Should You Operate on Closed Metatarsal Fractures in the Foot?
Metatarsal fracture Closed fractures of the first, second, third, and fourth metatarsals in the left foot: Is surgery necessary?
Dr. Chen Yongxue Reply:
Hello, not all fractures require surgery, and not all non-surgical cases are the same; it depends on whether there is displacement. The main purpose of surgery is to realign and stabilize the fracture. If there is no displacement, it can be treated with a cast. Please visit an or...[Read More] Should You Operate on Closed Metatarsal Fractures in the Foot?
Understanding Recovery from Right Femur Fracture: Rehabilitation Insights
Right femoral fracture? On February 12, a car accident resulted in a closed fracture of the right femur. On the morning of February 13, internal fixation surgery was performed. The patient is a 20-year-old male. Approximately two months post-surgery, he began rehabilitation. Init...
Dr. Chen Yongxue Reply:
Hello, a femoral fracture is a more severe injury. The location of the fracture, the degree of comminution, and the type of internal fixation used can vary, so it cannot be generalized. It is advisable to consult the original surgeon for further guidance. Thank you.[Read More] Understanding Recovery from Right Femur Fracture: Rehabilitation Insights
Understanding Non-Union Fractures: Do You Need Surgery After an Accident?
Fracture due to car accident, nonunion? Hello Doctor, I had a car accident on November 14, 2017, which resulted in closed fractures of the third and fourth toes on my left foot. The doctor at the hospital only used tape to bind them, and I have been returning for check-ups every ...
Dr. Shi Guozheng Reply:
If the pain is not severe and you can walk, then it may be advisable to wait and see if the fracture will heal on its own; surgery is not necessary at this time.[Read More] Understanding Non-Union Fractures: Do You Need Surgery After an Accident?
Impact of Delaying Fixation on Closed Hand Fractures
Closed fractures that are not immediately stabilized? Hello doctor, I accidentally fell last night and was diagnosed with a closed fracture of the palm after seeking medical attention. The doctor originally scheduled me to go to the occupational therapy department this morning fo...
Dr. Shi Guozheng Reply:
Just don't move around too much; a difference of one day won't have a significant impact.[Read More] Impact of Delaying Fixation on Closed Hand Fractures
Understanding Post-Fracture Pain: Signs of Chronic Osteomyelitis?
After a fibula fracture has healed, there may occasionally be a sudden sharp pain? In mid-October 2017, I had the steel pins removed from a previous fibula closed fracture. At the end of October, the staples used to secure the wound were removed. On November 2, the wound was red,...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is possible that you have a superficial wound infection with a stitch abscess. Generally speaking, if the wound has healed, it indicates that the infection is under control. The likelihood of chronic osteomyelitis is low, and a nuclear medicine o...[Read More] Understanding Post-Fracture Pain: Signs of Chronic Osteomyelitis?
Post-Cast Care for Fifth Metatarsal Fracture: Walking and Healing Tips
Removal of cast for fifth metatarsal fracture? Hello, Doctor: I sustained a non-displaced closed fracture of the fifth metatarsal on December 23, 2017. Due to work obligations in Japan, I had to return there for rest and recovery. On January 5, 12, and 19, 2018, I had three layer...
Dr. Li Yongheng Reply:
Hello, I also agree with the explanation provided by the Japanese physician. You can walk slowly without pain, and if you experience pain, then you should wear the U-shaped splint. Currently, if you are walking without pain, there is no need to wear protective gear, and it will n...[Read More] Post-Cast Care for Fifth Metatarsal Fracture: Walking and Healing Tips
Recovery Concerns for Fifth Metatarsal Fracture: A Patient's Journey
Issues Related to Recovery from Fifth Metatarsal Fracture Hello Doctor: On December 23, 2017, I sustained a non-displaced closed fracture of the fifth metatarsal in my left foot due to a misstep. I applied ice for nearly 48 hours and on December 25, I had a fiberglass cast applie...
Dr. Shi Guozheng Reply:
1. Walking with a cast will not cause secondary injury. 2. The fracture will not worsen as long as the cast is not removed too early. 3. Heat therapy can aid in blood circulation. 4. Typically, healing occurs in about six weeks.[Read More] Recovery Concerns for Fifth Metatarsal Fracture: A Patient's Journey
Understanding Clavicle Fractures: Healing Challenges and Treatment Options
Clavicle fracture Hello, doctor. I was in a car accident on November 19, 2017, after 12 PM, where a small car collided with a mountain wall and flipped over. I was sitting on the far left, and there were two other guys pressing against me. Everyone else was fine, but I ended up w...
Dr. Shi Guozheng Reply:
If a clavicle fracture is treated conservatively, there is a high chance of gradual healing with callus formation within approximately three months. If pain persists beyond three months and there are no signs of callus formation, surgical intervention should be considered. Since ...[Read More] Understanding Clavicle Fractures: Healing Challenges and Treatment Options
Initial Care for a Fractured Fifth Metacarpal: Pins or Cast?
The hand was fractured due to being struck by someone? Doctor, I have a displaced closed fracture at the base of my fifth metacarpal. For initial care, should I get a pin or a cast for recovery? The doctor advised me to seek more opinions. I have an X-ray, but I can't post i...
Dr. Li Yongheng Reply:
A displaced closed fracture of the base of the fifth metacarpal typically requires surgical intervention with the insertion of a pin, followed by immobilization with a splint for four weeks. After four weeks, the pin is removed, and finger rehabilitation begins. Wishing you a spe...[Read More] Initial Care for a Fractured Fifth Metacarpal: Pins or Cast?
Should You Remove Screws After Ankle Fracture Surgery? Expert Insights
Is it necessary to remove the steel pins for a closed fracture of the right lateral malleolus and fibula? Hello Dr. Lee, About two months ago, I sustained an injury to my right foot, resulting in a closed fracture of the right fibula near the lateral malleolus with displacement,...
Dr. Li Yongheng Reply:
Hello, due to the thin soft tissue around the lateral malleolus of the fibula, it is possible to palpate the bone screw through the skin. Wearing shoes that are too tight can easily cause discomfort. Therefore, I recommend removal after one year.[Read More] Should You Remove Screws After Ankle Fracture Surgery? Expert Insights
Understanding Clavicle Fracture Recovery: Timeline and Activity Guidelines
Clavicle fracture Hello Doctor, I have a mid-shaft fracture of my right clavicle, and it has been 43 days since the injury. It is a closed fracture with no significant displacement, and I have not undergone surgery. I have been using a figure-eight bandage and a triangular sling ...
Dr. Shi Guozheng Reply:
After a fracture, the healing of the bone typically takes a certain amount of time, usually ranging from three to six months, and it will not speed up. Of course, there may be slight variations depending on the location of the fracture. It is generally safer to resume vigorous ac...[Read More] Understanding Clavicle Fracture Recovery: Timeline and Activity Guidelines
When Can I Walk Normally After Ankle Surgery?
When can I walk normally and ride a scooter? I have a closed fracture of the navicular bone in my right ankle, and I am currently undergoing external fixation treatment. On November 9, it will be exactly two months, and I have an outpatient appointment for surgery to remove the f...
Dr. Shi Guozheng Reply:
After having the pins removed, there may still be a little bit of pain. Once the pain subsides, you can try walking a bit to see how it feels.[Read More] When Can I Walk Normally After Ankle Surgery?
Recovery After Navicular Bone Fracture: What to Expect Post-Surgery
Navicular bone fracture Hello Doctor: I have a closed fracture of the navicular bone in my right ankle, and I am currently undergoing external fixation treatment after reduction. On November 9th, it will be exactly two months, and I have an outpatient appointment for the removal ...
Dr. Shi Guozheng Reply:
It may take another four to six weeks to recover. You can try riding a bike and see if it doesn't cause any pain.[Read More] Recovery After Navicular Bone Fracture: What to Expect Post-Surgery
Understanding Femoral Shaft Fractures: Recovery, Pain, and Rehabilitation Insights
Femoral shaft closed fracture Hello, Doctor. I was involved in a car accident at the end of July, resulting in a closed fracture of the left femoral shaft. It has now been three months since the incident. During my follow-up appointment, an X-ray showed that the bone is healing, ...
Dr. Li Yongheng Reply:
Hello, there is a 7 cm long light gray bruise-like mark on the skin above the fracture site, which is painful when pressed. This may be a soft tissue contusion that occurred simultaneously with the fracture. It is recommended that you apply heat and perform gentle local massage t...[Read More] Understanding Femoral Shaft Fractures: Recovery, Pain, and Rehabilitation Insights
Chronic Ankle Pain: Unhealed Fracture and Ligament Inflammation Issues
Non-union of fractures and chronic inflammation and pain of the lateral ankle ligaments? Resume: Female / 25 years old Duration of pain: From 17-18 years old to present Visited orthopedic clinics / major hospitals Diagnosis results: 1. Unhealed closed fracture of the righ...
Dr. Li Yongheng Reply:
Hello, your ankle pain may not be directly related to the closed fracture of the right lateral ankle, so removing the fragmented bone is unlikely to alleviate the pain. Your ankle pain is associated with a tear of the lateral ankle ligaments and ankle joint instability. Therefore...[Read More] Chronic Ankle Pain: Unhealed Fracture and Ligament Inflammation Issues
Why Two Surgeries for a Closed Fracture? Understanding the Process
Does an occlusive fracture require two surgeries? Hello Doctor: A 70-year-old grandmother accidentally hit a car door while riding a motorcycle on September 5, resulting in a fracture of the lower leg, but it is not an open wound. Could you explain why the doctor recommended exte...
Dr. Xie Hongjia Reply:
Dear Miss Hsiao Fang, Regarding your inquiry, the treatment for fractures varies depending on the severity of the fracture and the extent of soft tissue injury. This description does not provide enough information to assess the level of injury, so it is advisable to follow up a...[Read More] Why Two Surgeries for a Closed Fracture? Understanding the Process
Understanding Fibula Fractures: Muscle Atrophy and Healing Concerns
Two questions regarding fibula fractures? Dear Doctor: I have a fibular closed fracture and have been in a cast for two weeks. My calf muscles have started to atrophy; is it normal to experience tenderness during atrophy? Additionally, I would like to ask about my slightly obliqu...
Dr. Shi Guozheng Reply:
If the fibula fracture is not near the joint, it may not require a cast, as it can heal on its own.[Read More] Understanding Fibula Fractures: Muscle Atrophy and Healing Concerns
Is Tibial Plateau Fracture Considered a Closed Fracture Without Blood?
Is a tibial plateau fracture considered a closed, non-displaced fracture? Hello Dr. Yeh, is the surgical procedure for tibial plateau fracture reduction considered a closed fracture surgery without visible blood? A steel plate was installed on the right leg. How can we distinguis...
Dr. Chen Yongxue Reply:
Hello, first, surgery for tibial plateau fractures typically requires an open reduction, as it cannot be treated with closed reduction. Second, during the surgical procedure, a tourniquet is used, so there will be minimal bleeding during the operation; however, it is normal to ha...[Read More] Is Tibial Plateau Fracture Considered a Closed Fracture Without Blood?
Understanding Delayed Healing in Femur Fractures: What You Need to Know
Femoral fracture issues? I suffered a closed fracture of my right femur due to a car accident on May 25, and underwent surgery to insert a bone screw on May 26 (without a cast). At my follow-up appointment on July 13, one and a half months later, the doctor indicated that the bon...
Dr. Shi Guozheng Reply:
Your femoral fracture has some fragments, and fractures like this typically heal more slowly. The X-ray from the surgery looks quite good, but it will take time to heal. Generally, fractures like this heal within six months, which is considered fast. If it hasn't healed afte...[Read More] Understanding Delayed Healing in Femur Fractures: What You Need to Know
How Soon Can I Return to Work After a Leg Fracture?
For a fibula fracture, the appropriate time to return to work can vary depending on the severity of the fracture, the type of treatment received, and the nature of your job. Generally, if the fracture is stable and treated conservatively, you may be able to return to work within ...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, you likely have a fibular fracture of the ankle. If the physician has not recommended surgery and only applied a cast, it may indicate that the fracture is non-displaced or minimally displaced. Since you are young and your job involves sitting at a ...[Read More] How Soon Can I Return to Work After a Leg Fracture?