Fracture healing, Orthopedics FAQ

Persistent Swelling After Fracture Healing: Causes and Solutions

Swelling persists after fracture healing? Hello! I had a motorcycle accident and my motorcycle fell on my right foot, causing fractures at the anterior ends of the fourth and fifth metatarsals, with the fifth metatarsal being slightly misaligned. The doctor advised me to wear a w...

Dr. Chen Yongxue Reply:
Hello, the swelling in the affected limb was initially caused by the injury, but later on, it is significantly related to reduced activity. Please start to resume normal movement. If swelling occurs in the afternoon, elevating the affected limb or using an ankle brace to reduce s...

Understanding Persistent Swelling and Pain After Foot Fracture Healing

Please inquire about the issue of swelling and pain persisting after fracture healing? Hello! I had a motorcycle accident and my motorcycle fell on my right foot, causing distal fractures of the fourth and fifth metatarsals, with a slight misalignment at the anterior end of the f...

Dr. Chen Yongxue Reply:
Hello, the swelling in your affected limb was initially caused by the injury, but in the later stages, it is significantly related to decreased activity. Please start moving normally. If you notice swelling in the afternoon, you can elevate the affected limb or use an ankle brace...

Will My Broken Pinky Heal After Smoking During Recovery?

The distal phalanx of the right little finger is fractured and has not healed? On the evening of May 13, I sustained a fracture due to external force and did not seek medical attention until the evening of May 15. The doctor used a splint for stabilization and advised me not to s...

Dr. Wang Shouji Reply:
Hello, a fracture of the little finger typically requires at least three months of observation for healing. Fractures in this area rarely do not heal. Smoking can affect blood circulation, which in turn impacts fracture healing, so it is advisable to avoid smoking during this per...

Recovery Timeline for Tibial Comminuted Fractures: What to Expect

The recovery timeline for a comminuted fracture of the tibia? Hello, Doctor! I was involved in a car accident on March 10 of this year, resulting in a comminuted fracture of my right tibia. The following day, I underwent internal fixation surgery using intramedullary nails and bo...

Dr. Chen Yongxue Reply:
1. Fracture healing takes at least 6 weeks. Severe comminuted fractures or those with infection may experience delays. 2. Internal fixation can provide support for the fracture, and fractures generally heal well; however, if there is an infection, the hardware must be removed to ...

Will Second Surgery for Femur Fracture Healing Be Less Painful?

In the case of a nonunion of a femoral fracture requiring a second surgery, will the recovery process be less painful compared to the first surgery? Hello doctor, I was involved in a car accident in mid-June 2020, resulting in a closed comminuted fracture of the femur. I consulte...

Dr. Chen Bochen Reply:
Will there be a lot of pain after surgery? The influencing factors are as follows: 1. The nature of the surgery: If the area being treated is extensive or if there is significant tissue removal, it is likely to be more painful. 2. Anesthesia and pain management protocols before a...

Calcium Supplementation After Fracture: Is Procal Right for You?

Issues with taking Procal after a fracture? Director Chen: I suffered a proximal humeral fracture in a car accident last year, and five months later, the bone has not healed properly. The doctor prescribed one Prolia injection in the morning and one in the evening, and I underwen...

Dr. Chen Bochen Reply:
1. Calcium propionate is calcium acetate, which has poor absorption and a strong odor. It is generally used for patients with kidney issues to help eliminate phosphate ions (as calcium binds with phosphate to precipitate and subsequently excrete it). It is usually recommended to ...

Chronic Ankle Shortening and Muscle Tension After Old Leg Fracture

The muscle and tendon tissue at the site of an old fracture in the calf is being pulled, resulting in a persistent shortening of the ankle extension? Approximately 30 years ago, I sustained an open fracture of the left tibia in a car accident. The steel rod that was placed to sup...

Dr. Shi Guozheng Reply:
It may be related to tissue adhesions, so you can try rehabilitation to see if it alleviates the symptoms. If there is no improvement, further evaluation will be needed to determine if surgery is necessary.

Recovery After Left Radius Fracture: Managing Elbow Dislocation and Ligament Injury

Fracture of the left radial head accompanied by elbow dislocation and ligament tear? Hello doctor, I underwent surgery on November 9th due to a car accident, resulting in a left radial fracture with dislocation and ligament rupture. A titanium alloy plate and anchors were used fo...

Dr. Chen Yongxue Reply:
Hello, a fracture of the radial head accompanied by dislocation usually leaves varying degrees of sequelae. Therefore, rehabilitation after surgery is very important. The progress of rehabilitation should primarily follow the advice of the attending physician. On one hand, the st...

Understanding Femoral Neck Fracture Healing and Weight-Bearing Guidelines

Healing of femoral neck fractures? Hello Dr. Chen: I am 47 years old. On July 4th, I suffered a displaced femoral neck fracture in my right leg, for which I underwent internal fixation with both a thick and a thin screw and a plate. During my third follow-up appointment on Septem...

Dr. Chen Bochen Reply:
Hello, if you are concerned, you can try to increase the weight by 10% each week. If you feel comfortable, continue to increase it up to 100% and even incorporate some light exercise. If you experience mild discomfort, maintain your current level without further increases. If you...

Post-Accident Clavicle Fracture: Recovery Questions and Concerns

Post-operative issues following a left clavicle fracture from a car accident? Hello Doctor, I had a car accident on April 7th and sustained a fracture at the distal end of my left clavicle. The following day, I underwent open reduction and internal fixation surgery, using a clavi...

Dr. Wang Shouji Reply:
Hello, for distal clavicle fractures, due to the insufficient size of the fixation area at the distal end, a hook plate is used for auxiliary fixation to stabilize this type of fracture. 1. A triangular bandage should be used for four to six weeks, depending on the X-ray findings...

Impact of Not Using a Cast for a Fifth Metatarsal Fracture

Fifth metatarsal fracture without casting? I rolled my right ankle while walking without paying attention to the elevation changes. I went to an orthopedic doctor for an X-ray, and the doctor said there is a fracture with a crack in the fifth metatarsal. The orthopedic doctor men...

Dr. Zhan Xian Reply:
Hello Ms. Tsai, without an X-ray, we cannot assess whether a cast is needed for the fracture. If your symptoms improve, a follow-up X-ray is generally recommended in one month. It is advisable to supplement with calcium, as fracture healing typically takes about two months. Wishi...

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...

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...

Pelvic and Lumbar Fractures from Car Accident: Recovery Insights

Pelvic and second lumbar vertebra fractures due to a car accident? Hello, doctor. I had a car accident in mid-May that resulted in a pelvic fracture. Initially, I landed on my right hip, and I still experience soreness in the hip area (does this indicate that it has not healed ye...

Dr. Wang Shouji Reply:
Hello: The assessment of fracture healing requires reviewing X-rays and medical history, and then following the physician's recommendations. Changhua Hospital cares about your health. Wang Shou-ji.

Hyperbaric Oxygen Therapy for Fibula Fracture Recovery: A Patient's Journey

Hyperbaric oxygen therapy for fibular closure-type fractures? Hello Doctor: I was involved in a car accident on January 19, 2019, which resulted in a closed fibula fracture near the ankle joint that appeared to be slightly displaced. Initially, I was placed in a cast, but after r...

Dr. Li Yongheng Reply:
Hello, current medical literature indicates that hyperbaric oxygen therapy can accelerate the reduction of swelling in the affected limb, but it does not speed up fracture healing.

Recovery Timeline After Tibial Plateau Screw and Plate Removal

Removal of screws and plates from the tibial plateau? Hello, I suffered a displaced and comminuted fracture of the tibial plateau in a car accident on January 3rd of this year. If I can have the steel pins and plates removed next year, generally speaking, how long will I need to ...

Dr. Shi Guozheng Reply:
After the removal of the bone screws following a fracture healing, it typically takes one to two weeks to return to normal. Crutches may be used for one to two weeks, and riding a motorcycle can usually be resumed in about two weeks.

Understanding Bone Grafting Options for Femoral Fracture Healing

Closed reduction femoral neck fracture for nearly nine months? Hello, doctor. I asked you a question here over two months ago. Please take a look at the link; it contains the X-ray I had taken at the hospital on November 6. My femur is not healing properly, and the doctor mention...

Dr. Shi Guozheng Reply:
Using one's own bone for grafting yields the best results; artificial bone may integrate less effectively and could take longer to heal. Additionally, artificial bone may incur extra costs, whereas autologous bone does not require additional payment. Most physicians prefer t...

Understanding Clavicle Fractures: Pain, Recovery, and Hardware Concerns

Clavicle fracture, muscle pain, issues with the steel pin? Hello, I had a car accident on September 13th this year, and my right clavicle was fractured in a zigzag pattern. I underwent surgery on September 16th to repair it, and it has now been one month. During my follow-up appo...

Dr. Chen Yongxue Reply:
1. Currently, it has only been one month since the surgery, and it is not advisable to bear weight too early (approximately three months would be more ideal). 2. Bearing weight on the left side should not have any significant impact. 3. It is possible. 4. The timing for the...

Delayed Healing of Fifth Metatarsal Fracture: What to Expect?

The fifth metatarsal fracture has not healed after five months? Hello Dr. Lee, thank you for your previous response. Since it has been over five months and I have not yet recovered, I would like to inquire about my situation again. The X-ray images show comparisons of the fractur...

Dr. Li Yongheng Reply:
Hello, based on the X-ray you provided, the fracture has healed about 70 to 80%, and the healing speed is normal, so there is no need for concern. Even after the fracture is completely healed, you may feel a slight protrusion when touching the outer and bottom areas of the fractu...

Understanding Healing Progress of Fifth Toe Fractures: What to Expect

Healing status of the fifth metatarsal fracture? Hello Doctor: On June 19, I sustained a fracture at the base of my right little toe due to a sprain. The orthopedic surgeon advised me to use an elastic bandage for slight stabilization and to allow it to heal naturally. During thi...

Dr. Li Yongheng Reply:
Hello, your fifth toe fracture has been present for 2 months. The X-ray shows a more pronounced fracture line, but there is no significant pain or discomfort. This situation is not uncommon, so there is no need for excessive concern. As for the reduced movement and stiffness in y...

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