Post-Surgery Pain After Removal of Ankle Fracture Plate: What to Expect?
Pain after removal of the plate following a fracture of the left calcaneus? Hello Dr. You: In January of this year, I fell from a 3-meter ladder, resulting in a closed comminuted fracture of my left heel. I had a steel plate and artificial bone implanted. My recovery has been rel...
Dr. You Dianqi Reply:
Hello: Were you diagnosed with a fracture of the calcaneus? If so, this type of fracture is indeed considered to have a poorer prognosis. Additionally, during your treatment, did you experience any signs of infection? It is quite unusual for symptoms to worsen nine months after t...[Read More] Post-Surgery Pain After Removal of Ankle Fracture Plate: What to Expect?
Unable to Bend Ring Finger After Fracture: Possible Causes and Solutions
Inability to bend the right ring finger after a fracture? Hello, Doctor You: I suffered a fracture in the second phalanx of my right ring finger due to a crush injury at work. I underwent surgery on April 17, 2019, to have a plate inserted. Since then, I have been undergoing reha...
Dr. You Dianqi Reply:
Hello: The phenomenon and explanations you mentioned are indeed possible causes from a theoretical perspective, including the mechanism of injury, surgical approach, the extent of tendon damage at the time, and whether there is postoperative adhesion, among others. These conditio...[Read More] Unable to Bend Ring Finger After Fracture: Possible Causes and Solutions
Recovery Timeline for Tibial Plateau Fracture and ACL Tear
Left tibial plateau fracture and anterior cruciate ligament tear? Hello, Doctor. I was in a car accident at the beginning of August, which resulted in a fracture of the left tibial plateau and a torn anterior cruciate ligament (ACL). In mid-August, I underwent surgery where they ...
Dr. Shi Guozheng Reply:
1. Tibial plateau fractures typically take about 3 months to heal; walking or putting weight on crutches too early can be painful. 2. After three months, it is appropriate to reconstruct the ligaments; the bone should be allowed to heal first before undergoing reconstruction su...[Read More] Recovery Timeline for Tibial Plateau Fracture and ACL Tear
Understanding Complications and Recovery from Femoral Fractures
Issues related to femoral fractures? 1. A month ago, I suffered a comminuted fracture of my left thigh due to a motorcycle accident. The fracture site was severely fragmented, but during my follow-up appointment this month, the X-ray showed little progress. The doctor mentioned t...
Dr. Wang Shouji Reply:
Hello, 1. Generally, if there is no healing after three months, it is recommended to consult an orthopedic specialist. 2. If the fracture is stable, appropriate rehabilitation is permissible. 3. There are many factors that affect fracture healing, such as the degree of fracture c...[Read More] Understanding Complications and Recovery from Femoral Fractures
Understanding Metatarsal Injuries: Signs, Symptoms, and Treatment Options
Metatarsal issues Hello doctor, I would like to ask about an injury I sustained on September 3rd. While I was out, my left foot's second metatarsal area was lightly pressed by the side of a motorcycle, resulting in a small cut and a fairly deep bruise. There was some pain, b...
Dr. Li Yongheng Reply:
Hello, based on the symptoms you described, it is unlikely that there is a fracture. Additionally, since the symptoms are mild, even if there were a fracture, surgical treatment would not be necessary.[Read More] Understanding Metatarsal Injuries: Signs, Symptoms, and Treatment Options
Effective Treatment Options for Cartilage Compression Injuries
Treatment for cartilage compression and bone contusion? A 27-year-old female friend woke up in the morning with sudden pelvic pain. After visiting an orthopedic clinic, the doctor diagnosed her with cartilage compression and bone contusion. What treatment options or recommendatio...
Dr. Li Yongheng Reply:
Hello, generally speaking, pelvic pain should be evaluated to rule out pelvic infections. If there is no infection, attention should be paid to posture, avoiding bending and lifting heavy objects, and training the core muscle groups, which should significantly improve pelvic pain...[Read More] Effective Treatment Options for Cartilage Compression Injuries
Understanding the Decision Not to Remove Bone Pins After 3 Years
Self-funded bone screws for open fracture recovery after a car accident; follow-up visit three years later without hardware removal? Hello Dr. Lee, I would like to ask you a question. I am a 31-year-old male with a bone screw located about 2-3 cm above the tibia in my lower leg. ...
Dr. Li Yongheng Reply:
1. Generally, the materials for self-funded bone screws are mostly titanium alloy or stainless steel alloy. 2. If the surgeon recommends not to remove them, it is advisable not to remove them.[Read More] Understanding the Decision Not to Remove Bone Pins After 3 Years
Post-Surgery Concerns for Wrist Fracture Recovery: What to Expect
Post-operative issues related to the wrist? Dear Dr. Shi, My mother fell at home in mid-February, resulting in a fracture and displacement of her left wrist joint. Due to various reasons, her surgery was delayed until mid-May. Because of the prolonged time since the injury, the ...
Dr. Shi Guozheng Reply:
1. It is inevitable for joints to become stiff after a fracture, and continuous rehabilitation is necessary for improvement. 2. For a fracture to heal, a callus will form at the site, and with the presence of a plate, it may appear slightly thicker. 3. If the surgical incisio...[Read More] Post-Surgery Concerns for Wrist Fracture Recovery: What to Expect
Understanding Open Tibial Fractures: Recovery and Treatment Insights
Open fracture of the tibia due to a car accident? Hello, Doctor. I have a few questions for you: 1. Chief complaint: A 57-year-old male, in August 2019, was struck by a car, resulting in an open fracture of the tibia, multi-fragmentary fracture of the tibia, and a diaphyseal fr...
Dr. Zhan Xian Reply:
The postoperative X-ray shows an acceptable fracture location; however, there are many factors that can affect fracture healing, such as soft tissue damage and blood circulation at the fracture site, which cannot be assessed by X-ray. Generally, more severe fractures in the lower...[Read More] Understanding Open Tibial Fractures: Recovery and Treatment Insights
Understanding Fifth Toe Bunion: Causes, Treatment, and Management Options
Ulnar deviation of the little finger Hello, doctor: I have been experiencing foot pain for about a year now. Today, I finally went to a large hospital for an X-ray examination. I had previously researched online and suspected that I might have fifth toe varus due to the prominenc...
Dr. Zhan Xian Reply:
If conservative treatment for fifth toe valgus and bone protrusion is ineffective, surgical intervention may be considered. Conservative treatment includes taking anti-inflammatory pain relievers, avoiding tight shoes, and minimizing prolonged standing. If symptoms do not improve...[Read More] Understanding Fifth Toe Bunion: Causes, Treatment, and Management Options
Understanding Height Changes: Growth Plate Closure and Aging Effects
Height issues Hello, Doctor, may I ask you a question? If we do not consider posture adjustments or the temporary increase in intervertebral disc hydration that can lead to a slight increase in height, is it impossible for an adult whose growth plates have already closed to grow ...
Dr. Shi Guozheng Reply:
Theoretically, once the growth plates have closed, an individual will no longer grow taller. As people age, their bones can become osteoporotic, leading to a decrease in height. Some individuals may experience compression fractures in their vertebrae, which can also result in a r...[Read More] Understanding Height Changes: Growth Plate Closure and Aging Effects
Post-Exercise Lateral Knee Pain: Causes and Solutions for Relief
Lateral knee pain after exercise? Hello, Doctor. Recently, I've been experiencing pain on the outer side of my knees after exercising, especially when bending them. Both legs have had this issue. The pain subsides after resting for a day or two, but it recurs whenever I exer...
Dr. Zhan Xian Reply:
There are many factors that can cause lateral knee pain, such as inflammation, discoid meniscus, and iliotibial band syndrome. If the pain does not significantly affect daily life, medical attention may not be necessary. However, if the pain does not improve, it is important to s...[Read More] Post-Exercise Lateral Knee Pain: Causes and Solutions for Relief
Concerns About Misalignment After Femur Fracture Surgery
Issues related to femoral fracture reduction? Hello doctor, after the femur was stabilized with a steel rod, it appears to be misaligned compared to the original bone. Will this be a problem? Below is the X-ray taken two and a half weeks post-surgery: https://1drv.ms/u/s!Ah0EJZCX...
Dr. You Dianqi Reply:
Hello: Your issue may require a comprehensive evaluation, including complete frontal and lateral photographs before and after surgery, a physical examination to check for any rotational problems, and an assessment of whether you are undergoing closed reduction or open reduction. ...[Read More] Concerns About Misalignment After Femur Fracture Surgery
Understanding Calcaneal Fracture Fixation: Plate and Screw Considerations
Questions related to internal fixation surgery for calcaneal intra-articular fractures using plates? Hello Dr. Lee, I would like to ask you some questions regarding the use of plates for fixation in the treatment of calcaneal fractures. First, as far as I know, there are traditio...
Dr. Li Yongheng Reply:
1. The traditional Y-shaped plate has screw holes that are not threaded. The self-funded A Plus anatomical plate allows for fewer bone screws to be used in fixation compared to the traditional Y-shaped plate, and the types of bone screws used for both plates are different. 2. T...[Read More] Understanding Calcaneal Fracture Fixation: Plate and Screw Considerations
Post-Cast Recovery: Addressing Concerns After Fibula Fracture Surgery
Questions about rehabilitation after fibula fracture cast removal? Dear Consultation Team, I have a fracture and dislocation near the joint of my right fibula. On July 20, I underwent a surgical procedure to fixate the bone with screws and was placed in a cast. The cast was remo...
Dr. Zhan Xian Reply:
After removing the cast, walking should be gradually increased and not done excessively at once. If there is slight swelling, elevate the limb and rest. If pain and swelling do not improve, consider returning to the original clinic for follow-up.[Read More] Post-Cast Recovery: Addressing Concerns After Fibula Fracture Surgery
Post-Surgery Leg Alignment: Concerns After Femur Fracture Repair
Femoral fracture Is there a problem if the femur is misaligned compared to the original bone after the insertion of a steel nail? Here is the X-ray taken two and a half weeks post-surgery: https://1drv.ms/u/s!Ah0EJZCX9RDJlS9JCp8pm1KVFvv9?e=Bh2J22
Dr. You Dianqi Reply:
Hello: Your issue may require a comprehensive evaluation, including complete frontal and lateral photographs before and after surgery, a physical examination to check for any rotational problems, and an assessment of whether you are undergoing closed reduction or open reduction. ...[Read More] Post-Surgery Leg Alignment: Concerns After Femur Fracture Repair
Concerns About Misalignment After Femur Nail Surgery
Issues with femoral intramedullary nails? Is there a problem if the femur is misaligned compared to the original bone after the insertion of a steel pin? Here is the X-ray taken two and a half weeks post-surgery: [link].
Dr. Li Yongheng Reply:
Hello, I'm sorry, but your X-ray file cannot be opened. I recommend that you visit a nearby orthopedic clinic for examination and discussion. Thank you.[Read More] Concerns About Misalignment After Femur Nail Surgery
Understanding Screw Displacement in Orthopedic Surgery After Fractures
Screw displacement Hello Dr. Lee, I would like to ask about a situation following a car accident where I fractured my tibia and fibula. I underwent surgery and had an intramedullary nail implanted. However, after more than two months, an X-ray showed that one of the screws near t...
Dr. Li Yongheng Reply:
Hello, as long as the bone screws are not displaced significantly due to activities like walking, there should be no major issues, so please don't worry too much.[Read More] Understanding Screw Displacement in Orthopedic Surgery After Fractures
Understanding Screw Migration After Intramedullary Nail Surgery
Screw displacement Hello Dr. Lee, I would like to ask about a situation following a car accident where I fractured my tibia and fibula. I underwent surgery and had an intramedullary nail implanted. However, after more than two months, an X-ray showed that one of the screws near t...
Dr. Li Yongheng Reply:
Hello, as long as there is not much displacement of the bone screws due to activities like walking, there should be no major issues, so please don't worry too much.[Read More] Understanding Screw Migration After Intramedullary Nail Surgery
Understanding Discomfort from Sitting: Bone Pressure and Solutions
Sitting on a chair causes the bones in the buttocks to directly contact the seat, resulting in the sensation that the entire body weight is pressing down on the bones? When sitting on a chair, I often feel the bones in my buttocks directly contacting the chair, especially on hard...
Dr. Wang Shouji Reply:
Hello: If walking does not trigger leg numbness or pain, there is likely no cause for concern. However, please be mindful of your sitting posture and avoid sitting on hard chairs. Being too thin or having poor posture can also contribute to issues. If problems persist, please con...[Read More] Understanding Discomfort from Sitting: Bone Pressure and Solutions