Fracture healing, Orthopedics FAQ

Understanding Recovery from Ankle Fractures: Timeline and Rehabilitation Insights

Fracture of the right ankle involving the lateral malleolus and medial malleolus? Hello, Dr. Hong. I would like to ask about my right foot. I had a car accident in early March and fractured it. I then underwent surgery where the doctor inserted metal screws and plates. After two ...

Dr. Hong Ximing Reply:
Surgical reduction and fixation of ankle fractures require monitoring of fracture healing through X-rays. Partial weight-bearing walking is necessary, and appropriate protection should be provided. For rehabilitation of the surrounding ligaments, consultation with a rehabilitatio...

Understanding Thumb Fracture Healing and Pin Removal: What to Expect

Removal of steel pins from a fractured thumb? Hello Doctor: I would like to ask about my little finger fracture on March 22. After having a pin inserted, I went to have it removed today, but the X-ray showed that the fracture line has not completely healed and seems quite signifi...

Dr. Shi Guozheng Reply:
Fractures of the phalanges can typically have the fixation removed after about six weeks. Although it may appear that the fracture has not completely healed, there is already initial callus formation, which will gradually fill in. It is advisable to wait about three months before...

Understanding Bone Cement Injections for Spinal Compression Fractures

Bone marrow injection Hello Doctor: My mother has had sciatica for some time. On Monday, while riding her scooter to the market, she was suddenly knocked down by a person running out, who fell on her along with their vehicle. She was in so much pain that she couldn't get up....

Dr. Wang Shouji Reply:
Hello: Vertebral body fracture augmentation is one of the methods that can be considered for elderly patients with osteoporosis who have a poor expected fracture healing rate or severe symptoms. The benefit is that it is very effective for symptom relief. However, if the patient ...

Understanding the Impact of Anesthesia on Radial Head Fracture Healing

Relaxation wrench In the case of a comminuted fracture of the radial head with a steel plate fixation, if one fragment has not yet healed and the bone is not osteoporotic, will the relaxation anesthesia performed by an orthopedic specialist cause any displacement?

Dr. Chen Yongxue Reply:
Hello, to check the location of the bone fragments, there will generally be no further changes. Thank you.

Understanding Fracture Healing: Surgery Options and Recovery Insights

How to address fracture issues? My boyfriend, who is 42 years old, had a car accident in September 2015, resulting in a fracture in his right shoulder and clavicle. At that time, the doctor advised against surgery and recommended natural healing. However, after five months, there...

Dr. Hong Ximing Reply:
If a clavicle fracture is non-displaced, surgery may not be necessary. However, if it has not healed after five months, surgical intervention with bone grafting may be required to promote healing.

Should I Rest or Rehab After Nerve Release Surgery for Elbow Issues?

I'm sorry, but I need more context or content to provide a translation. Please provide the specific text you would You have undergone a neurolysis surgery on January 6th. Currently, the radial head has not yet united. The elbow range of motion is from 20 to 120 degrees. Shou...

Dr. Hong Ximing Reply:
In the case of an unhealed radial head fracture, priority should be given to fracture healing, while also allowing for the healing of any nerve decompression surgery if necessary. For detailed circumstances, it is advisable to consult and discuss with the attending physician.

Understanding Delayed Healing After Autologous Bone Grafting

Bone healing can be challenging? I had an autologous bone graft two months ago, and the doctor said there is insufficient nutrition. Since I already had the autologous bone graft, why hasn't the bone fusion healed? The area around my elbow where the surgery was performed fee...

Dr. Hong Ximing Reply:
Bone grafting is only necessary for bone defects to aid in fracture healing. Since there are no X-rays available for reference, please consult with your attending physician or seek a third-party opinion.

Understanding Nonunion in Ankle Fractures: Recovery and Treatment Options

Regarding the issue of nonunion after an ankle fracture? I apologize for the questions, but I would like to ask Dr. Wang about the healing process after a fracture of the left ankle. It has been about five months since the fracture, and I experience pain whenever I put any weight...

Dr. Wang Shouji Reply:
Hello: Generally speaking, nonunion of fractures should consider two points: 1. Poor environmental contact at the fracture site, and 2. Insufficient stability at the fracture site. However, healing should occur within six months, after which rehabilitation can gradually restore f...

Effectiveness of Vascular Flush Surgery for Delayed Bone Healing

Congestion surgery Dr. Chen, what is the effectiveness of vascular perfusion surgery for delayed fracture healing, and how is it performed? Thank you.

Dr. Chen Yongxue Reply:
Hello, delayed healing of fractures may require additional treatment depending on the location and growth conditions. The most common surgical procedures include enhanced fixation and bone marrow transplantation. In cases of severe injury leading to bone defects, vascularized bon...

Post-Surgery Recovery: Understanding Clavicle Fracture Healing and Pain

Please provide more details about the fracture surgery you would like to inquire about? Hello Dr. Hong, thank you for your response regarding rehabilitation. I would like to ask another question. Since the X-ray taken five weeks after the clavicle fracture surgery shows that the ...

Dr. Hong Ximing Reply:
Hello: Five weeks after clavicle fracture surgery, X-rays should show that the bone neck has not yet healed. Rehabilitation can be initiated, but it is important to consult a specialist to gradually perform the correct rehabilitation exercises, without needing to wait for complet...

Understanding Delayed Healing in Femoral Neck Fractures: Treatment Options

Femoral neck fracture Dr. Yeh, could you please explain how a revascularization surgery is performed for delayed fracture healing? It has been over five months since my femoral neck fracture, and the doctor hasn't provided much information, but I still experience pain when a...

Dr. Ye Qingnian Reply:
Femoral neck fractures are challenging to heal. Persistent pain may indicate that the bone has not yet healed. It is recommended to consult a physician for further evaluation and explanation.

Enhancing Healing in Orthopedic Fractures: The Role of Bone Grafts

Delayed healing Dr. Hong, there may have been a misunderstanding. What I meant was how to promote healing and growth using autologous bone for a comminuted fracture. Is it necessary to perform a vascularized bone flap? What is the effect on perfusion? Thank you, Dr. Hong.

Dr. Hong Ximing Reply:
Autologous bone grafting or vascularized bone flaps are considered based on the extent and location of the bone defect, primarily to promote fracture healing. Of course, vascularized bone flaps have a better perfusion effect due to the presence of blood vessels.

Understanding Free Vascularized Bone Grafts in Orthopedic Surgery

Osteocutaneous free flap Dr. Wang, regarding the use of autologous bone grafts for bone fusion, how long does it typically take for comminuted fractures to heal? Many cases of comminuted fractures experience delayed healing; how do you assess the patients? Why not "rob Peter...

Dr. Wang Shouji Reply:
Hello: When performing a skin flap bone graft, microsurgery is required to connect the blood vessels. If successful, the healing rate is relatively high. There are many factors that influence fracture healing, so it is difficult to determine how long it will take to heal. General...

Enhancing Bone Healing: Autografts vs. Vascularized Bone Flaps

Fracture healing promotion Is using autologous bone for fracture healing effective? How does the use of vascularized bone flaps promote revascularization? What are the effects of both methods? Thank you.

Dr. Hong Ximing Reply:
Hello: Autologous bone grafting and vascularized bone flap are used depending on the specific defect at the fracture site; the two cannot be compared. Hong Hsi-Ming.

Delayed Healing in Orthopedic Fractures: Risks and Recovery Insights

Delayed healing After a closed reduction of a distal radius fracture with plate fixation for 4 months, there is delayed healing expected between 4 to 6 months. Will the fractured bone undergo avascular necrosis? I would like to consult with a plastic surgeon for a free vasculariz...

Dr. Huang Minxu Reply:
Hello: Based on your description, it seems that the fracture healing may be slower. There is a concern that soft tissue may grow into the fracture site or that there could be localized bone necrosis at the edges. This needs to be evaluated through X-rays, as time alone cannot det...

Understanding Open Fracture Recovery: Timeline and Concerns

Fracture healing So, the doctor said that an open fracture takes at least three months to heal bone? Also, I have an open fracture of the right radius, and my thumb feels slightly sore when I rotate it. Is this normal? Will this affect the healing process?

Dr. Shi Guozheng Reply:
Fracture healing typically takes about three months, although some cases may extend to around six months. For long bones, if there is no continued bone growth after six months or if healing has not occurred after one year, it can be classified as nonunion. A slight soreness when ...

Understanding Fracture Healing: Pain, Hardware Stability, and Bone Growth

Fracture load Doctor, if a fracture is healing, can we feel the bone growing? Will it hurt when picking things up, and could this lead to the displacement of the metal pins or affect bone growth?

Dr. Shi Guozheng Reply:
The emergence of long bones generally does not cause any special sensations. If a fracture has not yet healed, lifting heavy objects may cause pain, and there is a possibility of displacement of the fracture, which can also affect bone growth. Typically, it is necessary to protec...

Essential Nutrients for Bone Healing: Tips for Faster Recovery

Help for Bones What should I eat to help with bone growth? Do younger individuals grow faster? I suffered an open fracture of the radius in my right arm due to a car accident, and it has been over two months with no signs of bone healing. What could be the reason for this? I am c...

Dr. Shi Guozheng Reply:
The role of food in bone healing is primarily to provide nutrients; there are no specific foods or medications that can significantly accelerate bone growth. If someone claims otherwise, it may be an exaggeration of their effects. Delayed fracture healing is related to the severi...

Understanding Bone Healing: Is Two Months in a Cast Normal?

Bone healing Doctor, I would like to ask if it is normal for my right radius open fracture to still be in a cast after two months. Will taking calcium and iron supplements help it heal faster, and when is the best time to take them for optimal effect?

Dr. Shi Guozheng Reply:
A fracture is defined as a discontinuity in the continuity of a bone, regardless of whether there is displacement. Even a small crack without displacement is considered a fracture. After a fracture occurs, there will be bleeding at the site, and the blood contains many nutrients ...

Understanding Muscle Twitches in Fracture Healing: Causes and Solutions

Twitching at the site of the fracture? Hello, doctor. I currently have a fracture that is immobilized with a cast, but the affected area experiences twitching similar to an eyelid twitch. My blood electrolytes are normal, and muscle relaxants don't seem to help much. Sometim...

Dr. Shi Guozheng Reply:
It is normal to experience pain after a fracture. If the fracture is stabilized properly with a cast or surgery, the pain will gradually subside, typically within one to two weeks. If the pain persists or becomes sharp, it may be due to the cast being too tight. In such cases, it...

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