Fracture, Orthopedics FAQ

Understanding Femur Fractures and Chronic Osteomyelitis Treatment

Left femur fracture? Four years ago, I was in a car accident that caused multiple fractures in both legs, leading to chronic osteomyelitis (Staphylococcus aureus infection). I had been receiving treatment at Linkou Chang Gung Memorial Hospital, but the femur had not healed, and m...

Dr. Chen Yongxue Reply:
Hello, according to your letter, you have been suffering. The fibula in the human body, except for the distal five centimeters, is not essential and can be removed without significant impact. This is also a reserve of bones provided by nature for humans, which can be utilized whe...

Post-Wrist Fracture: Safe Exercise and Rehabilitation Tips

Post-fracture wrist mobility issues? A month and a half ago, I sustained a minor distal radius fracture from a fall while trying to brace myself. After one month in a cast, my doctor said it has healed and I can start rehabilitation. After another half month of rehab, my wrist&#x...

Dr. Shi Guozheng Reply:
1. Yes. 2. Three months. 3. Approximately three to six months.

Post-Surgery Stitch Removal for Elderly Hip Fracture Patients

Postoperative suture removal after fracture surgery in the elderly? Hello, my grandmother is 96 years old and underwent internal fixation surgery for a fracture (left hip joint) on January 5th. The stitches are scheduled to be removed on January 20th. I would like to know if it i...

Dr. You Dianqi Reply:
Hello Ms. Chiu! An online consultation may not allow for a detailed assessment of your family member. It is recommended that you schedule an appointment to consult with the original attending (surgical) physician. Thank you!

Can Quadriceps Muscle Recover After Severe Femoral Fracture?

Severe comminuted fracture of the femur above the knee with quadriceps atrophy? I'm sorry, doctor. Three years ago, I suffered a severe comminuted fracture of the femur in my knee, which has led to significant atrophy of my quadriceps. I am now starting to take rehabilitatio...

Dr. Shi Guozheng Reply:
Consistent rehabilitation exercises may lead to improvements.

Recovery After Removal of Proximal Humerus Screws: What to Expect

Removal of proximal humeral intramedullary nails? Hello Doctor, due to a proximal humeral fracture, I had seven steel pins inserted for fixation. After the bone healed, I can only raise my arm to about 150 degrees. Later, during a check-up at the rehabilitation department, it was...

Dr. Chen Yongxue Reply:
Hello, if the steel nail has loosened after a fracture, it usually indicates that the fracture has not healed properly. Please be cautious regarding the information provided in the letter; if you are unable to lift your shoulder, it may be due to tendon rupture or joint stiffness...

Understanding Coccyx Pain After Injury: Causes and Solutions

Coccygeal issues Hello doctor, I suffered a coccyx fracture due to a fall on August 3, 2020. After resting at home for two months, I still experience occasional pain due to prolonged sitting. Recently, I've noticed that the pain has been increasing after sitting for extended...

Dr. Shi Guozheng Reply:
Prolonged sitting can compress the tissues near the coccyx, leading to inflammation. Therefore, it is advisable to use a cushion while sitting for better comfort.

Understanding Ulnar Proximal Fractures: Surgical vs. Conservative Treatment

Proximal ulnar fracture Hello Dr. Shi, I sustained an injury on December 31, and the diagnosis is a proximal ulnar fracture. The emergency physician informed me that there is considerable debate regarding the treatment for this type of injury. One perspective suggests that surger...

Dr. Shi Guozheng Reply:
1. Surgery is not recommended. 2. Immobilization for three to four weeks is sufficient. 3. Rehabilitation is needed after the swelling of the joint subsides.

Understanding Patellar Fractures: Recovery, Complications, and Rehabilitation

Patellar comminuted fracture / issues with steel pins? Hello, doctor. Three months ago, I was involved in a car accident that resulted in a comminuted fracture of my right patella. I currently have two steel pins and wires for fixation, and my recovery is going well; I can perfor...

Dr. Shi Guozheng Reply:
1. It depends on how deep the bone screws are embedded; some can be removed. 2. If the fracture is well-aligned after surgery, there are usually few complications. 3. Yes, it is possible to recover after training. 4. You may not need to wear it anymore. 5. Perform leg rai...

Post-Surgery Concerns: Dry Skin and Color Changes in Orthopedic Recovery

Postoperative complications? I underwent surgery to insert a steel pin in my left radius due to a fracture near the elbow on December 25th. However, I have noticed that the palm of my left hand has been persistently dry and peeling. Applying lotion and hand cream has not helped; ...

Dr. Chen Bochen Reply:
After surgery, local metabolism will be more active, and the skin will undergo a renewal process, which may result in continuous shedding. This will typically improve on its own within one to two weeks.

Impact of Fractures on Future Nursing Career and Physical Limitations

Effects After a Fracture On October 19, a car accident occurred, resulting in a splenic and renal laceration, as well as fractures of the left femur, left humerus, and a closed fracture with lateral displacement of the left tibial plateau. Surgery was performed to place screws an...

Dr. Chen Yongxue Reply:
Hello, it seems that the injury is quite severe. In principle, if the fractured area is not a joint surface and the surgery heals successfully, it should not hinder nursing work. However, about 40% of fracture patients may experience localized soreness or discomfort due to change...

Understanding Meniscus Tears and Patellar Ligament Injuries in Knee MRI

Meniscus and patellar ligament? 1. MRI of the left knee without contrast enhancement shows: 1. No definite bony fracture. 2. Increased signal at the medial patellofemoral ligament (se/im: 3/6-8). 3. Increased signal at the lateral patellofemoral ligament (se/im: 3/5-1...

Dr. Shi Guozheng Reply:
The medial meniscus of the left knee joint is torn, and it is necessary to consult an orthopedic surgeon to review the imaging and determine whether arthroscopic surgery is needed.

Understanding Slow Healing in Fibula Fractures: Key Questions Answered

Questions about slow healing of fibula fractures? Hello Dr. Wang, I am currently working in Vietnam and unable to return to Taiwan due to the pandemic. I have some questions I would like to ask you regarding my condition, which is summarized as follows: On September 15, I sus...

Dr. Wang Jiacheng Reply:
1. Slow recovery. 2. It will still heal. 3. The cast will be in place for about three months. 4. Just wait for it to heal. 5. No medication is needed.

Understanding Delayed Healing in Fibula Fractures: Key Questions Answered

Right leg fracture? Hello Doctor, I am currently working in Vietnam and unable to return to Taiwan due to the pandemic. I have some questions I would like to ask you regarding my condition, which is summarized as follows: On September 15, I sustained an injury to the outer side...

Dr. Shi Guozheng Reply:
1. Slow recovery. 2. It will still heal. 3. The cast will be in place for about three months. 4. Just wait for it to heal. 5. No medication is needed.

Understanding Patellar Fractures: Recovery, Rehabilitation, and Complications

Patellar fracture Hello, Doctor! In September of this year, I unfortunately had a car accident that resulted in a patellar fracture. Initially, it was a hairline fracture, and the emergency doctor applied a cast, stating that surgery was not necessary and that I should wait for t...

Dr. You Dianqi Reply:
Hello, I would like to clarify that responses on the internet, without direct patient contact, should primarily rely on the opinions of the operating surgeon. If misunderstandings arise in the doctor-patient relationship due to online responses, it is not the intended purpose of ...

Understanding Tibial Nonunion: The Role of Fibula Grafting Surgery

Tibial nonunion, fibular grafting surgery? Hello Dr. You, I was 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 an intramedullary nailing surgery. To this day, the fracture site has ...

Dr. You Dianqi Reply:
Hello: Online Q&A is not face-to-face medical care, and it can easily lead to misunderstandings; the following is for reference only. The larger the bone defect, the more difficult the healing process, which may require more complex surgeries, such as vascularized fibula graf...

Improving Recovery from Shoulder Injury After a Car Accident

Car accident issues? Hello Doctor, I had a car accident in early November where my right shoulder hit the ground. I am unable to raise my right arm to my ear and can only do so with assistance from my left hand. A few days after the accident, I went to the hospital for an examina...

Dr. Chen Yongxue Reply:
Hello, depression fractures may require surgery depending on the situation. Tendinitis can improve with heat therapy and rest; however, if there is a tendon rupture, surgery may be necessary. Thank you.

Understanding ACL Injuries: Symptoms, Diagnosis, and Treatment Options

Anterior cruciate ligament (ACL) Hello, Doctor: I apologize for bothering you. I was in a car accident on August 30 of this year, which resulted in a femur fracture. At the time, I did not feel any pain in my knee. After being discharged on September 6, I suddenly experienced sev...

Dr. Shi Guozheng Reply:
If a complete tear of the ligament is confirmed through arthroscopy and there is significant laxity in the knee joint, surgery may be necessary. You can consult with a physician at a sports medicine center for further evaluation to determine if surgery is required.

Understanding Clavicle Fractures: Recovery, Treatment, and When to Seek Help

Clavicle fracture Hello Dr. Chen, I had a car accident on October 23 that resulted in a fracture of my right clavicle. I did not undergo surgery and opted for conservative treatment (using a figure-eight brace and arm sling). The doctor advised me to rest for six months, but duri...

Dr. Chen Bochen Reply:
Hello, if your clavicle fracture is not significantly displaced, conservative treatment has about a 70-90% chance of healing on its own (approximately three months). However, if the pain persists, it is advisable to seek medical attention. You may also consider consulting a diffe...

Understanding Left Femoral Neck Fractures: Surgery, Recovery, and Pain Management

Left femoral neck fracture? Hello, doctor. I had a car accident on February 2nd of this year, which resulted in a fracture of my left femoral neck. I had three screws inserted. The doctor mentioned that the screws can be removed or left in place, and I would like to know if there...

Dr. Shi Guozheng Reply:
Femoral neck fractures are typically stabilized with three bone screws, which can usually be removed after more than a year. Leaving the screws in the hip may cause a tingling sensation. Screw removal usually requires about a week of rest.

Clavicle Fracture: Non-Surgical Treatment and Healing Time for Young Adults

Clavicle fracture Dear Doctor: I was in a car accident on December 17, which resulted in a fractured clavicle. I am currently leaning towards non-surgical treatment. A few days ago, I showed my X-rays to a traditional Chinese medicine doctor, who advised me to use an 8-shaped sho...

Dr. Shi Guozheng Reply:
If surgery is not performed, it will take about three months for it to heal, but if it does not heal, surgery will be necessary. On the other hand, if immediate surgery is performed, there are benefits such as quicker recovery and faster pain relief. The downside is that it requi...

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