Fracture, Orthopedics FAQ

Jaw Pain After Accident: Should You See a Doctor or Wait?

I was hit on the temple by my boyfriend's forehead, and now I have a sharp pain that keeps me awake at night? Last night, my boyfriend accidentally bumped my left temporomandibular joint area, near the hairline by my ear. It hurt a lot at the moment of impact, but there were...

Dr. Shi Guozheng Reply:
If the pain does not improve, it is necessary to visit a hospital for evaluation or to get an X-ray examination.

Understanding Ankle Fractures: Recovery and Weight-Bearing After an Accident

Left ankle fracture from a car accident? Hello, I had a car accident on April 12 and fractured my left ankle. Here is the X-ray link: https://lurl.cc/zY5ua. I would like to ask: 1. Is there weight-bearing at the fracture site, and will it have functional impacts or cause friction...

Dr. Shen Boquan Reply:
Hello, the X-ray appears to show a non-displaced fracture of the medial malleolus. Generally, fractures in this area take about 2 to 3 months to heal. You can walk with protection, such as a cast or brace, but there may be swelling and pain for several weeks, which is related to ...

Can You Climb Stairs After a Year of Lumbar Spine Fracture?

"Is it safe to climb stairs regularly one year after a burst fracture of the third vertebra?" Hello Dr. Shen, I sustained a burst fracture of the third lumbar vertebra due to a car accident, with a compression of 0.4 cm at the third lumbar vertebra. I have been undergoi...

Dr. Shen Boquan Reply:
Hello, netizen. You have a fracture of the third lumbar vertebra that has healed for a year without pain. Climbing stairs can put a significant strain on your knees. If you do not experience noticeable knee pain or back pain, it should not have a major impact. However, if you exp...

Understanding Post-Surgery Numbness in the Lower Leg After Hip Fracture Repair

Why is there numbness in the lower half of the calf after surgery for a closed fracture of the left acetabulum? Hello, Director Shen. My mother suffered a closed fracture of the left acetabulum (the doctor mentioned it was a comminuted fracture) due to a car accident, along with ...

Dr. Shen Boquan Reply:
Hello, the user. Your mother is experiencing numbness in her lower limbs after hip acetabulum fracture surgery, which may be due to sciatic nerve compression since the fracture site is close to the sciatic nerve. During surgery, it is easy for the nerve to be stretched, leading t...

Convincing Your Doctor to Remove Intramedullary Nails After Surgery

Removal of metal pins issues Hello Doctor, I was in a car accident in December 2022, resulting in a comminuted fracture of my thigh. After surgery, I was fortunate to recover. It has been almost two years now, and I would like to have the metal screws removed. However, when I inq...

Dr. Zhan Xian Reply:
Whether to remove the metal pins is not definitive; if the patient experiences discomfort or if the pins are protruding, they need to be addressed. Metal pins are considered foreign objects in the body. If the patient is relatively young and in good health, it may be worth discus...

Post-Surgery Rehabilitation Challenges for Femoral Fractures: Common Concerns

Rehabilitation Issues After Surgery for Femoral Closed Fracture 1. The left thigh femur surgery was completed on May 22. Starting from June 27, I began using a walker to take steps in place. My knee can bend to 90 degrees, but without support from the walker, my left leg feels we...

Dr. You Dianqi Reply:
It is normal to experience soreness and pain in the affected limb after surgery; however, home rehabilitation should be carried out according to medical advice. You may consult a physical therapist in the rehabilitation department. Ice packs can be used to alleviate swelling and ...

Understanding Swelling and Bruising After Foot Injuries

Swelling and bruising on the sole of the foot? Hello doctor, on June 23, I was involved in a car accident that resulted in a fracture of my left big toe, a dislocation of my left second toe, and a laceration. After undergoing suturing and reduction of the dislocation, I have been...

Dr. Zhan Xian Reply:
It is recommended to apply ice packs to alleviate pain and swelling. You can use a pillow for support and elevate the injured limb above the level of the heart to reduce swelling and discomfort, promote blood circulation, and consult your attending physician during follow-up visi...

Understanding Ankle Fractures: Recovery and Treatment Options

Fracture of the left medial malleolus? Hello, I suffered a fracture of the left ankle on April 12th, and it has been nearly 11 weeks. The fracture site has some displacement. Here are the questions based on the X-ray taken on June 25th (link: https://lurl.cc/v0vsm): 1. Is conser...

Dr. You Dianqi Reply:
An inner ankle fracture typically takes about three months to heal, and normal activity can resume only after healing. Please discuss your concerns with your treating physician. Thank you.

Is It Normal for Arm Shape to Be Indented After Fracture Surgery?

The appearance after the fracture surgery still has a slight indentation? Hello, doctor. I suffered a fracture of the ulna and radius in my right arm at the beginning of June this year. My recovery has been going relatively well since the surgery, but there is still a noticeable ...

Dr. You Dianqi Reply:
It is recommended to consult your attending physician during your follow-up appointment. Thank you.

Should You Remove Intramedullary Nails After Fracture Surgery?

Is it necessary to remove the intramedullary nail? Hello Doctor: I was involved in a car accident on July 23, 2023, which resulted in a closed fracture of my right tibia with three segments broken and bone fragmentation. I underwent an open reduction and internal fixation surgery...

Dr. Shi Guozheng Reply:
1. Intramedullary nails should only be removed after the fracture has healed. If the nail is protruding, it should be extracted. 2. Some physicians may not perform bone grafting, and this may not pose any issues. 3. Leaving the nail in place can cause a foreign body sensation...

Ankle Fracture Recovery Challenges: Pain, Healing, and Work Limitations

Ankle fracture recovery issues? Hello Doctor: It has been six weeks since my bone fracture, and it has not fully healed yet. I am able to walk with the assistance of crutches, but I have injuries on both sides of my ankle. I experience some pulling pain while walking; will this a...

Dr. Shi Guozheng Reply:
You should assess the recovery situation and consider visiting a hospital to have a physician evaluate and issue a medical certificate.

Understanding Steel Plate Fractures in Orthopedic Surgery: Risks and Solutions

Steel plate fracture I had my first surgery with steel nails, but my hand ended up misaligned by 2.8 mm, which made it difficult to lift. Later, I underwent treatment with a steel plate, and I was able to lift my hand again. However, the steel plate broke within three months, and...

Dr. Shi Guozheng Reply:
Is the location of your fracture in the upper arm (humerus)? After two failed surgeries with plate fixation, the use of intramedullary nails is a viable option, but it is crucial to ensure that the fixation is very secure. Additionally, bone grafting is necessary to promote bette...

Understanding Tibial Fracture Recovery: To Remove Hardware or Not?

Tibial fracture Hello Doctor, my son is 23 years old and previously suffered a tibial shaft fracture in a car accident. He had titanium alloy implants with four screws for fixation, and it has been 1 year and 2 months since the surgery. During his follow-up visit, the physician m...

Dr. You Dianqi Reply:
Bone screws and plates are considered foreign objects in the body. Whether or not to surgically remove them depends on whether the patient experiences discomfort. If there is discomfort that affects daily life and work, it is recommended to follow up with the attending physician ...

Exposed Metal Pin in Left Shoulder: Risks and Recovery After Removal

The left shoulder has just been pinned externally? Due to a car accident four years ago, I fractured my left shoulder and had a metal pin inserted, which was covered by health insurance. Now, after more than a year, the pin was initially only slightly exposed, but it has become i...

Dr. Chen Yongxue Reply:
Hello, it is generally recommended to remove the steel pins used after a fracture surgery within one to two years, unless there are special circumstances, as they are not a natural part of the body. Once the staged healing process is complete, there is no need to retain them. How...

Understanding Nerve Compression After Radius Fracture Surgery: Causes and Relief

Radial fracture surgery, one year post-healing with hardware removal, median nerve compression? In June, I underwent a radial fixation surgery, and my post-operative condition was good with no discomfort. The images below are X-rays from October of last year: https://i.imgur.com/...

Dr. Shen Boquan Reply:
Hello, after the removal of the plate following a distal radius fracture surgery, it is common to experience numbness in the fingers. Generally, if the nerves are stimulated or damaged, recovery can take some time, usually around three months or even longer. If the pain at the in...

Recovering from Fifth Metatarsal Fracture: When to Start Weight-Bearing?

Fracture of the fifth metatarsal bone; I want to recover quickly to walk again? Fracture of the base of the fifth metatarsal, treated with a cast for 5 weeks. I will have a follow-up appointment next week. Currently, I am doing some exercises at home that do not involve moving my...

Dr. Shen Boquan Reply:
Hello, regarding your fifth metatarsal base fracture, you have been in a cast for 5 weeks. Generally, bone healing takes about two to three months. I am not aware of your current condition, but your attending physician will provide you with some recommendations based on your situ...

Healing Time for Non-Displaced Fibula Fractures: What to Expect

How long does it take for a non-displaced closed fracture of the right fibula's lateral malleolus to heal? I had a fall due to a non-collision accident on May 14th, and I was hospitalized for 7 days. The doctor diagnosed me with a non-displaced closed fracture of the right f...

Dr. Zhan Xian Reply:
Fractures generally require a recovery period of about three months, but this can vary depending on the individual's condition and healing process. Please follow your physician's advice for treatment and follow-up appointments. If you have any concerns, it is advisable ...

Understanding Lumbar Compression Fractures: Recovery and Treatment Insights

Compression fracture of the first lumbar vertebra? I had a lumbar compression fracture from a car accident on May 23rd. It's been over two weeks, and the doctor has only prescribed pain medication, which I haven't taken. During my follow-up appointment on June 6th, the ...

Dr. Chen Bochen Reply:
Hello, 1. Compression fractures typically cause pain for at least three weeks or more. 2. Wearing a brace for 2-3 months is primarily to prevent further spinal deformity, which can become permanent and lead to discomfort in older age. Therefore, doctors recommend wearing the brac...

Will Delayed Treatment of a Boxer's Fracture Affect My Keyboard Skills?

If a boxer experiences a fracture and delays seeking medical attention, will I still be able to type on the keyboard? Hello Doctor: After fracturing my fifth metacarpal, I didn't experience severe pain and thought it was just a sprain, which delayed my visit to the doctor fo...

Dr. Chen Yongxue Reply:
Each person's condition and recovery situation is different, so it is best to consult your attending physician for answers based on your X-ray results. Thank you.

Understanding Steel Plate Fractures in Orthopedic Surgery: Risks and Solutions

Dr. Shi Guozheng Reply:
You did not specify whether it is a humeral fracture or a fracture of another bone. If there is a dislocation, an X-ray can determine the fracture. After surgery, if the plate has broken again and there has been no subsequent surgery on the bone, the best option would be to suppl...

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