Understanding Autologous Bone Grafting for Delayed Healing in Radial Head Fractures
Bone grafting Dr. Yeh, I would like to ask about a closed fracture of the radial head that occurred 5 months ago. I underwent plate fixation on the day of the injury. The doctor mentioned delayed healing and suggested autologous bone grafting. How effective is the healing capacit...
Dr. Ye Qingnian Reply:
Poor bone healing can be effectively treated with autologous bone grafting, which yields the best results. While there are synthetic bone substitutes available, their efficacy is not as good as that of autologous bone. In cases of nonunion of the radius, the autologous bone used ...[Read More] Understanding Autologous Bone Grafting for Delayed Healing in Radial Head Fractures
Post-Cast Walking Pain: Is Your Foot Positioning Correct?
Experiencing pain while walking after removing a cast may indicate improper posture or gait? On August 18, I slipped and sustained closed fractures of the first, second, and third metatarsals in my left foot. My foot was immobilized with a cast and secured with an elastic bandage...
Dr. Shi Guozheng Reply:
Swelling in the foot after a fracture is normal because the bones are filled with blood vessels. After a fracture, the blood vessels will reconnect, and once healing occurs, the swelling will naturally subside. Currently, if there is significant swelling, elevating the affected a...[Read More] Post-Cast Walking Pain: Is Your Foot Positioning Correct?
Understanding Closed Fractures of the Right Tibia and Fibula: Recovery and Care
Closed fracture of the right tibia and fibula shaft? I apologize, but I would like to ask about my brother's injuries. He was in a car accident yesterday, resulting in an open fracture of the right tibia and fibula. However, he won't be able to have surgery until Wednes...
Dr. Wang Shouji Reply:
Hello: Bone healing takes at least three months, and full functional recovery may require an additional one to three months. If the fracture has healed, there should be minimal sequelae. However, if the fracture is not healed, caution is needed when bearing weight to avoid the ri...[Read More] Understanding Closed Fractures of the Right Tibia and Fibula: Recovery and Care
Understanding Post-Surgery Bone Protrusion After Ulnar Fracture
There is a protrusion at the site of the fracture sutures? Hello Doctor, my condition is an ulnar olecranon closed fracture. It has been two months since my surgery, and the doctor said that the recovery looks good after checking with an X-ray. However, I have recently noticed th...
Dr. Hong Ximing Reply:
Hello: Two months after the ulnar olecranon fracture surgery, you should be able to perform rehabilitation exercises as much as possible. The prominence at the wound site may be more noticeable after swelling has subsided. You can visit a hospital in your county to consult with a...[Read More] Understanding Post-Surgery Bone Protrusion After Ulnar Fracture
How Long After Cast Removal Can You Walk Without Aids?
How long after removing a cast from a fracture can one walk without assistive devices? I have fractures in my first, second, and third metatarsals. The doctor said I should be able to have the cast removed in about three weeks. After the cast is removed, will I be able to walk wi...
Dr. Shi Guozheng Reply:
If it is a closed fracture, you can start walking after the cast is removed. Try putting weight on it first; if it doesn't hurt, you should be fine.[Read More] How Long After Cast Removal Can You Walk Without Aids?
Choosing the Right Surgery for Radial Head Fractures: A Patient's Dilemma
Treatment methods Dr. Shi, the patient has a closed fracture of the radial head. It has been four months since the plate fixation surgery. After multiple communications with the physician post-surgery, today the doctor mentioned the need for radial head excision. The patient is 3...
Dr. Shi Guozheng Reply:
After the excision of the radial head, there may be a reduction in joint pain; however, after several years, symptoms of pain in the wrist or elbow joints may emerge, which is considered degeneration. This occurs because the proximal radius does not articulate with the humeral jo...[Read More] Choosing the Right Surgery for Radial Head Fractures: A Patient's Dilemma
Weight-Bearing Walking Training After Metatarsal Fracture: Guidelines and Tips
Metatarsal fracture weight-bearing walking training? Three weeks ago, I fell and sustained closed fractures of the first, second, and third metatarsals in my left foot. The third metatarsal has a slight displacement, but the doctor said it was minor and only required external fix...
Dr. Shi Guozheng Reply:
Metatarsal fractures typically heal within two months, so the doctor has advised you to return for a follow-up appointment to remove the cast at that time. As for the appropriate amount of weight to apply, it depends on whether you experience pain when putting weight on your foot...[Read More] Weight-Bearing Walking Training After Metatarsal Fracture: Guidelines and Tips
Understanding Recovery from a Closed Ankle Fracture: Key Insights
Closed bimalleolar fracture of the right ankle? Hello, Doctor. I fell on August 19 this year, resulting in a closed fracture of my right ankle. I underwent surgery on August 20 and was discharged five days later (surgery was performed on both sides of my right ankle, with two scr...
Dr. Shi Guozheng Reply:
It typically takes about six weeks before crutches are no longer needed. Pain and swelling are normal during this period. Follow-up appointments are necessary to ensure there is no displacement and that the bone is healing properly.[Read More] Understanding Recovery from a Closed Ankle Fracture: Key Insights
Understanding X-Ray Diagnosis for Orthopedic Injuries: Key Insights
Issuance of a medical certificate? If an X-ray shows a small issue that later disappears in a subsequent X-ray, it may indicate that the initial finding was transient or related to a minor condition that resolved itself. It is important to follow up with your healthcare provider ...
Dr. Shi Guozheng Reply:
Is there a slight indication of a fracture in the wrist X-ray? If it is a fracture, the crack may heal over time, and subsequent X-rays may not show the fracture anymore. A fracture can break into several pieces; if there is no external injury or the skin is not penetrated by the...[Read More] Understanding X-Ray Diagnosis for Orthopedic Injuries: Key Insights
Understanding Closed and Comminuted Fractures: Causes and Recovery Insights
Closed and comminuted? I sustained a closed fracture of the right radial head due to a fall. It has been over three months since the fall, and I still experience pain when pressing up and down with my right hand. It also becomes stiff after being idle for a long time. Is this a b...
Dr. Shi Guozheng Reply:
Pain during compression after a fracture may indicate that it has not yet healed. Prolonged immobility can lead to stiffness due to reduced joint mobility following the injury, and it is essential to gradually practice movement to improve this condition. A closed fracture refers ...[Read More] Understanding Closed and Comminuted Fractures: Causes and Recovery Insights
Healing Time for Radial Head Fractures and Femoral Neck Fixation: What to Expect
Radial head bone callus How long does it take for a closed fracture of the right radial head to heal after plate fixation? It's been three months since the right femoral neck fracture was fixed with three screws, and it still hasn't healed. What should I do?
Dr. Shi Guozheng Reply:
A distal radius fracture typically heals in about three months; however, the removal of bone screws must wait until one year later. The healing time for a femoral neck fracture is similar, but it may lead to avascular necrosis of the femoral head or nonunion due to displacement. ...[Read More] Healing Time for Radial Head Fractures and Femoral Neck Fixation: What to Expect
Post-Fracture Numbness and Weakness in Leg: What to Expect?
Numbness and weakness in the calf after a closed femoral fracture? Hello Doctor: My mother was involved in a car accident on May 18th this year, resulting in a closed fracture of the left femur and a closed fracture of the subtrochanteric region. She underwent reduction and inter...
Dr. Shi Guozheng Reply:
Femoral fractures can sometimes be accompanied by neurological impairments, often caused by traction or impact on the sciatic nerve, leading to nerve paralysis. This may be temporary, but it can also be permanent. The extent of recovery will need to be monitored. Currently, the a...[Read More] Post-Fracture Numbness and Weakness in Leg: What to Expect?
Understanding Delayed Healing in Distal Radius Fractures After Surgery
Fracture issues Closed fracture of the distal radius. A plate has been inserted for fixation, but why has the bone not shown signs of healing nearly three months post-surgery?
Dr. Ye Qingnian Reply:
Fractures of long bones may not show signs of healing within three months; some may require more than six months to demonstrate evidence of bone healing.[Read More] Understanding Delayed Healing in Distal Radius Fractures After Surgery
Persistent Pain and Swelling After Tibia and Fibula Fracture: Is It Normal?
Persistent swelling and pain after a tibial fracture? Hello: I was involved in a car accident on June 25, resulting in closed fractures of the left tibia and fibula. I underwent surgery on the same day, where a steel plate (approximately 15 to 20 centimeters in length) was placed...
Dr. Wang Shouji Reply:
Hello: The fracture plate was removed after only 10 days, and the reason for this is unclear. Pain should be assessed on an individual basis, and it is uncommon for it to persist for such a long duration. Recommendations can only be provided after reviewing the postoperative X-ra...[Read More] Persistent Pain and Swelling After Tibia and Fibula Fracture: Is It Normal?
Understanding Tibia and Metatarsal Fractures: Rehabilitation Insights
Tibial and metatarsal fractures and rehabilitation issues? On May 9, I underwent surgery at the hospital for a closed fracture of the right tibia (with an adjustable ankle brace applied). (Attached image, the one on the right is from the follow-up on July 17) http://imgur.com/GkJ...
Dr. Shi Guozheng Reply:
Based on your images, the fracture has healed, and you can start moving around. There is no need for further rehabilitation, and you can put weight on your right foot. Walking should not be an issue, and there is no need to see the doctor again. With more time, it will continue t...[Read More] Understanding Tibia and Metatarsal Fractures: Rehabilitation Insights
Managing Recovery from Radial Head Fracture: Pain, Swelling, and Rehabilitation Tips
Closed fracture of the radial head? 1. Closed fracture of the radial head. A self-paid operation for the placement of an O-Pace plate has been performed. It has been over 6 weeks since the injury, and the hand is still swollen. What can be done to reduce the swelling? The hand ca...
Dr. Wang Shouji Reply:
Hello: For a radial head fracture, it is important to first confirm whether the alignment is normal. If it is normal, it is generally expected that rehabilitation will take at least one to two months for normal recovery. If the anatomical position is correct, full functional reco...[Read More] Managing Recovery from Radial Head Fracture: Pain, Swelling, and Rehabilitation Tips
Understanding Avascular Necrosis After Fractures: Treatment and Recovery Insights
Avascular necrosis of the femoral head due to fracture of the wide joint? Is it necessary to replace the hip joint with an artificial joint for avascular necrosis of the femoral head due to closed fracture? If detected and treated early, will a replacement still be needed? How lo...
Dr. Shi Guozheng Reply:
Avascular necrosis of the femoral head requires assessment of its severity; only severe cases necessitate surgical intervention. In the early stages, surgery is not required, but close monitoring is essential. Typically, recovery from a total hip replacement takes about 6 to 12 w...[Read More] Understanding Avascular Necrosis After Fractures: Treatment and Recovery Insights
Understanding Olecranon Fractures: Recovery and Dietary Considerations
Ulnar olecranon closed fracture - small fragment? Hello, Doctor Huang: A few days ago, I tripped over something and my right elbow became swollen. After taking X-rays at an orthopedic clinic, I was diagnosed with an ulnar olecranon closed fracture. The next day, I was referred to...
Dr. Huang Minxu Reply:
1. Will this small fragment of bone have any sequelae? Will it continue to grow or be absorbed? Answer: Generally, an X-ray and a physical examination are needed to determine if this small bone fragment will have any sequelae. Please discuss this with your attending physician dur...[Read More] Understanding Olecranon Fractures: Recovery and Dietary Considerations
How Much Weight Can You Lift After a Clavicle Fracture Recovery?
Closed fracture of the left clavicle? I had a closed fracture of the left clavicle from a motorcycle accident. The bone plate was removed 10 months ago, and it has been over three years since the removal. How much weight can I lift? Specifically, how much can I lift with one hand...
Dr. Shi Guozheng Reply:
Three years after surgery for a clavicle fracture, the fracture site and the area where the bone screws were inserted should have fully healed and be able to withstand the forces experienced prior to the injury. Therefore, the weight you mentioned should not be an issue.[Read More] How Much Weight Can You Lift After a Clavicle Fracture Recovery?
Should You Remove Plates and Screws After Arm Fracture Surgery?
Removal of steel plates and steel nails: to remove or not to remove? Hello, I sustained a closed fracture of the right humerus while throwing a baseball on February 27 of this year, and I underwent surgery in early March. I have mostly recovered now and would like to know if ther...
Dr. Wang Shouji Reply:
Hello: When removing the plate after a humeral fracture, it is important to consider the risk of injury to the radial nerve. Titanium alloy has less stress shielding effect, and based on my assessment of the risks, I do not recommend removal. Thank you![Read More] Should You Remove Plates and Screws After Arm Fracture Surgery?