the presence o...


Dr. Shen Boquan Reply:
Hello, if the bone screws or plates inserted after a fracture are causing discomfort or other issues, they should be removed. If your intramedullary nail is not worn out, there are no issues with the removal tools, and it hasn't been placed too deeply, it should be removable...

[Read More] Concerns About Removing Intramedullary Nails After 4 Years


Understanding Posterior Cruciate Ligament Injuries: Symptoms and Recovery

Posterior cruciate ligament (PCL) tear? Recently, I had a motorcycle accident and my knee and calf are swollen and painful. I went to an orthopedic doctor and had an MRI done. Doctor, could you tell me if this is serious? Here are the findings: Examination: Non-contrast MRI of ...


Dr. Shi Guozheng Reply:
A posterior cruciate ligament (PCL) tear occurs when the ligament is torn along with the bone at the back of the tibia, resulting in a type of avulsion fracture. This can be treated surgically using bone screws to reattach the ligament. It is advisable to consult with a physician...

[Read More] Understanding Posterior Cruciate Ligament Injuries: Symptoms and Recovery


Understanding Patellar Fractures: Common Sounds and Concerns After Surgery

Patellar fracture Hello, I am a patient with a patellar fracture. I underwent traditional surgery on June 23, where two steel pins and an 8-shaped wire were used. When I sit and lift my leg straight out in front of me, I hear a popping sound each time I do this. Is this normal? I...


Dr. Shi Guozheng Reply:
It could be the sound of ligaments sliding over the bone or the sound of friction between wires or bone screws. Please have the doctor check during your follow-up appointment.

[Read More] Understanding Patellar Fractures: Common Sounds and Concerns After Surgery


Rehabilitation Tips for Recovery After a Fifth Metatarsal Fracture

What rehabilitation exercises or activities can help with recovery after a fracture? Description: A fall down the stairs resulted in an oblique fracture of the fifth metatarsal in the left foot, which also exhibited displacement. Following the doctor's recommendation, surger...


Dr. You Dianqi Reply:
Each person's recovery situation is different. It is recommended to consult your primary physician or seek an evaluation from a rehabilitation specialist. Thank you.

[Read More] Rehabilitation Tips for Recovery After a Fifth Metatarsal Fracture


Concerns About Spinal Screw Loosening After Minimally Invasive Surgery

The spinal fixation screws fell out two weeks after surgery? Hello, doctor. I suffered a spinal fracture from lifting heavy objects, and the doctor said he would only perform minimally invasive surgery, which would cost about 210,000 NTD out of pocket. The doctor mentioned that a...


Dr. Wang Shouji Reply:
Hello, generally speaking, it is important to be cautious with activities until complete bone healing occurs before the removal of the bone screws. The surgery for the removal of bone screws is covered by health insurance and does not require additional out-of-pocket expenses. Ch...

[Read More] Concerns About Spinal Screw Loosening After Minimally Invasive Surgery


Understanding Disc Herniation: Symptoms, Nerve Compression, and Diagnosis

Herniated disc Hello Doctor, I initially experienced lower back pain that often radiated down to the soles of my feet. Recently, I've been experiencing numbness and pain in my feet after standing for a short period. During my military service physical examination, I underwen...


Dr. Chen Bochen Reply:
Most intervertebral disc diseases in young people can be improved through rehabilitation and exercise therapy. If there are significant neurological compression symptoms due to a herniated disc, minimally invasive endoscopic spine surgery can be considered, while avoiding the use...

[Read More] Understanding Disc Herniation: Symptoms, Nerve Compression, and Diagnosis


Should You Remove Titanium Screws After Fifth Metatarsal Fracture?

Does the titanium alloy screw for the fifth metatarsal fracture need to be removed? The recommendation for removal is based on the fact that the patient would have to live with the bone screws and plates for the next 50-60 years, which could introduce additional uncertainties. Si...


Dr. Shi Guozheng Reply:
1. It is possible. 2. There is no increased risk of fractures because continued walking makes it less likely to develop osteoporosis. There may be temporary cavities, but over time, the bone will regenerate and fill in. 3. Removing it requires another surgery, which carries its o...

[Read More] Should You Remove Titanium Screws After Fifth Metatarsal Fracture?


Post-Surgery Recovery: When Can I Walk Normally After a Leg Fracture?

Postoperative Knowledge On July 4th, I had an open fracture of my right thigh due to a car accident. Around July 20th, I started using a walker to attempt walking on my own, as I felt that my leg wasn't very painful. However, I was very afraid of putting full weight on my ri...


Dr. Chen Yongxue Reply:
Hello, whether you can bear weight after a femoral fracture surgery greatly depends on the type of fracture and the method of internal fixation used. It is best to consult your attending physician for the safest advice. Thank you.

[Read More] Post-Surgery Recovery: When Can I Walk Normally After a Leg Fracture?


How Long After Fracture Surgery Can Bone Screws Be Removed?

How long after fracture surgery can the bone screws be removed? Hello Doctor, my mother had a car accident on April 11 and underwent surgery for a fractured tibia. The stitches were removed 10 days later. During her follow-up appointment on May 12, the doctor informed us that the...


Dr. Chen Yongxue Reply:
Hello, the internal fixation varies depending on the type and location of the injury. It is best to consult an orthopedic outpatient clinic. Thank you.

[Read More] How Long After Fracture Surgery Can Bone Screws Be Removed?


Understanding Calf Swelling After Femur Fracture: Causes and Solutions

Swelling of the lower leg after a femoral fracture? In July of the year before last, I had a fracture in my right thigh that required surgery, and I had bone screws placed. By June of last year, I had fully recovered and could walk normally. Recently, I noticed that my right calf...


Dr. Wang Jiacheng Reply:
You can get an X-ray to check if there is any difference in the length of the bones in both legs. If there is no difference, then it may be an issue related to pelvic tilt, and you can follow up with an orthopedic specialist.

[Read More] Understanding Calf Swelling After Femur Fracture: Causes and Solutions


Understanding Post-Fracture Complications: When to Seek Medical Advice

Femoral fracture with bone screws? In July of the year before last, I had a fracture in my right thigh and underwent surgery, during which bone screws were placed. By June of last year, I had fully recovered and could walk normally. Recently, I have noticed that my right calf is ...


Dr. Shi Guozheng Reply:
You can get an X-ray to check if there is any difference in the length of the bones in both legs. If there is no difference, then it may be an issue related to pelvic tilt, and you can follow up with an orthopedic specialist.

[Read More] Understanding Post-Fracture Complications: When to Seek Medical Advice


Understanding Symptoms and Concerns After Hip Joint Surgery with Steel Pins

Steel nail issues, knee joint, postoperative hip joint, giant cell tumor of bone? Hello Doctor, my condition is a giant cell tumor of the left hip joint. I have had a recurrence, and there is a gap of more than four years between my surgeries. My most recent surgery was about a y...


Dr. Shi Guozheng Reply:
1. Bone screws can remain in the body without the need for removal if there are no specific issues. 2. Pain and recurrence can sometimes be related, so it is important to discuss this with the surgeon who performed your initial operation. 3. Continued outpatient follow-up is nece...

[Read More] Understanding Symptoms and Concerns After Hip Joint Surgery with Steel Pins


Understanding Exposed Bone Screws After Metatarsal Fracture Surgery

Extruded portion of the metatarsal bone screw? Hello Doctor, I was in a car accident on February 7th and sustained fractures to the first through fourth metatarsals in my left foot. On February 18th, I underwent surgery where external fixation pins were inserted into the first an...


Dr. Shi Guozheng Reply:
Further medical evaluation may be necessary; please consult the attending physician for assessment.

[Read More] Understanding Exposed Bone Screws After Metatarsal Fracture Surgery


Rehabilitation After First Metatarsal Fracture Surgery: What to Expect

Rehabilitation for First Metatarsal Fracture Due to a car accident, I underwent surgery for a fracture of the first metatarsal bone. The procedure was named: "Open reduction and internal fixation of the left foot tarsometatarsal joint dislocation with fracture." The rea...


Dr. Chen Yongxue Reply:
Heel pain is temporary and related to a period of not walking properly. Please apply heat therapy frequently. Stretching, as tolerated, will help improve the condition. The absorbable bone screws do not need to be removed. Thank you.

[Read More] Rehabilitation After First Metatarsal Fracture Surgery: What to Expect


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