Bone, Orthopedics FAQ

Post-Surgery Wrist Pain: Is It Normal After Plate Removal?

Post-operative pain in the hand after removal of the bone plate? Hello Doctor, I had an open wrist fracture and had a titanium plate inserted. After 2 years and 2 months, I started experiencing sharp pain when lifting objects, particularly in my thumb and index finger, making it ...

Dr. Shi Guozheng Reply:
Pain is a normal response, and small bone fractures typically take about three months to heal. During this period, it is important to avoid any collisions or falls to prevent re-fracturing the bone.

Understanding Metatarsal Fractures: Recovery and Rehabilitation Insights

Metatarsal fracture Hello Doctor, I had a car accident at the beginning of April and sustained a fracture of the third and fourth metatarsal bones. I was put in a cast at the time, and the images are as follows: https://lurl.cc/2bbRd, dated 4/4, 4/22 (cast removal), and 5/20. Aft...

Dr. Wang Shouji Reply:
Hello, generally speaking, metatarsal fractures rarely result in nonunion. Fracture healing typically takes at least three months. If there is initial healing, most weight-bearing activities should not pose significant issues. Displacement in metatarsal fractures has an acceptabl...

Understanding Metatarsal Fractures: Healing, Recovery, and Rehabilitation

Metatarsal fracture Hello Doctor, I had a car accident at the beginning of April and sustained a fracture in the third and fourth metatarsal bones. I was in a cast for several weeks, with X-rays taken on 4/4, 4/22 (when the cast was removed), and 5/20. After the cast was removed,...

Dr. Chen Bochen Reply:
Don't worry, the bone will heal on its own. Just make sure to walk and run more (gradually).

Understanding Metatarsal Fractures: Healing, Recovery, and Rehabilitation

Metatarsal fracture Hello Doctor, I was in a car accident at the beginning of April and sustained a fracture in the third and fourth metatarsals. I had a cast for several weeks, and the X-rays were taken on 4/4, 4/22 (when the cast was removed), and 5/20. After the cast was remov...

Dr. Chen Bochen Reply:
Don't worry, the bone will heal on its own. Just make sure to walk and run more (gradually).

Understanding Ankle Fractures: Recovery and Treatment Options After an Accident

Left ankle fracture due to a car accident? Hello, I sustained a fracture (hairline fracture) of my left ankle on April 12 due to a car accident. An X-ray taken on May 2 showed slight displacement. Here are the X-ray links: https://lurl.cc/WYawY5/18 and https://lurl.cc/mpXbR1. I h...

Dr. Zhan Xian Reply:
Hello Steve, surgery is recommended because the fracture is displaced. It is not advisable to bear weight as the fracture has not healed, and you will need to use crutches. If the displacement affects the joint, it may increase the risk of post-traumatic arthritis in the future. ...

Understanding Treatment and Recovery for Left Ankle Fractures

Fracture of the left medial malleolus? Hello, I fractured my left ankle on April 12. The X-ray taken on May 2 can be found at https://lurl.cc/WYawY and the X-ray taken on May 18 is at https://lurl.cc/mpXbR1. I have a few questions: 1. Can I undergo conservative treatment? There...

Dr. Shi Guozheng Reply:
1. Conservative treatment may potentially lead to the occurrence of arthritis in the future, but the probability is uncertain. 2. Normal walking can only resume after healing, as there may be friction on the side. 3. It is possible. 4. There is a possibility. 5. It is bes...

Understanding Fractured Cuboid and Grade 2 Sprain: Recovery Insights

Scaphoid fracture and Grade II sprain? Hello Doctor, I fell on April 22, resulting in a fracture of the cuboid bone and a grade 2 sprain. I have been in a cast and have been resting at home for 4 weeks. 1. Currently, I have bruising on the bases of four toes, and they are painf...

Dr. Chen Yongxue Reply:
Hello, I have a fracture of the fibula along with a grade 2 sprain. I have been using a cast for immobilization and have been resting at home for 4 weeks. Bruising is expected with fractures, and it seems to have pooled in my toes, likely due to not elevating my leg. The bruising...

Understanding Post-Surgery Pain in Femoral Osteonecrosis: What to Expect

Avascular necrosis of the femur Hello Doctor: I underwent femoral decompression last month! The doctor used two types of bone grafts, one is bone allograft and the other is osteoconductive bone graft. It should be better to use these two together, right? On the 20th, it has been ...

Dr. Chen Yongxue Reply:
Hello, avascular necrosis of the femoral head can be treated with decompression surgery in the early stages, a hemiarthroplasty in the mid-stages, and a total hip arthroplasty in the late stages. Each individual's condition is different, so please trust your attending physic...

Impact of Gravity on Recovery After Humerus Fracture Surgery

One month post humeral fracture surgery? Hello, doctor. I was in a car accident in April 2024 and sustained a fracture at the junction of my humerus and shoulder. I underwent surgery on the same day. However, after my follow-up appointment six weeks post-surgery, it was noted tha...

Dr. Chen Yongxue Reply:
The current period is the golden time for bone healing after a fracture. Please ensure proper immobilization using slings or braces, and supplement with calcium. Once the callus has formed, there may be stiffness in the shoulder joint, at which point diligent rehabilitation will ...

Understanding Left Ankle Fractures: Surgery, Healing, and Recovery

Fracture of the left medial malleolus? Hello, I apologize for the inconvenience. I suffered a fracture (hairline fracture) of my left ankle on April 12 due to a car accident. An X-ray taken on May 2 showed slight displacement. Here is the link to the X-ray: https://lurl.cc/WYawY1...

Dr. Chen Bochen Reply:
1. If this condition remains stable and does not shift, there is a high chance it will heal on its own. 2. The correct term is avulsion fracture. 3. After healing, walking should gradually return to a natural state. 4. Normal.

Understanding Growth Plate Injuries: Impact of Playing Baseball on Recovery

Growth plate and fracture at the junction of the fingers? Hello Doctor: I am 14 years old. While playing sports, I accidentally injured my finger by hitting it against a carrot. I went to a nearby hospital for treatment, and after an X-ray, it was found that there is a crack in t...

Dr. Shen Boquan Reply:
Hello, after the X-ray, it was found that there is a crack in the growth plate of the left thumb joint and the bone above it, indicating a fracture. If it is indeed a fracture, early activity is not recommended to avoid improper healing. Wishing you good health, Shen Boquan.

Understanding Pin Displacement After Finger Fracture Rehabilitation

Dislocation of the little finger? Hello, I fractured my little finger in mid-April. After the stitches were removed, the doctor taught me how to rehabilitate it myself. Recently, after rehabilitation, a certain point on my little finger has become very painful and swollen. After ...

Dr. Chen Yongxue Reply:
Hello, a fracture of the little finger generally requires fixation with a steel pin. However, the bone quality of the little finger is not very good, so the fixation effect is naturally poorer compared to other bones. The displacement of the pin is not ideal and may be related to...

Understanding Navicular Bone Avascular Necrosis: Surgery and Rehabilitation Insights

Scaphoid bone necrosis Hello Dr. Shen, my mother had a car accident in her childhood that resulted in the amputation of her right leg. For the past 7-8 years, she has been experiencing frequent swelling and pain in her left ankle, and after a medical evaluation, she was diagnosed...

Dr. Shen Boquan Reply:
Hello, I apologize for not having experience with surgery for navicular bone necrosis in the foot. If conservative treatment is not effective, surgery may be the next option. If you have any concerns or questions, you can discuss them with a foot and ankle specialist. Wishing you...

Assessing the Need for Dynamic Intramedullary Nail Surgery After Two Years of Nonunion

Is surgery for dynamization necessary for a femoral nonunion that has persisted for two years? Hello Dr. Chen, Two years ago, in February 2022, I was involved in a car accident and underwent surgery for an intramedullary nail fixation of the femur. Since then, the results have ...

Dr. Chen Yongxue Reply:
Hello, the attached X-ray shows a nonunion of the right femoral shaft fracture after treatment with intramedullary nailing. At this point, a "dynamization" approach can be utilized (removing the locking screws at the ends to promote compression at the fracture site), wh...

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...

Understanding PCL Avulsion Fractures: Healing Status After Six Months

PCL avulsion fracture (six months duration) Hello Doctor: I had a car accident last November and was diagnosed with a PCL avulsion fracture. At that time, I did not undergo surgery and was only immobilized for two months. It has now been six months, and my orthopedic doctor arran...

Dr. Chen Yongxue Reply:
Hello, according to the MRI report you provided, the posterior cruciate ligament has not yet healed (which is actually to be expected). As for the treatment you should pursue, it depends on your daily activities: if you are an active person who enjoys sports, especially those tha...

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.

Understanding Ankle Fractures: Surgery vs. Conservative Treatment Options

Left ankle fracture due to a car accident? Hello, I fractured my left ankle on April 12th, and on May 2nd, an X-ray revealed a slight displacement. 1. Does this require surgery? Will conservative treatment allow it to heal? 2. Has the bone shifted significantly? 3. Will this affe...

Dr. Chen Bochen Reply:
The link you provided is not accessible.

Slow Recovery After Limb Lengthening Surgery: Common Concerns and Rehab Tips

Slow recovery after bone lengthening surgery? Hello, Doctor. I underwent a left femur lengthening surgery on April 2034, achieving an extension of 4 cm. In October 2023, the external fixator was removed and replaced with an internal fixation plate (not intramedullary nails), spec...

Dr. Chen Yongxue Reply:
Hello, if there is a discrepancy in leg length, it often accompanies issues with spinal scoliosis. When the lower limb is lengthened, the spinal curvature may not improve immediately, which can lead to other problems, making it feel as though the legs are still unequal in length....

Recovery Insights for Ankle Fractures and Swelling After a Car Accident

Left ankle fracture and swelling of the left calf due to a car accident? Hello, I apologize for the inconvenience. I sustained a closed ankle fracture (hairline fracture) on the left side in a car accident on April 12, 2024. The fracture is 1 cm in length, and while there is no i...

Dr. Shi Guozheng Reply:
1. It will heal in about three months. 2. It's normal; if there is swelling, elevating the leg usually helps it gradually subside. 3. It's possible. 4. Elevate the affected area and perform ankle exercises. 5. You can wear it; it doesn't necessarily need to...

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