Understanding Ankle Ligament Injuries: Recovery and Treatment Insights
Ankle ligament tear with bone avulsion? Hello, Doctor. A month ago, I fell down the stairs and my ankle is swollen and painful. I had an X-ray which showed no fractures, and the doctor said that I had a ligament tear due to inversion and advised me to use a brace while waiting fo...
Dr. Shi Guozheng Reply:
Ligament injuries of the ankle joint typically recover with rest and immobilization. When you mention joint separation, are you referring to distal tibiofibular diastasis? If the separation is significant, surgical intervention with bone screws may be necessary. It would be advis...[Read More] Understanding Ankle Ligament Injuries: Recovery and Treatment Insights
Understanding Post-Fracture Recovery: Strength and Risks After Plate Removal
Fracture issues? Hello Doctor: I fractured my left clavicle last August and underwent treatment with a plate. The plate was removed in February, and I currently have no major issues. I have been engaging in sports such as swimming, pull-ups, and push-ups, and I don't experie...
Dr. Shi Guozheng Reply:
After the removal of bone screws following a fracture, there will be holes in the healed bone. These holes can create weak points in the bone, and if subjected to significant stress, there is a possibility of re-fracture. Typically, it takes about six months for the holes to fill...[Read More] Understanding Post-Fracture Recovery: Strength and Risks After Plate Removal
Understanding Spondylolisthesis: Benefits and Risks of Bone Cement Injection
Spondylolisthesis Hello Doctor: My mother is 75 years old and has been diagnosed with grade 1-2 spondylolisthesis by a specialist. She has been advised to undergo injection of artificial bone cement. I would like to know the advantages and disadvantages of this treatment. Thank y...
Dr. Shi Guozheng Reply:
Vertebral slippage injection of bone cement? This statement may be incorrect. Spondylolisthesis typically causes pain, and if severe, it can compress the nerves. In such cases, the treatment approach is surgical intervention, which may involve the placement of bone screws for sta...[Read More] Understanding Spondylolisthesis: Benefits and Risks of Bone Cement Injection
Do You Need Pins for a Fractured Leg? Understanding Treatment Options
Is it necessary to place bone screws? Hello Doctor, this is the situation of my friend who suffered a fracture in her lower leg after a car accident yesterday. Does she need to have pins inserted, or can it be treated with a cast? Are there any better options for recovery? Thank ...
Dr. Shi Guozheng Reply:
The X-ray shows a fracture of the tibia in the lower third of the shaft, with no fracture of the fibula. There is slight displacement of the tibia, but it is acceptable. This condition can be treated with a cast for stabilization, and it will take approximately three months for r...[Read More] Do You Need Pins for a Fractured Leg? Understanding Treatment Options
How to Remove Surgical Pins After Radius Fracture Recovery?
I would like to know how to remove the recovery period steel pins? Hello, Doctor. I sustained a fracture of the radius while playing basketball on April 30. I underwent surgery where two steel pins were inserted to realign the bone. There are two small wounds on the skin surface,...
Dr. Shi Guozheng Reply:
Typically, bone screws can be removed in about six to eight weeks, but the decision depends on the degree of bone healing as seen on X-rays. If the screws are protruding through the skin, they can be removed directly in the outpatient setting using tools, and anesthesia may not b...[Read More] How to Remove Surgical Pins After Radius Fracture Recovery?
Is It Necessary to Remove Metal Pins After Bone Healing?
Is it necessary to remove the steel pins once the bone has healed? Hello, doctor. If I have a steel pin in my hand due to a fracture and it has healed normally after a year, my doctor has advised me to have the pin removed. What would be the consequences if I choose not to remove...
Dr. Shi Guozheng Reply:
Sometimes bone screws may shift or protrude to the surface of the skin, at which point they must be removed. However, there are also instances where there are no issues at all.[Read More] Is It Necessary to Remove Metal Pins After Bone Healing?
Essential Care Tips for Managing Your Surgical Pin Wound
How to care for a wound from a steel nail? Hello doctor, my big toe had an exposed steel pin inserted last December, and it was removed in January. When I went to the rehabilitation clinic for therapy, they said my scab wouldn't fall off on its own and needed to be manually ...
Dr. Shi Guozheng Reply:
For wounds near bone screws, it is sufficient to clean the area with saline solution and keep it dry. Scabbing is normal and does not need to be forcibly removed; it can be allowed to fall off naturally. If the area around the bone screw is clean, there is no cause for concern.[Read More] Essential Care Tips for Managing Your Surgical Pin Wound
Effective Rehabilitation Strategies for Post-Clavicle Fracture Pain Relief
Rehabilitation after Clavicle Injury Hello Doctor, my mother had a car accident in December 2014, which resulted in a comminuted fracture of her clavicle. After surgery, a metal plate was installed for over a year, and earlier this year, she underwent another surgery to remove th...
Dr. Shi Guozheng Reply:
Clavicle fractures typically do not cause much pain after healing. Since you have already had the bone screws removed, it indicates that healing has occurred. The current pain may be related to the fascia or tendons. I recommend taking some pain relievers before bed, and you can ...[Read More] Effective Rehabilitation Strategies for Post-Clavicle Fracture Pain Relief
Understanding Hip Fracture Recovery: Pain and Healing Insights
The foot has not healed? On May 13, 2015, I had a femoral neck fracture and underwent the insertion of three bone screws. During a follow-up appointment two months later, the doctor did not provide any specific feedback. Currently, when sitting, I experience pain on the outer sid...
Dr. Hong Ximing Reply:
After surgery for a femoral neck fracture, scar tissue may form, leading to tightness around the joint. Patients can only perform rehabilitation exercises and should have follow-up evaluations of the femoral head every six months.[Read More] Understanding Hip Fracture Recovery: Pain and Healing Insights
Post-Ankle Fracture Surgery: Recovery Tips and Rehab Guidance
After the removal of ankle fracture screws? Hello... I previously asked a question... I had an ankle fracture on December 25, underwent surgery on December 26, and had the screws removed on February 12. The doctor said I can start putting weight on my foot and try walking with cr...
Dr. Shi Guozheng Reply:
After the removal of the bone screws, rehabilitation should be gradually undertaken, which should improve the flexion and extension of the ankle joint.[Read More] Post-Ankle Fracture Surgery: Recovery Tips and Rehab Guidance
Do You Need to Remove Pins After a Closed Fracture?
Do locking intramedullary nails need to be removed? I sustained a closed fracture of my left ankle during a judo competition. The doctor asked me whether I wanted to pay out of pocket for 60,000 NT or use my health insurance, and I chose to use my health insurance. I would like t...
Dr. Shi Guozheng Reply:
Generally, after surgery for a fracture, it is not necessary to remove the bone screws. However, in some cases where the bone is subcutaneous, meaning it is only covered by a thin layer of skin, the screws may protrude and cause discomfort. In such instances, removal of the screw...[Read More] Do You Need to Remove Pins After a Closed Fracture?
Clavicle Fracture Hardware Removal: Rehab and Return to Sports
Removal of clavicle plate/screws after fracture? I had a clavicle fracture from a car accident last year, and it's been a year now. I am going to have the screws removed. Will I need rehabilitation after the surgery? How long will it take before I can engage in activities li...
Dr. Shi Guozheng Reply:
Playing without the need for rehabilitation may take about six months, as there is a risk of re-injury, which could result in a fracture at the site of the original break or at the holes created by the bone screws. It's better to be cautious.[Read More] Clavicle Fracture Hardware Removal: Rehab and Return to Sports
How Long Does Ankle Screw Removal Surgery Typically Take?
Ankle screw removal time? How long does a typical outpatient procedure for removing metal screws take to complete?
Dr. Shi Guozheng Reply:
The duration will depend on the number of bone screws and whether they are screws or smooth pins. Typically, the procedure can be completed within half an hour. However, if the screws are positioned deeper or are tightly secured, it may take a few additional minutes to remove the...[Read More] How Long Does Ankle Screw Removal Surgery Typically Take?
Understanding Delayed Healing in Femur Fractures: What to Do Next?
Femoral fracture Hello Doctor, I suffered a femur fracture in a car accident on September 21 of last year, just above my left knee. It's been four months now, and the bone hasn't healed, which is puzzling to me. It's strange because I can bend my leg fully without ...
Dr. Shi Guozheng Reply:
Femoral fractures typically require fixation with bone screws or plates, and the healing time is approximately six months. If there are no signs of healing after six months, it is referred to as delayed union. If there is no healing after one year, it is classified as non-union o...[Read More] Understanding Delayed Healing in Femur Fractures: What to Do Next?
Post-Surgery Care Tips for Radial Fracture Plate Removal
Post-operative care following a fracture fixation surgery of the radius? Hello! I had surgery on January 4th to remove the plate that was placed for my radius fracture. Could you please provide me with some postoperative care instructions, including any dietary restrictions? Than...
Dr. Shi Guozheng Reply:
The type of food consumed does not have a significant impact, but it is important to avoid strenuous activities for six months after surgery, as the screw holes from the bone screws have not fully healed. Engaging in excessive force could increase the risk of re-fractures of the ...[Read More] Post-Surgery Care Tips for Radial Fracture Plate Removal
Understanding Post-Fracture Care: Activity, Healing, and Nutrition
Fracture issues Hello, my family member had a fracture in their arm last week and has already undergone surgery. The surgeon placed a steel pin (the kind that doesn't need to be removed), but they mentioned that it's important to move the hand frequently to reduce swell...
Dr. Shi Guozheng Reply:
Humeral fractures typically heal about three months after surgical fixation with bone screws. During this period, it is important to maintain appropriate movement in the elbow and shoulder joints. If the joints are immobilized for too long, it can lead to contractures and joint s...[Read More] Understanding Post-Fracture Care: Activity, Healing, and Nutrition
Understanding Delayed Bone Healing After Wrist Surgery: Causes and Solutions
Delayed bone healing? The screw used for the fixation of the scaphoid fracture in my right wrist has become loose. Earlier this year, I accidentally twisted my wrist violently while working, resulting in an injury. Initially, the pain was intermittent, so I did not pay much atten...
Dr. Shi Guozheng Reply:
Taking 5-6 X-rays will not affect the situation; if the bone has not healed, a second surgery may be necessary to stabilize it with bone screws.[Read More] Understanding Delayed Bone Healing After Wrist Surgery: Causes and Solutions
Understanding Avulsion Fractures: Treatment and Recovery Insights
Tear fracture Hello Doctor, I am Qingfeng, who asked a question a few days ago. I have recently been transferred to the Veterans General Hospital. The doctor said that an X-ray showed a small piece of bone was pulled off along with the ligament, but because that piece of bone is ...
Dr. Shi Guozheng Reply:
If the bone fragment is very small, it may not be possible to fix it with bone screws; typically, applying a cast will allow it to heal. The area where the ligaments and bones come into contact often tears due to external forces. Usually, when there is a bone tear, the injury to ...[Read More] Understanding Avulsion Fractures: Treatment and Recovery Insights
Recovery After Steel Pin Removal from Colles Fracture: What to Expect
Recovery after removal of metal screws? Hello Doctor: I initially suffered a closed Colles fracture of the wrist due to a car accident. At that time, the doctor informed me that the steel pins could be removed after about a year, and that I could be discharged the day after the s...
Dr. Shi Guozheng Reply:
The removal of the wrist bone screws allows for suture removal approximately one week later, and normal function is expected to return within two weeks. However, it is important to avoid excessive force for three months, as the screw holes are relatively weak. Strong impacts duri...[Read More] Recovery After Steel Pin Removal from Colles Fracture: What to Expect
Do Physical Therapists Cause Displacement with Manual Therapy Techniques?
Physical therapy massage Will the physical therapist cause displacement of the concave hand, steel plate, or bone screws?
Dr. Wang Shouji Reply:
Hello: If force is applied improperly, the aforementioned fractures and plate displacements may occur. Thank you![Read More] Do Physical Therapists Cause Displacement with Manual Therapy Techniques?