Bone screws, Orthopedics FAQ

Understanding Proximal Radius Fractures: Healing and Complications

Proximal radius head fracture (1/3) Hello, doctor. Due to a car accident, I sustained a displaced fracture of the distal third of the radius. On December 7, I underwent reduction with absorbable bone screws and received absorbable bone graft. The doctor advised that to prevent ad...

Dr. Shi Guozheng Reply:
Whether there is any displacement of the bone requires further examination with X-rays. You need to return to the hospital where your original surgery was performed for follow-up.

Recovery Time After Tibial Intramedullary Nail Removal: What to Expect

Recovery time after removal of intramedullary nail from the tibia? Doctor, I had a tibial fracture in my right leg at the end of March last year and had an intramedullary nail inserted. I have recovered well and can run now. I plan to have the intramedullary nail removed in Febru...

Dr. Shi Guozheng Reply:
Approximately two weeks after the removal of the bone screws, you can start walking. During the screw removal procedure, you can ask the physician to excise the keloid and then re-suture the area. Afterward, it is important to implement some measures to prevent recurrence.

Can Facial Bone Pins Be Removed After an Accident?

Can the bone screws placed in the face be removed? Hello doctor, I was in a car accident recently and had over ten screws placed in my face. However, I can still feel the screws when I touch my skin. I would like to have them removed. Is this possible? Will there be any complicat...

Dr. Shi Guozheng Reply:
You must ask the surgeon who performed your surgery, as some bone screws do not need to be removed, while others cannot be removed.

Understanding Delayed Healing in Femur Fractures: Your Concerns Addressed

Femoral fracture 1. It has been five months since my femur fracture, and the doctor said the bone has not healed at all. Is this normal? 2. However, I can walk with a limp without crutches and I don't feel any pain. Is there a risk that the internal screws might break if I ...

Dr. Shi Guozheng Reply:
Typically, it takes about six months for a fracture to heal properly. If weight is applied too early, the bone screws may break. If the fracture has not healed after a year, it is considered a nonunion. At that point, certain interventions may be necessary to promote healing. If ...

Post-Surgery Concerns After Pelvic Fracture: What to Expect

Postoperative Issues Following Pelvic Fracture Surgery Hello, Doctor. Last month, I suffered a left pelvic fracture due to a car accident. About a week before the surgery, the hospital performed pelvic traction on me. I had surgery where I opted for the implantation of a steel pl...

Dr. Shi Guozheng Reply:
1. There may be issues related to nerve injury, and poor circulation is also a possibility. 2. Improvement is also possible. 3. Whether the plate should be removed should be discussed with the surgeon, as some plates are difficult to remove.

Challenges in Healing Open Fractures: A Case Study of Tibia and Fibula

Incomplete healing after open reduction and internal fixation of a right distal tibiofibular fracture? Hello Doctor, I had an open fracture of the distal fibula on the right side due to a car accident in January this year, and I underwent surgery with self-funded internal fixatio...

Dr. Shi Guozheng Reply:
1. If there is a defect in the bone, healing can be very slow, and sometimes it may not heal at all. In such cases, surgical bone grafting may be necessary to promote healing. Usually, if a fracture has not healed after one year, surgery can be considered. 2. If the fracture si...

Understanding Absorbable Bone Materials: Recovery and Comparisons in Orthopedic Surgery

Biodegradable bone graft materials Hello, doctor. On September 11, I slipped and fell, landing on my left knee, resulting in a patellar fracture in two pieces with a displacement of 7.5 mm. I underwent a reduction surgery that same day and opted for absorbable bone screws at my o...

Dr. Shi Guozheng Reply:
1. There is basically not much difference. 2. Healing in about three months is considered normal. 3. Some materials may cause tissue reactions during the healing process, but this is rare. If inflammation occurs, it must be addressed.

Impact of Plates and Screws on Athletes: A Focus on Football Players

The impact of metal plates and screws on athletes? I would like to ask, as a soccer player aspiring to develop in this field, I have a plate installed on the dorsum of my foot, and my screws are located at the ankle. I have undergone debridement, calcaneal lengthening, and foot r...

Dr. Shi Guozheng Reply:
1. It usually does not have an impact. 2. Typically, the bone screws can be removed about a year after the bone has healed.

Should You Remove a Painful Plate After a Radius Fracture?

Should the self-paid plate for a radius fracture be removed if there is pain during movement? In early January of this year, I had a car accident that resulted in a fracture of the left radius. I underwent surgery in the emergency department at Chang Gung Memorial Hospital, where...

Dr. Shi Guozheng Reply:
If the bone screws indeed affect muscle activity, it is advisable to remove the screws and the plate. After the removal of the plate, you can typically resume cycling in about two to four weeks.

Assessing Bone Displacement: When to Consider Surgery?

Assessment of Bone Displacement Degree Because my bone initially was just a hairline fracture, but I didn't take care of it properly. When I returned to the hospital the next day, the doctor said there was a slight displacement, and even if it heals on its own, the function ...

Dr. Zhan Xian Reply:
Please go to the orthopedic outpatient clinic!

Will My Open Fracture Impact My Job in the Restaurant Industry?

I would like to ask if there will be any impact on work in the future? Hello, doctor. A few days ago, I was in a car accident and was thrown out of the vehicle. After seeking medical attention, the doctor diagnosed me with an open fracture and performed surgery. I am currently ho...

Dr. Shi Guozheng Reply:
The healing time for fractures varies depending on the location of the break. First, it is essential to determine where the fracture is located in order to know how long to rest.

Post-Surgery Recovery Tips for Ankle Fracture: Pain Management and Rehabilitation

Post-operative care after an ankle closed fracture surgery? Hello 👋 In March, I had a car accident and underwent an X-ray, which revealed a displaced closed fracture of the right fibula at the lateral malleolus, along with intra-articular loose bodies in the right ankle and ligam...

Dr. Shi Guozheng Reply:
It is important to ensure that there are no issues with the fracture site before engaging in any physical activity.

Concerns About Exposed Bone Pins After Finger Fracture Surgery

Exposed bone screw Hello doctor, I have a fracture in my thumb. The attending physician used two bone screws for stabilization, and one of them is protruding outside, possibly due to improper placement during the surgery. The doctor did not reinsert it during my follow-up visit. ...

Dr. Zhan Xian Reply:
If there is no significant movement of the bone screw and the wound does not show redness, swelling, or discharge, you can return for your follow-up appointment as originally scheduled. If you experience any discomfort, please come in for an earlier visit.

Understanding Fifth Metatarsal Base Fractures: Surgery or Conservative Care?

Fracture of the base of the fifth metatarsal? Hello, doctor. During my time overseas, I twisted my ankle while running and stepped on a rock. After an examination at a local hospital, they said I have a fracture at the base of the fifth metatarsal and recommended surgery. I was s...

Dr. Shi Guozheng Reply:
Fractures of the base of the fifth metatarsal are typically recommended for surgical intervention, as non-surgical treatment would require casting for six to eight weeks. Surgical treatment involves the use of bone screws to facilitate easier healing of the fracture. If the fract...

How Long Should Titanium Plates Stay After Ankle Surgery?

Ankle surgery with plate fixation? I am 49 years old and underwent surgery for a fracture of the lateral malleolus in my right ankle, where a titanium alloy plate was used for fixation. It has been 2 years and 3 months since the surgery. The doctor previously informed me that the...

Dr. Shi Guozheng Reply:
Typically, after a fracture has healed (approximately one year post-surgery), the titanium metal screws can be removed without significantly affecting bone quality. For the human body, titanium is generally non-irritating, and some individuals may choose not to have the bone scre...

Should You Remove Titanium Intramedullary Nail After Humerus Fracture?

Hello, doctor? Currently, I have a spiral fracture of the left humerus that has been treated with a titanium intramedullary nail. However, I am experiencing discomfort and a foreign body sensation, and I plan to have it removed after one year (which will be in August this year). ...

Dr. Chen Yongxue Reply:
In fact, bone screws are not part of the body's original tissue, and they should ideally be removed after the staged tasks are completed. However, there is a risk of injuring the radial nerve when removing the plate at the site of a humeral fracture. Thank you.

Understanding and Managing Toe Cramps: Causes and Solutions

Toe cramp Hello Doctor, my left big toe frequently cramps, and this situation has been ongoing for about a year. It started with my left big toe, and later my right big toe began to cramp as well. Six months ago, I experienced pain in my right foot while walking, and the doctor d...

Dr. Chen Yongxue Reply:
Hello, there are many causes of cramps, including excessive fatigue, electrolyte imbalances (including calcium), loss of muscle elasticity, and spinal nerve compression, among others. It is recommended to frequently apply heat to relax the muscles. Additionally, it is important t...

Post-Surgery Pain and Nerve Recovery After Zygomatic Fracture

Six months after surgery for a zygomatic bone fracture, there is pain at the site of the bone screws? Hello Doctor, last September I accidentally missed a step while helping my family move, and I fell face-first while carrying a heavy object, resulting in a zygomatic bone fractur...

Dr. Chen Yongxue Reply:
It is possible that the nerves are being compressed by scar tissue. Please follow up with your attending physician in the outpatient clinic.

Effective Treatments for Pain from Bone Screws After Surgery

Is there a way to treat pain from bone screws? Hello, when I was around 20 years old, I had a severe car accident that resulted in a comminuted fracture, and I have metal plates in my face. The doctor at that time advised me not to remove them. It has been about 11 to 12 years no...

Dr. Shi Guozheng Reply:
You can consult the original surgeon to see if removing the bone screws might help alleviate the pain.

Understanding Patellar Fractures: Recovery, Complications, and Rehabilitation

Patellar comminuted fracture / issues with steel pins? Hello, doctor. Three months ago, I was involved in a car accident that resulted in a comminuted fracture of my right patella. I currently have two steel pins and wires for fixation, and my recovery is going well; I can perfor...

Dr. Shi Guozheng Reply:
1. It depends on how deep the bone screws are embedded; some can be removed. 2. If the fracture is well-aligned after surgery, there are usually few complications. 3. Yes, it is possible to recover after training. 4. You may not need to wear it anymore. 5. Perform leg rai...

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