Bone screws, Orthopedics FAQ

Understanding Left Femoral Neck Fractures: Surgery, Recovery, and Pain Management

Left femoral neck fracture? Hello, doctor. I had a car accident on February 2nd of this year, which resulted in a fracture of my left femoral neck. I had three screws inserted. The doctor mentioned that the screws can be removed or left in place, and I would like to know if there...

Dr. Shi Guozheng Reply:
Femoral neck fractures are typically stabilized with three bone screws, which can usually be removed after more than a year. Leaving the screws in the hip may cause a tingling sensation. Screw removal usually requires about a week of rest.

Understanding Talus Fractures: Recovery and Pain Management After Surgery

Talus fracture Hello, doctor. On August 15th of this year, I twisted my left ankle while jumping and landing during a badminton game (there was a dislocation), which resulted in a comminuted and displaced fracture of the talus (this is the diagnosis given by the doctor). I was ta...

Dr. Chen Bochen Reply:
Hello, generally speaking, if a fracture has successfully healed, you can gradually increase the intensity of rehabilitation to recover. However, whether it has healed properly must be determined by the surgeon based on imaging and clinical symptoms. Additionally, talus fractures...

Understanding Recovery from Tibia and Hip Fractures After a Car Accident

Fracture issues from a car accident? In mid-July, I was involved in a car accident and was diagnosed with a left tibial fracture (a crack in the bone). The doctor mentioned that I could either undergo surgery or not. I chose to have surgery, during which two bone screws were inse...

Dr. Shi Guozheng Reply:
1. You can try walking to see if you can bear weight; if you can, you can gradually start to let go of the crutches. 2. A fracture that is cracked is still considered a break and will require some time to heal. If it heals well, there should be no issues.

Understanding Recovery from Tibia and Hip Fractures After a Car Accident

Fractures from car accidents? In mid-July, I was involved in a car accident and was diagnosed with a left tibial fracture (a crack in the bone). The doctor mentioned that I could either undergo surgery or not. I chose to have surgery, during which two bone screws were inserted, a...

Dr. Shi Guozheng Reply:
1. Try using a cane to walk; if you can manage, then you can let go of the other one. 2. A crack indicates a fracture; usually, if there is no significant displacement, the healing outcome will be very good. It typically heals within three to six months, and you can gradually res...

Should You Pay for Bone Grafting After Clavicle Plate Removal?

Is it necessary to pay out of pocket for sutures after the removal of plates and screws following clavicle surgery? Hello, doctor. Last May, I suffered a comminuted fracture of the clavicle due to a car accident and underwent surgery with a titanium alloy plate, costing over NT$5...

Dr. Shi Guozheng Reply:
Bone screws can typically be removed only after the fracture has healed properly. Usually, after the removal of the screws, there is no need to fill the holes with bone graft material, as the holes are quite small. As long as the area is protected from further impact, the holes w...

Clavicle Screw Removal: Anesthesia Options, Hospital Stay, and Recovery Time

Removal of metal plates after clavicle fracture? Last October, I had a car accident that resulted in my clavicle being fractured in two pieces with a displacement. I underwent surgery where health insurance covered the insertion of bone screws. A year later, I am going back to ha...

Dr. Wang Shouji Reply:
Hello, the procedure involves general anesthesia, and most patients are hospitalized for one day. It is recommended to rest for at least one month and avoid heavy lifting. Changhua Hospital cares about your health. Wang Shou-ji.

Post-Surgery Recovery for Femur Fractures and Muscle Strains

Post-surgery for a bone fracture? Hello, Doctor Shi. I would like to ask about my mother, who is in her 50s. On May 31, she slipped on a wet surface while walking (her knee did not hit the ground) and sustained a hairline fracture near the knee joint of her right femur, as well a...

Dr. Shi Guozheng Reply:
The healing time for large bone fractures in the human body typically ranges from three to six months. If surgery is performed with internal fixation using bone screws and the reduction is satisfactory, the patient may gradually start to reduce the use of assistive devices around...

Do I Need to Reinsert Intramedullary Nails for Bone Healing?

Does bone grafting require re-insertion of intramedullary nails? Hello, doctor. I was in a car accident last October, resulting in fractures of my left thigh and hip bone. I had an intramedullary nail placed in my thigh and screws fixed in my hip bone, as well as above my knee. A...

Dr. Chen Bochen Reply:
1. My doctor advised me to return for a follow-up in three months to assess whether I need a bone graft. The recovery period after surgery is at least three months, but my wife is due in January, and I hope to be able to support her during her postpartum period. Should I wait thr...

Can You Ride Roller Coasters After Spine Surgery for Scoliosis?

Post-spinal surgery S-shaped scoliosis. A sixth-grade student underwent thoracic spine surgery and had metal rods inserted. The lower part of the spine was not operated on due to concerns about flexibility and other issues. Can they now go to an amusement park and ride roller coa...

Dr. You Dianqi Reply:
Hello: Under normal circumstances, there should not be significant effects, but it is still important to consider details such as the stability of your bone screws and whether the bone fusion is complete. It is advisable to consult your surgeon for more safety. Thank you.

Persistent Hand Numbness After Surgery: Causes and Solutions

Numbness in the hand after surgery for a fracture of the metacarpal bones? Hello Dr. Shen! My family member suffered a fracture in the left hand and wrist last October. The doctor recommended surgery for a quicker recovery, so we decided to proceed with the operation and used sel...

Dr. Shen Boquan Reply:
Hello, it seems you may have a metacarpal fracture. Metacarpal fractures are typically treated with surgery on the dorsal side, where a steel plate is implanted. Generally, this procedure does not significantly damage the digital nerves, although it may affect the superficial ner...

Can Leg Length Discrepancy Improve After Femur Fracture Surgery?

Femoral fracture Hello, Doctor You. I suffered a thigh fracture and a hip fracture from a car accident, and I have already undergone surgery. They used intramedullary nails for fixation. It has been two and a half months since the surgery on October 30. Shortly after the surgery,...

Dr. You Dianqi Reply:
Hello: The removal of bone screws generally does not cause the "lengthening" of bones as you mentioned. However, it is important to discuss with your attending physician whether there is indeed a condition of leg length discrepancy. If there is, we need to determine the...

Post-Fracture Surgery Concerns: Bone Healing and Pin Removal

Postoperative care related to fractures? Hello, doctor. I underwent surgery for a metacarpal and finger fracture at the end of December 2020. About four weeks post-surgery, X-rays show that the bone has not yet healed. Is it normal for the bone not to have healed after four weeks...

Dr. Shi Guozheng Reply:
Fractures of the metacarpals and phalanges typically show signs of primary callus formation around four weeks post-injury, indicating a significant level of stability. At that point, it is possible to remove the bone screws; however, it is also acceptable to wait until the bone h...

Post-Surgery Challenges After Distal Humerus Fracture: Recovery Insights

Postoperative issues following distal humeral fracture surgery? Hello Doctor, I am here to inquire again about my car accident on June 2nd of this year, which resulted in a distal humeral fracture in my left arm. On June 3rd, I underwent surgery where two metal plates and eight s...

Dr. Shi Guozheng Reply:
1. Apply heat or use pain relievers. 2. Surgical implantation of a steel plate for distal humeral fracture, as it is very close to the radial nerve, should not be removed unless absolutely necessary. 3. Activities can be resumed after bone healing. 4. Weight should be gradually i...

Understanding the Severity of Right Distal Radius Fractures: Surgical Necessity

Distal right radius comminuted fracture issues? Dear Dr. Shih Kuo-Cheng, The patient has already undergone X-ray imaging at another medical facility, which diagnosed a "right distal comminuted radius fracture." However, due to strong objections from the family against ...

Dr. Shi Guozheng Reply:
The best treatment method for a distal radius comminuted fracture is open reduction and internal fixation with bone screws, as this yields the best results. If conservative treatment is chosen instead of surgery, it is likely that surgery will still be necessary in the future, wh...

Understanding Bone Pin Migration: Challenges and Solutions in Orthopedic Care

Bone screw displacement issue (unable to remove)? Hello Doctor, 1. In January of this year, I underwent surgery for a fracture of the fourth toe on my right foot, where a bone screw made of a bioabsorbable material was inserted, which does not require removal through another su...

Dr. Chen Bochen Reply:
Hello, 1. Typically, the hospitalization for the removal of bone screws lasts about two days, and there is no need for a recovery period. Just make sure to keep the wound dry and avoid covering it tightly. 2. It's okay if the bone screw cannot be located; usually, partial...

Addressing Issues with Distal Humerus Fracture and Hardware Removal

Distal humeral fracture screw removal issues? Hello Doctor, I was in a car accident on June 2nd of this year, which resulted in a distal humerus fracture in my left arm. On June 3rd, I underwent surgery where two plates and eight screws were inserted to stabilize my upper arm, an...

Dr. Shi Guozheng Reply:
After the removal of bone screws, joint mobility may improve slightly, but the sensation of stiffness may not necessarily improve. If there are two bone plates fixed, removing them simultaneously may sometimes lead to re-fracture; therefore, it is reasonable to perform the remova...

Rehabilitation After Patellar Fracture Screw Removal: Key Recovery Tips

Rehabilitation after screw removal surgery for patellar fracture? Hello, doctor! I have a patellar fracture in my knee due to a car accident, which broke into three large pieces and several smaller fragments. I had a health insurance-covered surgery with bone screws, but the firs...

Dr. Chen Bochen Reply:
Hello, regarding the general conditions after a patellar fracture, the decision about your personal situation should be made by your surgeon based on the surgical status, X-rays, and physical examination. (1) After the removal of the screws, when can I bend my knee to 90 degree...

Assessing Knee Pain: MRI, Bone Screw Materials, and Alternative Diagnosis

Low-field MRI + interface bone screws in the knee + X-ray to determine the material of the screws? Hello Dr. Chen, I underwent a right knee anterior cruciate ligament reconstruction surgery 26 years ago due to a sports injury, using my own patellar tendon for the reconstruction ...

Dr. Chen Bochen Reply:
1. Modern MRI technology can utilize MARS (Metal Artifact Reduction Sequence) to reduce artifacts; however, it depends on whether the hospital where the procedure is performed has this technology. Contrast agents cannot reduce artifacts but can assist the physician in obtaining c...

Post-Surgery Recovery for Olecranon Fracture: What to Expect

Postoperative care for a comminuted fracture of the coronoid process? Hello doctor, I am one week post-surgery. My elbow is currently immobilized with a splint and a triangular bandage. I would like to know when I can stop using the immobilization devices and when I will be able ...

Dr. Zhan Xian Reply:
Hello Ms. Chen, your attending physician is the most familiar with your fracture condition, please consult your attending physician!

Walking After Fifth Metatarsal Fracture Surgery: What You Need to Know

Walking after foot metatarsal fracture surgery? I suffered a fracture of the fifth metatarsal in my right foot due to a car accident and underwent surgery to have screws placed. It has been six weeks since the surgery, and I have already had the splint removed. I am currently usi...

Dr. Chen Bochen Reply:
Hello Kevin, Actually, to provide you with a more accurate answer, I would need to see your recent X-rays. However, on average, you can start bearing weight on your fifth metatarsal fracture about six weeks post-surgery. It is important to wear hard-soled shoes; boots, thick-so...

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