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...[Read More] Can Leg Length Discrepancy Improve After Femur Fracture Surgery?
Do You Always Need Surgery for a Fifth Metatarsal Fracture?
Fifth metatarsal displaced closed fracture: Is surgery always necessary? Hello Dr. Chen, this afternoon I went to the United Hospital for a consultation and confirmed that I have a fracture in the head and neck of the fifth metatarsal. The doctor indicated that surgery is needed ...
Dr. Chen Bochen Reply:
Fractures can often be treated without surgery, but a physician must personally evaluate the situation and review X-rays to provide recommendations. The severity of fractures in the same area can vary significantly, and the treatment methods differ accordingly. A thorough assessm...[Read More] Do You Always Need Surgery for a Fifth Metatarsal Fracture?
Understanding Pelvic Fractures: Surgical Options and Recovery Insights
Pelvic fracture Hello, doctor. I would like to ask about my sister. She was in a car accident and has a fracture in her pelvis and a broken small bone in her lower leg (which has been casted). However, she needs surgery for the pelvis. She also has an injury to her pancreas, and ...
Dr. Shi Guozheng Reply:
The question you raised is difficult to answer without an X-ray for reference and without knowing which bone is fractured. If it is a simple fracture, the surgery is relatively straightforward. However, if it is a complex fracture or one near the hip joint, it becomes more challe...[Read More] Understanding Pelvic Fractures: Surgical Options and Recovery Insights
Exploring Minimally Invasive Height Increase Surgery Options for Men
A male who is 159 cm tall is inquiring about minimally invasive height increase surgery? Hello Doctor, I am currently 23 years old and have had an X-ray that shows my growth plates have fully closed. I learned too late that growth hormone therapy could have been an option for me....
Dr. Shi Guozheng Reply:
Bone lengthening surgery involves cutting the original healthy bone (such as the femur or tibia) and then using instruments to gradually lengthen it, often with the implantation of intramedullary nails. After extending the bone to a certain length, it is stabilized to allow for p...[Read More] Exploring Minimally Invasive Height Increase Surgery Options for Men
Post-Operative Care and Rehabilitation for Humerus Fractures: Key Insights
Postoperative care for humeral fracture? I apologize, but Dr. Chen has some questions to ask. My mother (around 60 years old) was in a car accident in mid-September 2020, and she was taken to the emergency room and underwent surgery. Currently, the doctor has advised aggressive r...
Dr. Chen Yongxue Reply:
1. The X-ray taken at the end of December 2020 shows a bone fragment in the shoulder joint, which likely corresponds to the attachment site of the supraspinatus muscle. This could be a primary reason for the inability to raise the arm. Such findings can occasionally be seen in pa...[Read More] Post-Operative Care and Rehabilitation for Humerus Fractures: Key Insights
Should You Remove Surgical Plates and Screws After Ankle Surgery?
Should the metal screws and plates be removed after surgery? Hello, Doctor. On January 14, I underwent surgery for a fibula fracture and tibial dislocation in my left ankle, during which 9 screws and 1 plate were inserted. Although I opted for a self-funded plate that does not ne...
Dr. Cai Shanglin Reply:
Hello Annie, You have undergone ankle fracture surgery with fixation using plates and screws. Typically, recovery takes several months. If the healing process goes smoothly and you do not experience discomfort, the plates can remain in place. However, if you experience pain due...[Read More] Should You Remove Surgical Plates and Screws After Ankle Surgery?
Understanding Recovery from Fractured Toes: Key Questions Answered
Comminuted fracture of the distal phalanges of the right foot, toes 2 to 4? I apologize for asking again: I sustained an injury to my toes on January 7th when a heavy table fell on them, resulting in fractures of the distal phalanges of toes 2 to 4. The toenail on toe 2 has falle...
Dr. Shi Guozheng Reply:
1. About two months. 2. If there are no wounds on the feet, soaking them is fine. 3. Usually, there won't be any significant impact.[Read More] Understanding Recovery from Fractured Toes: Key Questions Answered
Understanding Left Knee Clicking: Causes and Concerns
Abnormal sounds in the left knee? Since early January of this year (I participated in a marathon relay race last December and had no issues with my knee afterward), I have been experiencing a popping sound near the lower left side of my left patella during the process of straight...
Dr. Shi Guozheng Reply:
In the case of a meniscus injury, there is usually persistent pain, and sometimes there may be swelling in the joint. A sound may be heard beneath the patella, which could be the sound of ligaments sliding over the bone.[Read More] Understanding Left Knee Clicking: Causes and Concerns
Understanding Recovery from Radial Bone Fracture: Concerns and Rehabilitation
Radial fracture Hello Doctor, I fractured my right radius on January 24th (approximately in the middle) and underwent surgery to implant a steel plate on January 25th. I had my stitches removed a few days ago. Since I am an artist, I am very anxious about my recovery. I have seve...
Dr. Chen Yongxue Reply:
1. Difficulty in flipping the arm and extending it, with a noticeable protrusion at the site of the steel plate that feels hard to the touch. I would like to know if this indicates that the plate may need to be removed later. You are still very young, and it would be better to re...[Read More] Understanding Recovery from Radial Bone Fracture: Concerns and Rehabilitation
Should You Consider Surgery for Slow-Healing Fifth Metatarsal Fractures?
Is surgery necessary for a fifth metatarsal fracture with a wide gap and slow bone healing? On November 8, 2020, I sustained a fracture of the fifth metatarsal. The doctor recommended either a cast or a brace, and I chose to wear a brace (similar to a walking boot with a raised s...
Dr. Chen Bochen Reply:
Patients receiving Xgeva may experience delayed bone healing; however, percutaneous minimally invasive nailing can accelerate the healing process with relatively low risk.[Read More] Should You Consider Surgery for Slow-Healing Fifth Metatarsal Fractures?
Post-Surgery Recovery Challenges After Fifth Toe Fracture: Seeking Solutions
Postoperative care for metatarsal fractures? I fell on May 20, 2020, and it was confirmed that I had a fracture of the fifth toe. I underwent surgery on September 18. Even after the surgery, I still experienced significant pain and soreness in my calf, and I couldn't stand o...
Dr. Wang Shouji Reply:
Hello, toe fractures typically take about 6 months to heal completely, depending on your age. First, it is important to confirm whether the internal fixation devices are irritating the soft tissues and causing pain. If that is a possibility, they will need to be removed before th...[Read More] Post-Surgery Recovery Challenges After Fifth Toe Fracture: Seeking Solutions
Post-Operative Care and Daily Living Tips After Total En Bloc Spondylectomy
What are the care considerations after a total vertebral body resection and spinal fusion surgery? I have a giant cell tumor on my lumbar vertebra L3, and the most suitable treatment is a Total En Bloc Spondylectomy (TES). I later found a physician at National Taiwan University H...
Dr. Chen Bochen Reply:
During your hospitalization, a consultation with the rehabilitation department will take place. Physical and occupational therapists will guide you on how to overcome daily challenges. The professional therapists will tailor their instruction based on your current condition. At t...[Read More] Post-Operative Care and Daily Living Tips After Total En Bloc Spondylectomy
Understanding Knee Discomfort: Causes, Concerns, and Care Tips
Knee problems Hello Doctor: I have three questions. 1. My left knee has been uncomfortable for two days, but it’s not painful to the point where I can describe the sensation. There is a spot on the outer upper side of my left knee that hurts when pressed, but the appearance of ...
Dr. Shi Guozheng Reply:
1. It could be tendonitis near the knee, and the noise might indicate a problem with the patella. 2. Bone cancer typically causes localized swelling and significant pain, such as in the knee or hip. If it has metastasized to the bones, back pain would indicate advanced stages, ...[Read More] Understanding Knee Discomfort: Causes, Concerns, and Care Tips
Do You Need Treatment for Prominent Bones on Your Foot?
Bony prominence on the dorsum of the foot? Doctor, I have protruding bones on my foot. Do I need treatment? There are protrusions in the middle and outer side of my foot, but they do not hurt when pressed.
Dr. Chen Yongxue Reply:
Hello, if you have no symptoms, please disregard this. Thank you.[Read More] Do You Need Treatment for Prominent Bones on Your Foot?
Persistent Pain and Swelling in the Fifth Toe: What to Know
Pain in the fifth toe? Hello, doctor. In August 2020, during the summer vacation, I accidentally kicked a door. Until now, my fifth toe is still red and swollen, and there is a noticeable bump when I touch it. It doesn't hurt much, but there is still some pain when I press o...
Dr. Shi Guozheng Reply:
Toe fractures can heal on their own, but if pain persists, medical attention is necessary, as sometimes the bones may heal improperly or be misaligned.[Read More] Persistent Pain and Swelling in the Fifth Toe: What to Know
Leg Length Discrepancy After Femur Fracture Surgery: Causes and Concerns
After the removal of the metal pins from a femoral fracture, the leg has become longer? Hello Doctor, I fractured my left thigh in a car accident and underwent surgery to remove the metal pins on January 20th of this year. My condition has been good, but after being discharged, I...
Dr. Zhan Xian Reply:
Hello Ms. Chi, a femoral fracture may potentially lead to complications such as changes in bone length, either elongation or shortening. However, there is no need to worry excessively. If there was no noticeable leg length discrepancy prior to the removal, the length of the bone ...[Read More] Leg Length Discrepancy After Femur Fracture Surgery: Causes and Concerns
Chronic Ankle Shortening and Muscle Tension After Old Leg Fracture
The muscle and tendon tissue at the site of an old fracture in the calf is being pulled, resulting in a persistent shortening of the ankle extension? Approximately 30 years ago, I sustained an open fracture of the left tibia in a car accident. The steel rod that was placed to sup...
Dr. Shi Guozheng Reply:
It may be related to tissue adhesions, so you can try rehabilitation to see if it alleviates the symptoms. If there is no improvement, further evaluation will be needed to determine if surgery is necessary.[Read More] Chronic Ankle Shortening and Muscle Tension After Old Leg Fracture
Post-Thoracic Surgery: Why Can't My Left Heel Support My Weight?
After thoracic spine surgery, the left heel is unable to bear weight? Hello Doctor: I suffered a burst fracture of the twelfth thoracic vertebra last October and had steel rods and bone cement implanted. Currently, I am able to walk with both legs. However, my left heel cannot su...
Dr. Chen Bochen Reply:
Based on the information you provided, it appears that the primary injury is to the L5 nerve. The MRI shows no stenosis at the L4/5 level, but the L5 nerve may have been injured at the T12 level. It is recommended that, in addition to investigating the cause, active rehabilitatio...[Read More] Post-Thoracic Surgery: Why Can't My Left Heel Support My Weight?
Understanding a Painful Lump on Your Thigh: What to Do Next
There is a hard lump with a diameter of 4 centimeters on the right thigh? Hello Dr. Chen, I recently noticed a hard lump with a diameter of four centimeters on my right thigh (it is not raised), and its appearance is not due to a bruise from a collision (it has the normal skin co...
Dr. Chen Yongxue Reply:
Hello, 1. Should I go to an orthopedic clinic? Yes, please visit the orthopedic department at a medical center. 2. Should I get an MRI, X-ray, or ultrasound? The physician will decide. 3. Are these examinations covered by health insurance or are they out-of-pocket? If necessary, ...[Read More] Understanding a Painful Lump on Your Thigh: What to Do Next
Understanding Healing Time After Fifth Metatarsal Surgery
Healing time after fifth metatarsal surgery? Hello Doctor, I sustained a fracture of the fifth metatarsal while playing soccer on October 15, 2020. The doctor provided me with a foot brace, but due to work-related activities, I had to move around for a month after the injury, and...
Dr. Zhan Xian Reply:
Hello Mr. Hogan, the improvement of symptoms is a positive sign, but whether healing has occurred will require follow-up in the outpatient clinic.[Read More] Understanding Healing Time After Fifth Metatarsal Surgery