Fracture, Orthopedics FAQ

Can an 11-Year-Old Return to Table Tennis After Wrist Fracture Surgery?

Distal radius fracture of the right wrist? Hello, Doctor: The patient is an 11-year-old child who underwent surgical fixation with a steel pin for a distal radius fracture in the right wrist two months ago. Now, two months post-operation, the X-ray shows good bone healing. May I ...

Dr. Shi Guozheng Reply:
An 11-year-old child typically has a shorter healing time compared to adults, so it is currently acceptable for them to engage in light exercise. Mild pain is considered normal.

Post-Tibial Fracture: Understanding Long-Term Effects and Recovery

Will there be any sequelae after a tibial fracture? Hello, Doctor. I apologize for bothering you, but I have a few questions. Two months ago, my friend suffered a left tibial shaft fracture (approximately 10 cm above the ankle) due to a car accident. During surgery, titanium allo...

Dr. Shi Guozheng Reply:
1. If the fracture has healed properly, there are usually no significant sequelae. 2. Removal is necessary only if there is irritation or if it affects joint mobility. 3. It is advisable to consume nutritious foods and ensure adequate calcium intake.

Can My Child Resume Table Tennis After Distal Radius Fracture Surgery?

Distal radius fracture of the right wrist? Hello, Doctor: The patient is an 11-year-old child who underwent surgical fixation with a steel pin for a distal radius fracture in the right wrist two months ago. The X-ray images show good bone healing at this point. May I ask if the p...

Dr. Shi Guozheng Reply:
If the fracture has completely healed and there is pain in the joint area, but joint movement is normal, then you can start exercising.

Impact of Custom Steel Plate on Knee Flexion After Tibial Plateau Fracture

Medial tibial plateau fracture I would like to ask if the installation of a self-funded steel plate on the inner posterior tibial plateau of the right knee will affect the flexion angle of the knee. Currently, after the installation, I am unable to flex my knee to 105 degrees lik...

Dr. Shi Guozheng Reply:
1. Factors that may be affected. 2. You can seek assistance from the rehabilitation department; it is important to start rehabilitation as soon as possible to potentially increase the angle of curvature. 3. It is still considered normal for the fracture line to gradually disappea...

Understanding Second Metatarsal Fractures and Treatment Options

Second metatarsal fracture Hello Doctor, I am a male who loves strength training. On April 22, I had an accident on my way to practice, where my left foot was trapped under the front wheel of a car for over 20 seconds before I was able to pull it out. After an emergency examinati...

Dr. Shi Guozheng Reply:
Based on the assessment of several physicians, it appears that there is no serious fracture as you described. A cast immobilization is sufficient, and currently, there is no need for shockwave therapy. The fracture is expected to heal in approximately six to eight weeks. Typicall...

Understanding Clavicle Fractures: When to Seek Further Medical Attention

Clavicle fracture I would like to ask the doctor, I had a car accident (a fall) on the morning of April 26, which resulted in a clavicle fracture. Is it normal to experience pain when coughing today? Is there a possibility of a rib fracture as well? Do I need to get a chest X-ray...

Dr. Li Wenhong Reply:
Hello: It is normal to experience pain when coughing if your clavicle fracture has not yet healed. If you suspect there may be a rib fracture as well, please return for a follow-up appointment with your attending physician to determine if a chest X-ray is necessary. Changhua Hosp...

Understanding Symptoms and Complications of Zygomatic Bone Fractures

What are the symptoms of a zygomatic bone fracture? Hello Dr. Chen, due to the increase in COVID-19 cases, I haven't gone for an X-ray. A few days ago, while at home with my child, I was accidentally hit on the right zygomatic bone. Currently, there are no symptoms of numbne...

Dr. Chen Bochen Reply:
Symptoms of a zygomatic bone fracture include swelling and pain. If a child hits their head, generally, applying ice for three days is sufficient, and even if there is a hairline fracture, it will typically heal on its own. However, if there are symptoms of drowsiness, weakness, ...

Post-Surgery Pain in Thumb After Scaphoid Fracture: Recovery and Exercise Timeline

After a scaphoid fracture surgery, it is common to experience soreness at the base of the thumb. The timeline for resuming physical activity can vary, but typically, patients may begin gentle range of motion exercises around 6 to 8 weeks post-surgery, depending on the healing pro...

Dr. Chen Bochen Reply:
1. It is possible, but an X-ray is needed to confirm. 2. Generally, most people adapt well. 3. Typically, it takes about two months, but it is more accurate to follow the advice of the surgeon who performed your operation.

Understanding Femoral Fractures: Surgery vs. Natural Healing Options

Comminuted femoral fracture Hello, doctor. I was in a car accident on November 20, 2021, and was diagnosed with a comminuted femoral fracture. It has been nearly six months since then, and the X-ray shows that the newly formed bone has not completely covered the area, with a thin...

Dr. Shi Guozheng Reply:
Typically, a femoral fracture is considered to have delayed union if it has not healed after six months. However, it is important to assess the X-rays during follow-up to see if there is gradual bone growth. If there is no evidence of bone formation after several consecutive eval...

Understanding Hip Fractures in Elderly Patients: A Caregiver's Guide

Hip fractures in the elderly? I would like to ask the doctor: My mother is 75 years old and has osteoporosis. On April 15, 2022, she fell down the stairs after missing a step. She landed on her right side and was unable to get up by herself. After I helped her up, she said she wa...

Dr. Wang Shouji Reply:
Hello, hip fractures in the elderly can be categorized into two main types. If it is a femoral head fracture, it is often treated with a partial hip arthroplasty combined with bone cement, allowing for quicker recovery, and patients can usually bear weight and walk almost immedia...

Understanding Recovery Challenges After Tibial Plateau Fracture Surgery

Medial tibial plateau fracture I underwent a self-funded interlocking titanium alloy fracture surgery on my right tibial plateau on March 23. It has been approximately 5 weeks since the surgery, and I can now achieve a 90-degree bend and stand on both feet. However, I notice that...

Dr. Shi Guozheng Reply:
It is inevitable that the range of motion in the knee joint will decrease after surgery. To restore it to the pre-injury condition, active rehabilitation is necessary. However, overdoing it can lead to pain. If there are concerns about the displacement of the fixation plate, an X...

Challenges in Healing Open and Comminuted Tibial Fractures: Surgical Options Explained

Open and comminuted fracture of the right tibia with poor fracture healing? Hello Dr. Wang, I was involved in a car accident on November 26, 2019, which resulted in an open and comminuted fracture of my right tibia. On December 2, 2019, Dr. A performed intramedullary nailing surg...

Dr. Wang Shouji Reply:
Hello, 1. Generally, it is not necessary to remove the intramedullary nail; using a steel plate for fixation carries a higher risk of plate fracture if healing does not occur. 2. It is important to assess the overall volume of the defect; if the volume is significant, there is...

Post-Accident Knee Swelling: When to Consider Surgery and Recovery Tips

Swelling around the knee persists after a car accident, and remains swollen even after surgical debridement? Hello Dr. Chen, I was involved in a car accident at the end of January 2022, which resulted in a fracture of my kneecap and contusions in the surrounding tissues. Since it...

Dr. Chen Bochen Reply:
Hello, based on your symptom description, there are two possible conditions (not excluding other possibilities): 1. Lower extremity venous thrombosis 2. Local congestion and poor circulation after fracture healing. For both conditions, it is recommended to increase activity and p...

Recovery Timeline After Fibula Fracture and Hardware Removal

Displaced fibular fracture? Hello Doctor: In May 2021, I had an accident that resulted in a fibula fracture. Due to some unexpected displacement, I underwent surgery and had a plate and three screws inserted. I am planning to have the hardware removed in July 2022. I would like t...

Dr. Shen Boquan Reply:
Hello, if you do not experience severe pain after the removal of the steel plate following a fracture healing, you should be able to walk normally. However, for intense physical activities, it usually takes several weeks. This should be discussed with your physician. Wishing you ...

Understanding Wrist Recovery: Can You Regain Full Motion After Surgery?

Radial bone issues The wrist radius underwent surgery on January 27 of this year, where a steel pin was inserted and wrist ligament reconstruction was performed. It has been almost three months since then, and I have been actively rehabilitating. I have received a graduation cert...

Dr. Shi Guozheng Reply:
With diligent rehabilitation, it may be possible to return to normal function if the joint surface was not injured during the fracture.

Post-Surgery Care for Left Leg Fracture: Addressing Concerns

Surgical intervention for a left calf fracture? Dear Doctor, my husband had surgery for a fracture in his left calf almost two weeks ago, and he is gradually starting to put weight on it. However, he is now unable to put weight on his other leg, and I am really worried. Can you p...

Dr. Shi Guozheng Reply:
Sitting on a chair, the individual can perform knee flexion exercises and thigh raises to strengthen the thigh muscles. Afterward, they can practice walking, of course, using assistive devices such as a walker or a cane for support.

Guidance Needed for Recovery from Middle Toe Amputation

Toe (middle toe amputation) Request for guidance! My factory driver accidentally injured his toe (middle toe severed). He has completed the wrapping and has been resting for over a month, but the bones are healing slowly. He is unable to drive for work, which is causing difficult...

Dr. Shi Guozheng Reply:
Fracture surgeries typically use internal fixation to allow the bones to heal, and currently, there are no adhesives available for use on fractures.

Post-Surgery Recovery from Femoral Fractures: Common Concerns and Solutions

Postoperative Recovery from Femoral Fracture Surgery Hello doctor, I was in a car accident at the end of October 2021, resulting in fractures of my left femur and arm. I underwent surgery for steel nail fixation about five days later. Now, in mid-April 2022, I still experience fr...

Dr. Shi Guozheng Reply:
A femoral fracture typically heals in about six months. After healing, the pain at the fracture site will gradually subside. Therefore, it is important to first check if the fracture has healed. If the fracture has already healed, the pain may be due to tendonitis or inflammation...

Post-Operative Care for Fifth Metatarsal Fractures: A Guide

Postoperative care for metatarsal fractures? Thank you, Dr. You, for your response regarding the postoperative brace for the fifth metatarsal fracture. The manufacturer's explanation of the indications for the forefoot brace only includes the first to fourth metatarsals. Her...

Dr. You Dianqi Reply:
Hello! It is recommended that you discuss the appropriateness of using protective gear with your attending physician. Thank you.

Understanding Pediatric Forearm Fractures: Concerns and Recovery

Pediatric radial bone fracture? In a pediatric case of a forearm fracture, specifically involving the radius and ulna, it has been 5 weeks since the injury. The ulna has healed, but the radius still shows an angulation of 27 degrees. Will this lead to nonunion or adversely affect...

Dr. Li Wenhong Reply:
Hello: It will not cause nonunion. Currently, there is a 27-degree deformity that requires careful observation. The younger the patient, the closer the fracture site is to the distal radius growth plate, the greater the ability for remodeling, and it may be possible to correct it...

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