Post-Fracture Complications: Understanding Ligament Issues After Surgery
After a radius fracture surgery, it was found that there was ligament laxity? Hello, Doctor. I would like to ask you about my mother, who is 65 years old. In July, she suffered a fracture of the left radius due to a car accident. She underwent surgery to install a plate and screw...
Dr. Shi Guozheng Reply:
Early surgery leads to better recovery outcomes.[Read More] Post-Fracture Complications: Understanding Ligament Issues After Surgery
Understanding Recovery from Multiple Leg Fractures: Key Questions Answered
Femoral and tibial fractures? Hello Dr. Chen, I was involved in a car accident at the beginning of August, resulting in multiple fractures on the left side. The more severe injuries include fractures of the left femur, tibia, and fibula (I have used a self-paid plate for fixation...
Dr. Chen Bochen Reply:
1. The diagnosis indicates a fracture of the left pelvic pubic ramus, but there are no specific medical instructions. Q: Does this mean it can heal naturally without intervention? Will there be any long-term effects? If the pubic ramus is not significantly displaced, it can gener...[Read More] Understanding Recovery from Multiple Leg Fractures: Key Questions Answered
Understanding Nonunion of Femoral Fractures: Treatment Options Explained
Nonunion of femoral fracture Hello Dr. Chen: In May 2021, I underwent surgery on my femur, and the area marked in red in the image has not healed since then. A CT scan revealed a gap in the middle of the originally fractured area, with the bone on both sides forming a white appea...
Dr. Chen Yongxue Reply:
Hello, it is advisable to follow the doctor's recommendations to avoid delaying treatment. If you still have concerns, you may consult another orthopedic clinic. Thank you.[Read More] Understanding Nonunion of Femoral Fractures: Treatment Options Explained
Post-Surgery Concerns: Understanding Intramedullary Nails and Bone Plates
Regarding intramedullary nailing of the femur and plate fixation of the metacarpals postoperatively? Dear Doctor, I have a few questions regarding my recovery one month after my femur fracture surgery, and I would like to seek your expertise: 1. When I fully extend my knee, I ca...
Dr. Zhan Xian Reply:
Hello Mr. Lin, the X-ray you provided cannot be opened, and I am unable to give feedback on the images. Since it has been about a month post-fracture surgery and the fracture has not yet healed, you can discuss your concerns with the surgeon during your follow-up appointment.[Read More] Post-Surgery Concerns: Understanding Intramedullary Nails and Bone Plates
Assessing Bone Displacement: When to Consider Surgery?
Assessment of Bone Displacement Degree Because my bone initially was just a hairline fracture, but I didn't take care of it properly. When I returned to the hospital the next day, the doctor said there was a slight displacement, and even if it heals on its own, the function ...
Dr. Zhan Xian Reply:
Please go to the orthopedic outpatient clinic![Read More] Assessing Bone Displacement: When to Consider Surgery?
Innovative Treatments for Wrist Osteoarthritis After Fractures
Comminuted wrist fracture Hello, doctor. I have a question regarding my condition. Several years ago, I experienced an accident that left me unconscious, so I am not very clear about what happened. I sustained multiple fractures, which resulted in the loss of cartilage in my wris...
Dr. Wang Shouji Reply:
Hello, for post-traumatic arthritis of the wrist, if there is still a need for strength, joint fusion surgery is often performed. If there is not much demand for strength, most cases are treated symptomatically. If you have further questions, it is advisable to seek a second opin...[Read More] Innovative Treatments for Wrist Osteoarthritis After Fractures
Can Minor Impact After Shoulder Surgery Cause Titanium Screw Failure?
Post-operative care for fracture surgery? I recently underwent surgery for a displaced proximal humeral fracture on my right shoulder, using plates and screws for fixation, about three to four days ago. However, while walking, I accidentally bumped my right shoulder against a wal...
Dr. Shi Guozheng Reply:
If the upper arm can still move, it may not be fractured. The safest approach is to get an X-ray to confirm the diagnosis.[Read More] Can Minor Impact After Shoulder Surgery Cause Titanium Screw Failure?
Recovery After Elbow Dislocation and Distal Humerus Fracture in Children
Right elbow dislocation with comminuted fracture of the distal humerus? Hello, my daughter had an accident on July 30 while returning home from work, resulting in a dislocated left elbow and a comminuted fracture of the distal humerus. She underwent emergency surgery at the hospi...
Dr. Shi Guozheng Reply:
Sure![Read More] Recovery After Elbow Dislocation and Distal Humerus Fracture in Children
Understanding Nonunion of Femoral Fractures: Treatment Options and PRP Efficacy
Nonunion of femoral fracture Since the surgery in May 2021, the fracture has not healed properly. The X-ray showing the entire bone screw placement can be viewed here: https://i.imgur.com/IWr30qa.jpg. More than a year has passed, and it still hasn't healed: https://i.imgur.c...
Dr. Shi Guozheng Reply:
The location of your fracture is just below the intertrochanteric region of the femur, where the bone is particularly dense and has a slower healing rate. It typically takes about one and a half to two years for this type of fracture to heal. If you are currently not experiencing...[Read More] Understanding Nonunion of Femoral Fractures: Treatment Options and PRP Efficacy
Signs of Achilles Tendon Rupture: When to Seek Orthopedic Care
The symptoms of an Achilles tendon rupture include: 1. Sudden pain in the back of the ankle or calf. 2. A popping or snapping sound at the time of injury. 3. Swelling and bruising around the heel and ankle. 4. Difficulty Hello, Doctor. Yesterday at work, I accidentally got hit o...
Dr. Shi Guozheng Reply:
After a rupture, the continuity of the Achilles tendon may be disrupted. Upon palpation, there may be a noticeable defect or gap, and sometimes pain may be present. There is also a possibility of weakness when the foot is dorsiflexed.[Read More] Signs of Achilles Tendon Rupture: When to Seek Orthopedic Care
Do You Need Surgery to Remove a Steel Plate After Arm Fracture?
Removal of fracture plate? After one year post-surgery for an upper limb fracture, the bone has healed. Since the internal plate is made of health insurance-approved material, is it necessary to undergo another surgery to remove it? (Currently 43 years old)
Dr. Wang Shouji Reply:
Hello, if there are no specific discomforts or foreign body sensations, it is not necessarily required to remove it. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Do You Need Surgery to Remove a Steel Plate After Arm Fracture?
Managing Ankle Fractures: Using Braces and Returning to Sports
Issues with the use of ankle fracture braces and engaging in sports? Hello, Doctor. I sustained an injury two weeks ago while exercising, resulting in a fracture of the posterior talus and a ligament tear in my right ankle. After evaluation, the doctor determined that surgery is ...
Dr. Wang Shouji Reply:
Hello, bone healing takes at least three months. If the fracture is not severe and there is some healing, it still requires at least two months before progressing to full weight-bearing activities. For exercises like walking, it is safer to wait for three months. However, non-wei...[Read More] Managing Ankle Fractures: Using Braces and Returning to Sports
Post-Surgery Rehabilitation Tips for Patellar Fracture Recovery
Rehabilitation Issues After Patellar Fracture Surgery My mother is 77 years old and fractured her patella into four pieces due to a fall. It has been seven weeks since her surgery, and yesterday she returned for a follow-up appointment where her cast was removed and replaced with...
Dr. Li Wenhong Reply:
Hello: Based on your description, your mother's patellar fracture is comminuted, and she also has osteoporosis. Therefore, the postoperative cast fixation is required for a longer duration. The transition to a knee brace is made when the attending physician determines that s...[Read More] Post-Surgery Rehabilitation Tips for Patellar Fracture Recovery
Post-Fracture Leg Pain: Causes and Concerns After Surgery
Pain in the fractured leg with crepitus at the fracture site? Dear Doctor: I had an open comminuted fracture surgery on my leg about five months ago. X-rays show that there is new bone callus formation at the fracture site. Recently, I have been using a walker to assist with walk...
Dr. Shi Guozheng Reply:
1. Whether the steel plate has shifted needs to be confirmed by an X-ray. 2. It is normal for pain to persist when the fracture has not yet healed. 3. It is unrelated to muscle atrophy. 4. The sound of bone grinding may be related to the uneven surface of the cartilage.[Read More] Post-Fracture Leg Pain: Causes and Concerns After Surgery
Injury to Knee and Thigh: Symptoms, Treatment, and When to Seek Help
Knee and thigh issues? Recently, I fell on the road and my left knee and left thigh collided forcefully with a rock, accompanied by a cracking sound. After that, I was in so much pain that I couldn't stand up. After struggling to get up, I noticed a 2 cm indentation on the r...
Dr. Shi Guozheng Reply:
1. For joint contusions, it is important to check for fractures. If there are no fractures, surgery is not necessary. 2. Amputation is only required if the limb is necrotic; if blood circulation is good, amputation is not needed. 3. Seek treatment at an orthopedic department ...[Read More] Injury to Knee and Thigh: Symptoms, Treatment, and When to Seek Help
Knee Injury from Motorcycle Accident: Recovery Timeline and Tips
Knee injury from a car accident? As the title suggests, yesterday afternoon I had a motorcycle accident on Green Island, resulting in a fall. Later, after returning to Taiwan, I was involved in a two-vehicle collision while heading to the hospital for a wound debridement. Current...
Dr. Shi Guozheng Reply:
Generally, a bruise without a fracture usually heals within four weeks. You can try to walk after two to three days.[Read More] Knee Injury from Motorcycle Accident: Recovery Timeline and Tips
Addressing Complications After Forearm Fracture Surgery: A Patient's Concerns
Issues with steel pins for left distal radius/ulna fractures? Hello Doctor, I underwent internal fixation surgery for a distal radius and scaphoid fracture on May 11 of this year (I was injured on April 9, and the surgery was delayed for various reasons). I have been in rehabilit...
Dr. Shi Guozheng Reply:
1. It may be more appropriate to use shorter screws. 2. It should not be a problem. 3. You should ask your attending physician for the most accurate information.[Read More] Addressing Complications After Forearm Fracture Surgery: A Patient's Concerns
Challenges After Ankle Fracture: Recovery and Rehabilitation Insights
Four months after an ankle fracture, the injury has not healed, and surgical ligament reconstruction is performed? In late July 2021, the doctor diagnosed a right ankle sprain and administered shockwave therapy. By mid-November, it was discovered that there was a fracture in the ...
Dr. Chen Yongxue Reply:
You should consult your attending physician. Thank you.[Read More] Challenges After Ankle Fracture: Recovery and Rehabilitation Insights
Options for Non-Surgical Healing of Humeral Fractures: Shockwave and Ultrasound Therapy
Comminuted humeral fracture Hello Dr. Wang, I would like to ask if there are any signs of healing after four months post-surgery for a comminuted humeral fracture. Would self-funded shockwave therapy or ultrasound bone healing treatment be helpful? What methods can assist in the ...
Dr. Wang Jiacheng Reply:
Both treatment methods you mentioned have been attempted and may be helpful, but they are not 100% successful. In case of non-healing, it is still necessary to consider undergoing bone grafting surgery.[Read More] Options for Non-Surgical Healing of Humeral Fractures: Shockwave and Ultrasound Therapy
Understanding Recovery from Calcaneal Fractures: Pain, Limping, and Future Limitations
A left calcaneal fracture has been present for three months, but there is still a limp while walking. Additionally, is it possible for a calcaneal fracture to fully heal? Hello doctor, I suffered a closed fracture above my calcaneus from being run over by a motorcycle in May of t...
Dr. Shi Guozheng Reply:
A calcaneal fracture typically takes at least three months to heal, and pain relief may take up to six months. You can try applying heat, and it may also be helpful to take some pain relievers to reduce discomfort.[Read More] Understanding Recovery from Calcaneal Fractures: Pain, Limping, and Future Limitations