Femoral fracture, Orthopedics FAQ

Can You Remove Pins After Femur Fracture Surgery? Key Insights

Femoral fracture - The doctor said the screws can be removed? Hello Dr. Chang: I had a femoral fracture last January and underwent surgery to have two screws inserted (one in the knee and one in the hip, quite long). During my follow-up appointment this week, the doctor reviewed ...

Dr. Zhang Jiahao Reply:
Hello, Ah Huang: The description of having two screws fixed in the knee and buttocks is somewhat vague. If the screws are located in a more superficial area, hospitalization may not be necessary. I recommend discussing this further with your attending physician. If you are curren...

Post-Surgery Issues with Artificial Bone: Managing Swelling and Discomfort

Postoperative issues related to artificial bone surgery? My grandmother had a fracture above her knee about a month and a half ago and underwent surgery to replace the bone with an artificial one. The doctor applied a cast (from the fracture site to the sole of her foot) because ...

Dr. Shi Qiming Reply:
The fracture above the knee is likely a distal femoral fracture, which is generally considered an unstable fracture. Postoperatively, it should be stabilized with a cast for a short period (approximately four to six weeks). If there is pressure from the cast on the sole of the fo...

Should You Remove Steel Plates After Bone Healing? Expert Insights

Can the steel plate be left in place? Five years ago, I suffered closed fractures of both femurs due to a car accident. After two surgeries, the bones fully healed three years ago. Since the fixation plates have not yet been removed, I returned to the original hospital to consult...

Dr. Zhou Lizhi Reply:
A femoral fracture typically heals in 4 to 5 months. Based on the description provided by the user, it appears to be a complex fracture. Since it has already healed three years ago, the decision to remove the hardware can be determined through X-ray imaging. There is a risk of re...

Understanding Fractures in Newborns: Recovery and Risks After Delivery

Fractures due to childbirth? Hello Dr. Lee! During a cesarean section, my family member's baby suffered a complete fracture of the left thigh. I have the following questions: 1. What is the likelihood of recovery? 2. Is the incidence of such birth injuries high? Since this h...

Dr. Li Wenlin Reply:
Hello: In response to your question, first of all, congratulations on the arrival of your baby. The likelihood of a femoral fracture during delivery is quite low, but it may require further investigation. There is a condition known as osteogenesis imperfecta, commonly referred to...

Understanding Poor Healing in Femoral Fractures: Key Questions Answered

Poor healing of femoral fractures? Hello Doctor, my mother is 61 years old. She had a femoral fracture due to a car accident a year and a half ago. The fracture was caused by impact and is a non-comminuted fracture. She underwent surgical fixation with a plate and two screws at b...

Dr. Li Wenlin Reply:
Hello: In response to your question. You are truly filial, and with your devotion, your mother’s condition will surely improve! From a medical perspective, your mother has a femoral fracture that has been stabilized with intramedullary nailing. After a year and a half, it has sti...

Understanding Delayed Healing in Femoral Fractures: Treatment Options Explored

Delayed or poor healing of femoral fractures..? Hello Dr. Chang. Before the summer vacation, I had a motorcycle accident due to speeding, which resulted in a closed fracture of the bone in the middle of my right thigh. After the surgery, there was an incision on the right side of...

Dr. Zhang Shengben Reply:
The effectiveness of shockwave therapy varies in opinion, but it is generally considered a viable option to try before undergoing bone graft surgery. There are no such machines available in the Hualien area, but Kaohsiung Chang Gung Memorial Hospital has more experience and could...

Understanding Osteomyelitis and Recovery After Bone Grafting Surgery

Seek medical assistance? A patient has been suffering from an open femoral fracture for nine months and is still unable to walk. The infection index for osteomyelitis has recently decreased to normal levels. A bone grafting surgery is planned soon. I would like to ask: 1. Is ther...

Dr. Xu Zhaoren Reply:
1. Bone grafting is necessary to fill the void in areas of bone deficiency, allowing new bone to grow in. 2. The recurrence of osteomyelitis is not certain, but it must be monitored to determine. 3. Weight-bearing standing can only be determined by a physician after an X-ray ...

Optimizing Bone Healing After Fracture: Tips and Insights

Please ask your questions. Thank you? Hello Dr. Lee: I had a closed femoral fracture from a car accident two and a half years ago, and the healing has not been ideal. Three months ago, while working, the steel nail showed signs of cracking, so I underwent surgery again to replace...

Dr. Li Wenlin Reply:
Hello: In response to your question, the healing of fractures varies among individuals due to different conditions, so the timing for the removal of metal pins also differs. It is advisable to leave such decisions to your original surgeon, who is most familiar with your situation...

Can Bone Injuries Affect Sexual Activity? Expert Insights on Healing

Please ask your question? I had a car accident a year ago, resulting in a fracture of my right femur, which has not healed until now. Older people say that bone injuries should avoid sexual activity; is this statement correct? If it does have an impact, what can be done to remedy...

Dr. Shi Qiming Reply:
Hello: 1. A femoral fracture that has not healed for a year may require another surgery for bone grafting, but I cannot make an accurate assessment without seeing your actual healing status. Therefore, please return to the orthopedic outpatient clinic for follow-up. 2. There is n...

Guide for Foreign Patients Seeking Orthopedic Surgery in Taiwan

Medical Matters for Foreign Nationals in Taiwan I have a foreign relative who had a car accident and suffered a leg fracture. They have undergone multiple surgeries in Indonesia but have not fully recovered. They would like to come to Taiwan for surgery. How much would the treatm...

Dr. Su Yiren Reply:
Dear Dr. Hsu, Thank you for your inquiry regarding the medical fee standards for foreign nationals. Here is the response: In our country, if an individual does not have National Health Insurance (NHI) coverage, medical fees are charged according to the NHI fee schedule. Theref...

Does Femoral Fracture Affect Height Growth in Children?

Will a femoral fracture affect development? Hello, Director Shih: I would like to ask if having a previous femoral fracture would affect subsequent height development. Could it result in stunted growth? I am a bit worried! I appreciate your response and apologize for taking up yo...

Dr. Shi Guozheng Reply:
Femoral fractures that do not occur at the growth plate will not affect height development and will not cause stunted growth. If a femoral fracture heals improperly and results in some bending or deformity, the injured limb may be slightly shorter than the normal side. In childre...

Understanding Femoral Fractures: Healing Challenges and Surgical Options

Femoral fracture Hello, I suffered a femoral fracture in my right thigh due to a car accident, with some comminuted fractures. After surgery, I had internal fixation with bone screws. However, after more than four months, the bone has not fully healed, and I am still unable to be...

Dr. Zhou Hongzhi Reply:
What you mentioned isn't very clear; it might refer to external fixation. If that's the case, crutches will still be necessary.

Understanding Knee Stiffness After Prolonged Cast Immobilization

Knee stiffness, unable to flex? Six months ago, I suffered a femoral fracture in my thigh, while my knee was not injured. My attending physician used a cast to immobilize the area from my foot to my waist for treatment, which lasted for three months. During this time, the cast wa...

Dr. Shi Guozheng Reply:
Prolonged immobilization in a cast can lead to joint contractures; however, active rehabilitation therapy may still improve the condition.

Understanding Fat Embolism Syndrome: Treatment Options Beyond Oxygen Therapy

Fat Embolism Syndrome Hello! My niece has been unconscious for 20 days following a femur fracture surgery. The doctor mentioned the symptoms related to this condition. Aside from providing oxygen (to maintain physiological functions), are there any other constructive therapies av...

Dr. Shi Qiming Reply:
Dear Sir/Madam, Although your niece has undergone surgery for a femoral fracture, her current condition falls under the domain of neurosurgery or neurology. Please consult with specialists from either of these departments. Orthopedic Department, Hsinchu Hospital, Department of ...

Do I Need Surgery for My Open Comminuted Fracture Recovery?

Open comminuted fracture Sixty-seven days ago, I suffered an open comminuted fracture above the knee on my thigh due to a car accident. Currently, I have a cast for stabilization, and the doctor did not perform surgery at the time. The doctor mentioned waiting for the bone to hea...

Dr. Shi Guozheng Reply:
It is essential to review the X-ray images to make the most accurate assessment. If a fracture has not healed properly or is misaligned, surgery may be necessary. In adults, it is common for femoral fractures to require surgical intervention. I am not familiar with your specific ...

Recovery Timeline After Nail Removal for Femur Fracture

The healing period after screw removal..? Hello, Doctor. I would like to ask how long it typically takes to start walking after the removal of the steel pins from a femur fracture, and if it takes a long time to walk normally again. Thank you for your help!

Dr. Shi Qiming Reply:
Dear Xiaoyuan: After a femoral fracture is stabilized with bone screws for about one to one and a half years, if healing is satisfactory, consideration can be given to the removal of the screws. After removal, you can begin light mobility within two days. However, for returning t...

Understanding ORIF, DHS, and ESP in Orthopedic Surgery

What are ORIF, DHS, and ESP? What are ORIF, DHS, and ESP?

Dr. Hong Ximing Reply:
Shane: ORIF stands for Open Reduction and Internal Fixation, which is used for fractures. DHS refers to the Dynamic Hip Screw, utilized for intertrochanteric femoral fractures. As for ESP, there is no such abbreviation, but TSP stands for Trochanteric Stabilizing Plate, which is ...

Understanding Femoral Shaft Fractures: Recovery, Limb Length Discrepancy, and Limping

Right femoral shaft fracture? I have a few questions that I would like the doctor to help me answer: 1. I have a right femoral shaft fracture, and I am currently using a single crutch to assist with walking as per my doctor's instructions. However, I feel that the height o...

Dr. Shi Guozheng Reply:
Femoral fractures typically take about six months to gradually heal, during which time limping may occur. If there are issues with the healing process, it is important to consult a physician for an X-ray examination. Crutches should still be used until complete bone healing is ac...

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