Recovery Tips for Thumb Fracture: When to Start Rehabilitation
Right thumb (at the joint! Including the fractured parts of the thumb bone) Hello, I would like to inquire: I have a fracture at the joint of my thumb, which involved shattered joint bones. I had three steel pins, one steel plate, and possibly artificial bone placed during surger...
Dr. Chen Yongxue Reply:
Hello, after a fracture, there will be metal pins for fixation, which means you cannot bend the affected area. You can only start moving once the pins are removed. Please do not start activities too early, and it is advisable to consult your attending physician. Thank you.[Read More] Recovery Tips for Thumb Fracture: When to Start Rehabilitation
Concerns About Exposed Talus Screw After Fracture Surgery
Issues with talus screws? Hello Dr. Chen, I would like to ask about my right talus fracture with partial dislocation from last month (I had surgery with two steel pins inserted, with about 5mm exposed). The doctor advised that after 8 weeks post-surgery, if the X-ray shows no iss...
Dr. Chen Yongxue Reply:
Hello, the breakage of the intramedullary nail in patients with fractures who bear weight too early is a common occurrence. Managing such a broken nail can be relatively complicated, so please discuss this with the attending physician. Thank you.[Read More] Concerns About Exposed Talus Screw After Fracture Surgery
Essential Rehab Techniques for Preventing Muscle Atrophy After Surgery
Rehabilitation treatment methods I have a question: after my discharge, my physical therapist only taught me to do 20 repetitions of ankle dorsiflexion and plantarflexion and 10 repetitions of hip abduction and adduction each day. If I only do these two exercises, will my thigh m...
Dr. Shi Guozheng Reply:
The specific approach depends on the location of the surgery or joint involved. Generally, these movements aim to maintain the activity of the calf and thigh muscles. If it is after a fracture, the timing of healing will determine how much activity is necessary to prevent muscle ...[Read More] Essential Rehab Techniques for Preventing Muscle Atrophy After Surgery
Assessing Joint Stiffness After Surgery for Humeral Neck Fractures
After surgery for a closed fracture of the right humeral surgical neck involving four parts due to a car accident, an assessment is needed to determine the necessity for joint replacement? Will joint replacement cause complete joint stiffness?
Dr. Shi Guozheng Reply:
Typically, fractures of the humerus are best treated with surgical reduction and fixation whenever possible, as preserving the patient's own joint or bone is preferable. Only when repair is not feasible should total joint replacement be considered. Post-surgery, the range of...[Read More] Assessing Joint Stiffness After Surgery for Humeral Neck Fractures
Persistent Swelling After Toe Injury: When to See an Orthopedic Specialist
Toe injury with swelling? Hello, doctor. A few weeks ago, I stubbed my toe and did not address it immediately. I also did not apply ice or heat. After experiencing bruising, swelling, and pain, it has been a month since the bruising subsided, but my toe is still swollen, although...
Dr. Wang Shouji Reply:
Hello, the main concern is to check for any fractures. If there is no pain anymore, it should not be a major issue. Swelling may take some time to subside, sometimes requiring two to three months. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Persistent Swelling After Toe Injury: When to See an Orthopedic Specialist
Understanding Post-Surgery Redness and Swelling in Orthopedic Wounds
Surgical wound redness and swelling? Hello, doctor. In early September of this year, I suffered a closed fracture of my left ankle due to a work-related accident. I immediately sought medical attention and underwent surgery, during which steel pins and plates were inserted. After...
Dr. Wang Shouji Reply:
Hello, it has been two months since the surgery at the beginning of September, and the wound still appears somewhat abnormal. It is still recommended to visit the hospital for further evaluation. Changhua Hospital cares about your health. Sincerely, Wang Shou-ji.[Read More] Understanding Post-Surgery Redness and Swelling in Orthopedic Wounds
Understanding Crush Injuries: Recovery Tips for Foot Fractures
Crush fracture of the foot? Hello Doctor, on August 12, I accidentally fell from the fourth floor and landed on my feet. I had surgery on my left foot twice (currently, my five toes are still unresponsive). The sensation when stepping on the ground feels strange, and I experience...
Dr. Shi Guozheng Reply:
Typically, a fracture takes about three months to fully heal, so practicing should be possible after three months.[Read More] Understanding Crush Injuries: Recovery Tips for Foot Fractures
Could I Have a Spinal Fracture After a Motorcycle Accident?
Could I have a spinal fracture? Hello Dr. Chen: I am 19 years old. Three months ago, I fell off my motorcycle while turning in the rain, as the road was slippery with leaves. I was traveling at about 40 kilometers per hour and did not hit anything; I just slid for a short distanc...
Dr. Chen Bochen Reply:
Hello, 1. Spondylolysis is a common condition, and most individuals are asymptomatic during their youth; symptoms may gradually appear due to injury. 2. Spondylolysis can often be managed through rehabilitation and strengthening of core muscles to alleviate symptoms, but over ...[Read More] Could I Have a Spinal Fracture After a Motorcycle Accident?
Post-Surgery Issues After Distal Radius Fracture: Recovery Insights
Postoperative Issues Following Distal Radius Surgery Hello Dr. Chen, I suffered a distal radius fracture in my left wrist due to a fall on June 14. I underwent surgery with a titanium alloy plate fixation and had a cast for six weeks. I have been doing rehabilitation, but it has...
Dr. Chen Yongxue Reply:
Hello, distal radius fractures are very common, and the surgical methods are well-established. Of course, the prognosis is significantly related to the degree of fracture comminution. Generally speaking, if the fracture is not too comminuted, the cast can usually be removed after...[Read More] Post-Surgery Issues After Distal Radius Fracture: Recovery Insights
Understanding Radius Fractures: Surgical vs. Non-Surgical Treatment Options
Radial fracture How can I send you my X-ray images of the 10/4 fracture for comparison between surgical and non-surgical treatment?
Dr. You Dianqi Reply:
Hello! Regarding personal medical treatment, it is advisable to discuss it with your attending physician and family. Thank you.[Read More] Understanding Radius Fractures: Surgical vs. Non-Surgical Treatment Options
Improving Finger Overlap After Third Metacarpal Fracture Surgery
Steel plates and mobility After the third metacarpal fracture, an interlocked plate was installed near the distal joint, but the joint itself was not injured. Subsequently, there is an overlap between the middle finger and the ring finger. Will removing the plate improve the over...
Dr. Wang Jiacheng Reply:
After the removal of the metal plate, rehabilitation may not be effective because the fracture may have healed in a slightly misaligned position (rotational alignment). Therefore, unless a second surgery is performed to correct it, it may not be possible to change the situation.[Read More] Improving Finger Overlap After Third Metacarpal Fracture Surgery
Can Removing a Steel Plate Improve Finger Overlap After Fracture?
After the removal of the steel plate? After a fracture of the third metacarpal with the installation of an interlocking plate near the distal joint, but with no injury to the joint itself, there is overlapping of the middle finger and ring finger. Will removing the plate improve ...
Dr. Shi Guozheng Reply:
After the removal of the metal plate, rehabilitation may not be effective because the fracture may have healed in a slightly misaligned position (rotational alignment). Therefore, unless a second surgery is performed to correct it, it may not be possible to change the situation.[Read More] Can Removing a Steel Plate Improve Finger Overlap After Fracture?
Impact of Plate Fixation on Growth in Adolescent Forearm Fractures
Postoperative Care for Adolescent Radial and Ulnar Fractures Hello, I would like to ask about a 13-year-old adolescent who had an open fracture of the right radius and ulna on April 11 of this year. Surgery was performed on the same day to fix the fracture with a plate and screws...
Dr. Li Wenhong Reply:
Hello: Generally, in adolescents with radial and ulnar fractures, fixation with plates and screws avoids the growth plates and does not affect skeletal growth. The plates and screws are typically removed after about a year and a half, depending on the healing condition. It is rec...[Read More] Impact of Plate Fixation on Growth in Adolescent Forearm Fractures
Understanding Fifth Metatarsal Fractures: Recovery and Treatment Options
Fifth metatarsal fracture Hello, doctor. I sustained a fifth metatarsal fracture due to exercise on September 21. The doctor assessed that surgery was not necessary and that I could use a splint instead. During my follow-up appointment on October 20, the doctor said I could try w...
Dr. Wang Shouji Reply:
Hello, with only a fifth metatarsal fracture, if there is no significant pain after one month, partial weight-bearing should not be a major issue. The likelihood of fracture displacement is minimal. Follow-up X-rays should be done once a month, and after three to four months of c...[Read More] Understanding Fifth Metatarsal Fractures: Recovery and Treatment Options
Understanding Proximal Clavicle Fractures: Risks and Recovery Insights
Proximal clavicle fracture On August 17, I suffered a proximal clavicle fracture due to a car accident. Initially, the X-ray showed a complete fracture with minimal displacement, so the doctor recommended conservative treatment instead of surgery. After two or three follow-up vis...
Dr. Wang Shouji Reply:
Hello, if the fracture displacement is minimal and the healing process has not been significantly affected, after two months, the fracture should have undergone initial healing. You can continue to monitor it and wait for complete healing before starting rehabilitation therapy. C...[Read More] Understanding Proximal Clavicle Fractures: Risks and Recovery Insights
Concerns About Hardware Removal After Tibia and Pelvis Fractures
Rehabilitation issues related to metal implants? Hello Dr. Wang! I was in a car accident on March 25 of this year, resulting in a fracture of my left tibia and a fracture of my left pelvis. I underwent surgery for internal fixation of the tibial fracture on April 14. It has been ...
Dr. Wang Shouji Reply:
Hello, for lower limb fractures, the internal fixation should be removed at least one to one and a half years later. There is no specific harm in removing the internal fixation, but please avoid vigorous exercise for one month post-surgery. Changhua Hospital cares about your heal...[Read More] Concerns About Hardware Removal After Tibia and Pelvis Fractures
Non-Surgical Treatment for Fifth Metatarsal Fracture: Is It Effective?
Fracture of the right metatarsal bone? Hello, a family member accidentally stepped into a hole abroad, resulting in a fracture of the fifth metatarsal bone in the right foot. They are currently using a pneumatic walking boot instead of a cast. I would like to inquire whether non-...
Dr. Li Wenhong Reply:
Hello: If the displacement is not significant, conservative treatment can be considered without surgery. The proximal fifth metatarsal has the attachment of the peroneus brevis tendon, which can cause displacement or nonunion. If the patient is young and the surgical risks are lo...[Read More] Non-Surgical Treatment for Fifth Metatarsal Fracture: Is It Effective?
Understanding Fifth Metatarsal Fractures: Surgery or Conservative Treatment?
Fifth metatarsal fracture Hello, doctor. I recently suffered a fifth metatarsal fracture (with a 2mm displacement) due to an accident at work. Several doctors have given me the option of surgery or non-surgical treatment, and I'm feeling a bit frustrated about how to decide....
Dr. Shi Guozheng Reply:
Non-surgical treatment with a cast is sufficient for a fracture near the base of the metatarsal, as the displacement is minimal. It will heal in approximately six weeks.[Read More] Understanding Fifth Metatarsal Fractures: Surgery or Conservative Treatment?
Non-Surgical Options for Fifth Metatarsal Fractures: What You Need to Know
Fifth metatarsal fracture? Hello, doctor. I have attached my X-ray images. This is the current situation. The doctor here mentioned that surgery is basically optional, but the bone will grow in a misaligned direction, which may lead to subsequent pain. I would like to ask if it i...
Dr. Shi Guozheng Reply:
1. Surgery is possible. 2. There is no impact. 3. There are no issues with blood supply. 4. Bone spurs will not develop. 5. Surgery may not heal properly. 6. Surgery is not recommended.[Read More] Non-Surgical Options for Fifth Metatarsal Fractures: What You Need to Know
Preventing Joint Stiffness After Radial Head Fracture: Essential Tips
How to prevent joint stiffness in the early stages of a radial head fracture? Subject: I slipped and fractured my right radial head on October 12. The X-ray is as follows: https://drive.google.com/file/d/1vRAkhA6uLM8Uqqh5XZ9PjkQNRnN0kFZt/view?usp=sharing. I have visited the docto...
Dr. Shi Guozheng Reply:
1. Surgery is not necessary; stiffness may still be present even after surgery. 2. It is possible. 3. It is more appropriate to adopt the recommendation of a third physician, as the diagnoses are all the same.[Read More] Preventing Joint Stiffness After Radial Head Fracture: Essential Tips