Fracture, Orthopedics FAQ - Page 48

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Will Long-Term Cast Positioning Affect Recovery from Radial Fracture?

Cast immobilization for a radial fracture? Hello doctor, I have a fracture at the elbow of my right radius due to a fall, and my right arm has been in an L-shaped position in a cast for a month. Will my hand be unable to straighten out after recovery due to the prolonged L-shaped...


Dr. Zhan Xian Reply:
Hello, sir. Your issue requires an X-ray interpretation. You can visit our orthopedic outpatient clinic or follow up with the physician who originally treated you.

[Read More] Will Long-Term Cast Positioning Affect Recovery from Radial Fracture?


Understanding Bone Pin Migration: Challenges and Solutions in Orthopedic Care

Bone screw displacement issue (unable to remove)? Hello Doctor, 1. In January of this year, I underwent surgery for a fracture of the fourth toe on my right foot, where a bone screw made of a bioabsorbable material was inserted, which does not require removal through another su...


Dr. Chen Bochen Reply:
Hello, 1. Typically, the hospitalization for the removal of bone screws lasts about two days, and there is no need for a recovery period. Just make sure to keep the wound dry and avoid covering it tightly. 2. It's okay if the bone screw cannot be located; usually, partial...

[Read More] Understanding Bone Pin Migration: Challenges and Solutions in Orthopedic Care


Understanding Bone Callus Formation After Fractures: What to Expect

Bone fracture proliferation Is it common for a bone fracture to result in bone proliferation? Will there always be a noticeable bump when touched, or can immobilization with a cast prevent this?


Dr. Chen Yongxue Reply:
Hello, does a bone fracture always result in bone growth? For instance, if you can feel a bump when you touch it? Answer: If by "growth" you mean the formation of new bone at the fracture site, it typically requires immobilization to facilitate healing. If there is a no...

[Read More] Understanding Bone Callus Formation After Fractures: What to Expect


Understanding Misaligned Screws or Plates: What to Do Next?

The steel nail or steel plate is slightly misaligned? Today, during my follow-up appointment, I had an X-ray taken. The doctor mentioned that my metal rod or plate (I can't remember which) is slightly misaligned and asked if I had accidentally stepped on it. I told him that ...


Dr. Chen Bochen Reply:
Hello, your question actually requires an X-ray for a more accurate answer. In the case of a lower limb fracture with a steel plate, there are typically 3-4 screws (or bolts) at each end. If fewer than two screws remain intact, there is a risk that surgery may be needed again. Ho...

[Read More] Understanding Misaligned Screws or Plates: What to Do Next?


Understanding Pain in the Middle Toe After Hitting Furniture: Is It a Fracture?

Pain in the middle toe after kicking a metal piece of furniture? Hello Dr. Chen: Last night, I accidentally kicked a metal piece of furniture in the dormitory, and now my left middle finger is painful. I have limited range of motion, especially when trying to extend it upwards, w...


Dr. Chen Bochen Reply:
1. An X-ray can determine if there is a fracture. 2. Applying ice and elevating the foot for a week can help reduce pain. 3. A toe fracture typically takes one to two months to heal.

[Read More] Understanding Pain in the Middle Toe After Hitting Furniture: Is It a Fracture?


Addressing Issues with Distal Humerus Fracture and Hardware Removal

Distal humeral fracture screw removal issues? Hello Doctor, I was in a car accident on June 2nd of this year, which resulted in a distal humerus fracture in my left arm. On June 3rd, I underwent surgery where two plates and eight screws were inserted to stabilize my upper arm, an...


Dr. Shi Guozheng Reply:
After the removal of bone screws, joint mobility may improve slightly, but the sensation of stiffness may not necessarily improve. If there are two bone plates fixed, removing them simultaneously may sometimes lead to re-fracture; therefore, it is reasonable to perform the remova...

[Read More] Addressing Issues with Distal Humerus Fracture and Hardware Removal


Understanding Recovery After a Tibia Fracture: Pain and Mobility Concerns

Fracture of the left femur due to a car accident? Hello, doctor. I was in a car accident on September 21 and fractured my left femur. I underwent surgery on September 22, where titanium alloy intramedullary nails were used for support. As of now, my knee still cannot bend normall...


Dr. Wang Shouji Reply:
Hello, the intramedullary nail for the femur, due to the presence of distal locking screws, can commonly affect knee joint mobility. However, this usually alleviates over time. It is advisable to perform knee flexion and extension exercises, and avoid weight-bearing until the X-r...

[Read More] Understanding Recovery After a Tibia Fracture: Pain and Mobility Concerns


Rehabilitation After Patellar Fracture Screw Removal: Key Recovery Tips

Rehabilitation after screw removal surgery for patellar fracture? Hello, doctor! I have a patellar fracture in my knee due to a car accident, which broke into three large pieces and several smaller fragments. I had a health insurance-covered surgery with bone screws, but the firs...


Dr. Chen Bochen Reply:
Hello, regarding the general conditions after a patellar fracture, the decision about your personal situation should be made by your surgeon based on the surgical status, X-rays, and physical examination. (1) After the removal of the screws, when can I bend my knee to 90 degree...

[Read More] Rehabilitation After Patellar Fracture Screw Removal: Key Recovery Tips


Best Protective Gear for Recovering from Fifth Metatarsal Fracture

Once you are able to exercise..? Recently, I suffered a fracture of the fifth metatarsal in my left foot while playing basketball. I'm curious about what type of brace the doctor would recommend for protecting the old injury when I return to the court. Thank you.


Dr. Chen Bochen Reply:
An ankle brace similar to this one: https://www.google.com/search?q=%E8%AD%B7%E8%B8%9D&sxsrf=ALeKk02NyD0Ur8lTc4CvvcP55B98oJsm5A:1602393621484&source=lnms&tbm=isch&sa=X&ved=2ahUKEwjT8eS05avsAhWCxosBHcRqCLcQ_AUoAXoECAwQAw#imgrc=sy1tbhMNSJaE2M&imgdii=_9czatBN...

[Read More] Best Protective Gear for Recovering from Fifth Metatarsal Fracture


Delayed Wound Healing After Surgery: When to Seek Further Medical Attention?

The wound has not healed two weeks after surgery? Two weeks ago, I was involved in a car accident and sustained a tibial fracture, with some comminution of the adjacent small bone, and there was a puncture wound through the skin. Surgery was performed on the day of the accident, ...


Dr. Chen Bochen Reply:
1. Comminuted fractures and open fractures typically have a slower healing process due to the nature of the wounds. 2. If there are concerns about wound infection, it is advisable to change the dressings two to three times a day. 3. If you feel that the wound is worsening, co...

[Read More] Delayed Wound Healing After Surgery: When to Seek Further Medical Attention?


Understanding Prominent Screws After Clavicle Fracture Surgery

Protrusion of the steel pin after a clavicle fracture? Hello, a few weeks ago I was in a car accident that resulted in a fractured clavicle, and I underwent surgery for internal fixation. It has not been a month yet, and I can clearly feel the metal screws protruding. Is this nor...


Dr. Chen Bochen Reply:
It is common to feel the steel plate after surgery due to the thin skin and minimal tissue over the clavicle. If there is any concern about displacement, it is not accurate to guess. It is best to consult your surgeon and get an X-ray. Don't worry too much on your own. Wishi...

[Read More] Understanding Prominent Screws After Clavicle Fracture Surgery


Understanding Pubic Bone Fractures: Symptoms and Relief Strategies

Pubic bone fracture Two months ago, I suffered a right pubic bone fracture due to a car accident. I have been taking pain medication to alleviate the discomfort. Recently, during a follow-up appointment, my attending physician mentioned that there is some slight healing. However,...


Dr. You Dianqi Reply:
Hello! It is advisable to consult your attending physician. Thank you!

[Read More] Understanding Pubic Bone Fractures: Symptoms and Relief Strategies


Understanding Pain and Numbness After Patella Fracture Treatment

Conservative treatment for patellar fractures may result in localized pain and numbness in the foot? After 4 weeks of a patellar fracture, the doctor said that I can straighten my leg and put weight on it, but I experience tingling and pain in the sole of my foot. Could this be d...


Dr. You Dianqi Reply:
Hello! It is advisable to consult your attending physician. Thank you!

[Read More] Understanding Pain and Numbness After Patella Fracture Treatment


Post-Fracture Recovery: Ensuring Bone Healing and Managing Discomfort

Post-operative issues following a fracture? Hello Doctor, I would like to inquire about my condition. I underwent an open reduction and internal fixation surgery on my left humerus on August 6th, and had the cast removed on September 21st after nearly 7 weeks of immobilization. F...


Dr. Chen Bochen Reply:
Hello, Miss Chang. I would like to inquire about my situation. I underwent an open reduction and internal fixation surgery on my left humerus on August 6, and I had my cast removed on September 21 after nearly 7 weeks of immobilization. After the cast was removed, I attended reha...

[Read More] Post-Fracture Recovery: Ensuring Bone Healing and Managing Discomfort


Understanding Tibial Fractures: Recovery Tips and Exercises

Tibia fracture Hello Doctor, I was in a car accident on August 18 and went to the emergency room where an X-ray was taken. The doctor diagnosed me with a closed fracture of the proximal tibia. That day, I received a removable L-shaped cast, which was changed to a non-removable ca...


Dr. Wang Shouji Reply:
Hello, if a tibial fracture is treated with a cast, the immobilized joint will inevitably experience stiffness. Once the cast is removed, applying heat can help soften the tissues, followed by rehabilitation exercises. The recovery time will depend on the severity of the fracture...

[Read More] Understanding Tibial Fractures: Recovery Tips and Exercises


Understanding Pain and Treatment Options for the Pisiform Bone in the Wrist

Pain in the navicular bone? Hello Dr. Zhan: This year, I noticed pain near my right wrist (below the little finger) when writing or touching it, and there is slight swelling compared to my left palm. An X-ray showed no abnormalities, and rehabilitation (heat therapy, infrared the...


Dr. Zhan Xian Reply:
Hello Ms. Sang, without physical examination and imaging studies, it is difficult to answer your question. You may consult the physician who originally treated you or visit the orthopedic outpatient clinic.

[Read More] Understanding Pain and Treatment Options for the Pisiform Bone in the Wrist


Understanding Bone Healing: What Happens When Fractures Misalign?

Bone dislocation Hello, I would like to inquire about a situation where a bone has broken and, after a long time, it has healed but not at the fracture site, resulting in a T-shaped formation. Will the excess bone continue to grow longer as the body develops?


Dr. Wang Shouji Reply:
Hello, once the bones have matured, they cannot remodel, so they cannot regain their length. Medically, this is referred to as malunion. If there are no specific symptoms, no special treatment is necessary. Changhua Hospital cares about your health. Wang Shou-ji.

[Read More] Understanding Bone Healing: What Happens When Fractures Misalign?


Post-Surgery Swelling After Tibial Plateau Fracture: Is It Normal?

Swelling after tibial plateau fracture surgery in mid-April? Hello, I would like to ask about my condition. I had an internal fixation with steel nails and plates for a tibial plateau fracture, along with bone grafting and arthroscopy, and it has been almost six months since the ...


Dr. Wang Shouji Reply:
Hello, tibial plateau fractures are intra-articular fractures that carry a risk of developing post-traumatic arthritis. It is important to monitor for any intra-articular irregularities or the presence of arthritis. Resting and staying in bed usually helps reduce swelling, but on...

[Read More] Post-Surgery Swelling After Tibial Plateau Fracture: Is It Normal?


Post-Surgery Concerns After Clavicle Fracture: What to Expect

Postoperative Issues After Clavicle Surgery Hello, Doctor. I was in a car accident on September 14th, which resulted in a fractured left clavicle. The doctor recommended surgery for internal fixation. The surgery was completed around 11:30 PM on September 14th, and there haven&#x...


Dr. Chen Bochen Reply:
Hello Ariel, 1. The skin over the clavicle is very thin and close to the bone, so it is common to feel the metal plate after surgery. 2. A triangular sling is generally used for 4-6 weeks. The doctor will determine the duration based on the surgical condition and X-rays to ass...

[Read More] Post-Surgery Concerns After Clavicle Fracture: What to Expect


Understanding Ankle Sprains: Recovery from Ligament Tears and Nerve Issues

Right ankle sprain with partial tear of the anterior talofibular ligament and calcaneofibular ligament? Hello Doctor, on September 23rd, I missed a step on the stairs at work, resulting in immediate swelling of my ankle (about the size of a grapefruit). I applied ice and went to ...


Dr. Zhan Xian Reply:
Hello Mr. Chang, a physical examination is needed to answer your question more accurately, which typically takes one to two months.

[Read More] Understanding Ankle Sprains: Recovery from Ligament Tears and Nerve Issues


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