Closed fracture, Orthopedics FAQ

Can I Stand for Long Periods After an Ankle Fracture?

Can you stand for a long time after a fracture? Hello doctor, I have a closed fracture of my right ankle and I used a self-paid plate for the treatment. It has been over two months since the incident, and I have removed the cast and the screws. I am currently undergoing rehabilit...

Dr. Wang Shouji Reply:
Hello: The ability to bear weight and return to normal activities depends on the healing status of the fracture as seen on X-rays, which typically takes at least three months. Thank you!

How to Decide Between Cast or Surgery for Fibula Fracture?

Treatment methods for fibula fractures? Five days ago, I fell and had an X-ray taken. The doctor informed me that I have a fibula fracture, specifically a displaced closed fracture. The doctor mentioned that treatment options include casting or surgery. How should I decide betwee...

Dr. Shi Guozheng Reply:
Typically, fibula fractures do not require surgery unless they are near the joint and displaced. Fractures adjacent to the upper end of the tibia also usually do not require surgical intervention. However, if the fracture occurs at the ankle joint and is displaced, surgery is pre...

Understanding Sacrococcygeal Fractures: Healing, Concerns, and Rehabilitation

Coccygeal vertebrae closed fracture On April 13, 2016, I slipped and fell while walking down the stairs on a rainy day, landing on the last step. I was diagnosed with a sacral fracture at the first hospital. Recently, I took an X-ray to a second hospital, where I was diagnosed wi...

Dr. Li Yongheng Reply:
Coccygeal or sacral fractures typically heal on their own and do not usually cause nerve compression due to misalignment. Pain can last about one to two months, and symptoms can be alleviated with heat therapy or pain medication.

Caring for Elderly Patients with Femoral Fractures: Key Considerations

Care for Elderly Patients with Femoral Fractures My grandmother fell and sustained a closed fracture of the femur above the knee on her right leg. The doctor said that we need to wait for the swelling in her thigh to subside before applying a full cast on her leg, so currently, s...

Dr. Shi Guozheng Reply:
A half cast is called a plaster splint, which is only intended for temporary stabilization. It is important to ensure that the foot fits snugly against the splint. If there is swelling in the leg, the leg can be elevated slightly to help reduce the swelling.

Understanding Post-Surgery Nerve Issues After a Colles' Fracture

After fracture surgery Dear Director Chen, My mother underwent surgery for a right wrist fracture on February 7 (diagnosis: Colles' fracture of the right radius, initial encounter for closed fracture, open reduction for fracture of radius, ul). After being discharged on Feb...

Dr. Chen Yongxue Reply:
Hello, the median nerve is often injured due to swelling, which can cause numbness and pain. In severe cases, it may lead to muscle atrophy. Based on your description, it is indeed carpal tunnel syndrome. If the symptoms do not improve, you may consider decompression surgery as a...

Post-Surgery Concerns for Left Ankle Fracture: What to Expect

Post-operative issues following left ankle fracture surgery? Hello Dr. Hong, I apologize for bothering you with some questions. I had a car accident on February 4th, and the doctor diagnosed me with a closed fracture of the left ankle. I underwent surgery that night, and I return...

Dr. Hong Ximing Reply:
Two weeks after ankle fracture surgery, the foot may still be swollen. If the wound has healed, warm water therapy can be considered to aid circulation and absorption. Additionally, elevating the affected limb can help increase blood return, and regular follow-up appointments are...

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...

Understanding Ankle Swelling and Recovery After Fractures

Ankle swelling and its sequelae? Hello Doctor, I sustained a closed fracture of both ankles on December 29th, with a displaced fracture of the right medial malleolus and a fracture of both the medial and lateral malleolus on the left foot. I had a follow-up appointment on January...

Dr. Shi Guozheng Reply:
It is normal to experience swelling for about six weeks after surgery, but complete recovery typically takes around three months, and you should not have a noticeable limp.

Recovery Journey After Tibia and Fibula Fracture: What to Expect

Fracture of the left lower leg? Hello, Doctor. I suffered a fracture in my left lower leg due to a car accident on November 20 of last year, resulting in a comminuted fracture of the tibia and a fractured fibula. I underwent surgery the next day, where steel nails were used for f...

Dr. Shi Guozheng Reply:
If a fracture in the lower leg has been surgically stabilized, it typically takes about three months to heal before follow-up X-rays are taken. After confirming healing, weight-bearing activities can gradually resume, provided there is no injury to the joint.

Understanding Knee Flexibility After Open Fracture: Recovery Insights

Inability to flex the knee? Hello doctor, I was in a car accident on October 1, 2015, which resulted in an open fracture of my knee and a closed fracture of my thigh. I have been gradually rehabilitating since then, and I only started walking again last month. Currently, my leg c...

Dr. Shi Guozheng Reply:
It has been over three months since the fracture, and the current degree of bending is still insufficient. It is necessary to actively engage in rehabilitation, as joint mobility is lacking. It may be necessary to consider manipulation under anesthesia to see if there is any impr...

Understanding Open Knee Fractures: Recovery and Rehabilitation Insights

Open fracture of the knee joint? Hello Doctor, I have quite a few questions. I was in a car accident on October 1, 2015, and now it is January 16, 2016, so it has been three months since the incident. The accident resulted in a closed fracture of my thigh and an open fracture of ...

Dr. Shi Guozheng Reply:
Currently, rehabilitation needs to continue; if it exceeds six months, further improvement may not be possible. At that point, additional surgery may be required. Assistive devices can typically be used after the fracture has healed, usually around six months.

Rehabilitation Tips for First Metatarsal Fracture Recovery After Surgery

First metatarsal fracture Hello, I would like to ask about my condition. I sustained a fracture of the first metatarsal with a closed fracture and joint collapse after a car accident on November 2nd. I had surgery on December 5th, and the doctor has now removed the cast. I would ...

Dr. Hong Ximing Reply:
Foot fractures can lead to joint stiffness post-surgery. It is advisable to consult a rehabilitation specialist for appropriate rehabilitation methods. However, the rehabilitation process can be challenging and requires perseverance.

Understanding Thigh Bone Fractures and Ligament Injuries: Pain and Recovery

Issues related to femoral fractures and ligament tears? I had a closed fracture of my femur in a car accident in September and underwent surgery to insert a metal rod. I am unsure why, after four months, I still experience numbness and pain in the sole of my foot. In November, as...

Dr. Shi Guozheng Reply:
A ligament tear does not typically cause nerve pain or numbness. Recovery from ligament surgery takes about three months, and the pain from the surgery is generally not worse than that from a bone fracture.

Post-Surgery Pain: Is It a Re-injury or Just a Strain?

Post-fracture injury? Hello, doctor. Allow me to explain my issue directly. I underwent surgery for a closed fracture of the ulnar olecranon in my left arm and had a self-paid fixation plate installed. After a month, I felt that I was gradually recovering, and the pain was not pa...

Dr. Chen Yongxue Reply:
It is recommended that you get an X-ray, thank you.

Rehabilitation Insights for Recovery from Closed Radius Fractures

Rehabilitation Perspective After more than 7 months post-closed fracture of the radial head, the current range of motion is 20-100 degrees with relaxation at 10-110 degrees. Is it possible to return to normal range of motion with continued rehabilitation? Additionally, the last t...

Dr. Hong Ximing Reply:
Radial head fracture, 7 months post-injury, uncertain if surgical reduction was performed. Currently, the range of motion is from 20 to 100 degrees, indicating possible contracture. Joint injuries can sometimes affect the ability to return to normal range of motion. The numbness ...

Understanding Post-Fracture Pain: Causes and Solutions for Your Arm

Post-fracture sequelae Hello Doctor: I have a closed fracture in my right upper arm. It has been over six years since the surgery, and I still have a metal rod and plate inside. At that time, I also had a nerve injury, and the doctor advised against removing the rod and plate. Ho...

Dr. Chen Yongxue Reply:
Hello, there are many causes of pain, and it cannot be generalized. Please visit the orthopedic outpatient clinic for further diagnosis and treatment. Thank you.

Understanding Recovery from Distal Clavicle Fractures: Tips for Rehabilitation

Distal clavicle closed fracture - surgical intervention - no longer requires immobilization - but unable to lift arm? Hello, Doctor! I have a distal clavicle closed fracture and underwent surgery in early November. On December 17, the doctor said I could stop using the sling. I h...

Dr. Shi Guozheng Reply:
Once the fracture has healed, joint mobility exercises can be initiated gradually during rehabilitation. Typically, recovery can occur as long as the movements do not cause pain in the joint. Both forward elevation and backward extension movements can be performed.

Understanding Open and Comminuted Fractures: Recovery and Rehabilitation Insights

Regarding open fracture of the right tibia? Hello Dr. Shi, I would like to ask you some questions. On October 1, 2015, I jumped from a height and was diagnosed with an open fracture of the right tibia with internal fixation using steel nails. I underwent surgery, and the surgeon ...

Dr. Shi Guozheng Reply:
An open fracture refers to a fracture where there is a wound in the skin, connecting the fracture to the outside environment. If the fractured bone ends have protruded through the skin, it is considered a more severe open fracture. Some open fractures may only have a small wound ...

Understanding Closed Fractures of the Big Toe: Treatment and Recovery

Closed fracture of the big toe? Hello Doctor, a couple of days ago I stubbed my right big toe on a hard object, resulting in a closed fracture without displacement. There is a line in the middle of the bone. I went to the emergency department at Mackay Memorial Hospital, and the ...

Dr. Chen Yongxue Reply:
Hello, if a fracture of the big toe is confirmed to be non-displaced and stable, it can be managed easily with a cast, aluminum splint, or adhesive tape, depending on the situation. However, the key point is that the patient must be careful and avoid putting any stress on the fra...

Can a Distal Phalanx Fracture Heal Without Surgery? Expert Insights

If a distal phalanx fracture is not surgically treated, will it heal? Hello Dr. Li, I am 52 years old. Last Saturday (October 24, 2015), I fell while running. An X-ray showed a closed fracture of the distal phalanx of my right third finger, with a piece of bone separated near the...

Dr. Li Wenhong Reply:
Dear Mr. Guang and Mr. Qing: Hello! Whether surgery is needed for a distal phalanx fracture should be determined based on the orthopedic surgeon's advice. Typically, if there is significant avulsion displacement at the attachment site of the extensor tendon on the distal int...

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