Fracture, Orthopedics FAQ

Unable to Bend Ring Finger After Fracture: Possible Causes and Solutions

Inability to bend the right ring finger after a fracture? Hello, Doctor You: I suffered a fracture in the second phalanx of my right ring finger due to a crush injury at work. I underwent surgery on April 17, 2019, to have a plate inserted. Since then, I have been undergoing reha...

Dr. You Dianqi Reply:
Hello: The phenomenon and explanations you mentioned are indeed possible causes from a theoretical perspective, including the mechanism of injury, surgical approach, the extent of tendon damage at the time, and whether there is postoperative adhesion, among others. These conditio...

Concerns About Steel Pins in Hand: Is It Displacement or Swelling?

Questions about hand steel pins? I have had a hand fracture with steel pins and plates for over two years. A few days ago, I went singing with friends and had some drinks. When I woke up in the morning, I noticed a protrusion at the suture site that resembles its original state, ...

Dr. Chen Yongxue Reply:
Hello, 1. The metal plate should not be left in place for too long; if the fracture has healed, it is advisable to remove it. 2. If the fracture has healed, the metal plate will not move. 3. Regarding the pain at the protrusion you mentioned, if it is indeed due to plate displace...

Recovery Timeline for Tibial Plateau Fracture and ACL Tear

Left tibial plateau fracture and anterior cruciate ligament tear? Hello, Doctor. I was in a car accident at the beginning of August, which resulted in a fracture of the left tibial plateau and a torn anterior cruciate ligament (ACL). In mid-August, I underwent surgery where they ...

Dr. Shi Guozheng Reply:
1. Tibial plateau fractures typically take about 3 months to heal; walking or putting weight on crutches too early can be painful. 2. After three months, it is appropriate to reconstruct the ligaments; the bone should be allowed to heal first before undergoing reconstruction su...

Understanding Complications and Recovery from Femoral Fractures

Issues related to femoral fractures? 1. A month ago, I suffered a comminuted fracture of my left thigh due to a motorcycle accident. The fracture site was severely fragmented, but during my follow-up appointment this month, the X-ray showed little progress. The doctor mentioned t...

Dr. Wang Shouji Reply:
Hello, 1. Generally, if there is no healing after three months, it is recommended to consult an orthopedic specialist. 2. If the fracture is stable, appropriate rehabilitation is permissible. 3. There are many factors that affect fracture healing, such as the degree of fracture c...

Understanding Metatarsal Injuries: Signs, Symptoms, and Treatment Options

Metatarsal issues Hello doctor, I would like to ask about an injury I sustained on September 3rd. While I was out, my left foot's second metatarsal area was lightly pressed by the side of a motorcycle, resulting in a small cut and a fairly deep bruise. There was some pain, b...

Dr. Li Yongheng Reply:
Hello, based on the symptoms you described, it is unlikely that there is a fracture. Additionally, since the symptoms are mild, even if there were a fracture, surgical treatment would not be necessary.

Understanding the Decision Not to Remove Bone Pins After 3 Years

Self-funded bone screws for open fracture recovery after a car accident; follow-up visit three years later without hardware removal? Hello Dr. Lee, I would like to ask you a question. I am a 31-year-old male with a bone screw located about 2-3 cm above the tibia in my lower leg. ...

Dr. Li Yongheng Reply:
1. Generally, the materials for self-funded bone screws are mostly titanium alloy or stainless steel alloy. 2. If the surgeon recommends not to remove them, it is advisable not to remove them.

How Long Should a Pelvic Brace Be Worn After Injury?

Duration of use for pelvic support belts? My daughter was in a car accident, resulting in a fractured pelvis. She has been undergoing conservative treatment for two months and is able to stand and walk. The doctor has said that her recovery is going well. However, she has been us...

Dr. Li Yongheng Reply:
Hello, the pelvic fracture has been treated conservatively for two months. Now, it is no longer necessary to use the pelvic brace. Continued use is unnecessary and can cause inconvenience in the patient's daily life.

Post-Surgery Concerns for Wrist Fracture Recovery: What to Expect

Post-operative issues related to the wrist? Dear Dr. Shi, My mother fell at home in mid-February, resulting in a fracture and displacement of her left wrist joint. Due to various reasons, her surgery was delayed until mid-May. Because of the prolonged time since the injury, the ...

Dr. Shi Guozheng Reply:
1. It is inevitable for joints to become stiff after a fracture, and continuous rehabilitation is necessary for improvement. 2. For a fracture to heal, a callus will form at the site, and with the presence of a plate, it may appear slightly thicker. 3. If the surgical incisio...

Understanding Open Tibial Fractures: Recovery and Treatment Insights

Open fracture of the tibia due to a car accident? Hello, Doctor. I have a few questions for you: 1. Chief complaint: A 57-year-old male, in August 2019, was struck by a car, resulting in an open fracture of the tibia, multi-fragmentary fracture of the tibia, and a diaphyseal fr...

Dr. Zhan Xian Reply:
The postoperative X-ray shows an acceptable fracture location; however, there are many factors that can affect fracture healing, such as soft tissue damage and blood circulation at the fracture site, which cannot be assessed by X-ray. Generally, more severe fractures in the lower...

Do I Need Surgery for a Broken Fifth Toe? Expert Insights

Fracture of the fifth toe on the right foot: Is surgery necessary? Hello, I fell while going down the stairs on September 29 and fractured my right little toe! However, the emergency department confirmed the X-ray and advised me to go home, rest, apply ice, and limit movement. Th...

Dr. Li Yongheng Reply:
Whether surgery is needed depends on the X-ray findings, but most fractures of the little finger do not require surgery unless there is significant displacement.

Minimally Invasive Surgery for Elbow Fractures: Recovery Insights

Elbow fracture Hello Dr. Wang: I recently suffered a fracture in my left elbow due to a car accident. I have a long scar from the surgery that I find unsightly. I would like to ask if there is a way to perform minimally invasive surgery for an elbow fracture? After completing reh...

Dr. Ye Qingnian Reply:
For an elbow fracture, the surgical approach depends on the location and severity of the fracture. If the arm is not extending fully, it is important to start rehabilitation as soon as possible; the longer the delay, the more difficult recovery will be.

Understanding Height Changes: Growth Plate Closure and Aging Effects

Height issues Hello, Doctor, may I ask you a question? If we do not consider posture adjustments or the temporary increase in intervertebral disc hydration that can lead to a slight increase in height, is it impossible for an adult whose growth plates have already closed to grow ...

Dr. Shi Guozheng Reply:
Theoretically, once the growth plates have closed, an individual will no longer grow taller. As people age, their bones can become osteoporotic, leading to a decrease in height. Some individuals may experience compression fractures in their vertebrae, which can also result in a r...

Post-Healing Concerns After Fifth Metatarsal Fracture: What to Expect

Healing after a fifth metatarsal fracture? Hello doctor, I had a fifth metatarsal fracture on July 2, and after being placed in a cast in the emergency department, I had two follow-up visits with the orthopedic doctor until last Monday. The doctor said my fracture has healed and ...

Dr. Shi Guozheng Reply:
Even after a fracture has healed, some individuals may still experience pain. This is a common occurrence during the recovery phase, and there is no need for a follow-up appointment.

Concerns About Misalignment After Femur Fracture Surgery

Issues related to femoral fracture reduction? Hello doctor, after the femur was stabilized with a steel rod, it appears to be misaligned compared to the original bone. Will this be a problem? Below is the X-ray taken two and a half weeks post-surgery: https://1drv.ms/u/s!Ah0EJZCX...

Dr. You Dianqi Reply:
Hello: Your issue may require a comprehensive evaluation, including complete frontal and lateral photographs before and after surgery, a physical examination to check for any rotational problems, and an assessment of whether you are undergoing closed reduction or open reduction. ...

Understanding Calcaneal Fracture Fixation: Plate and Screw Considerations

Questions related to internal fixation surgery for calcaneal intra-articular fractures using plates? Hello Dr. Lee, I would like to ask you some questions regarding the use of plates for fixation in the treatment of calcaneal fractures. First, as far as I know, there are traditio...

Dr. Li Yongheng Reply:
1. The traditional Y-shaped plate has screw holes that are not threaded. The self-funded A Plus anatomical plate allows for fewer bone screws to be used in fixation compared to the traditional Y-shaped plate, and the types of bone screws used for both plates are different. 2. T...

Post-Cast Recovery: Addressing Concerns After Fibula Fracture Surgery

Questions about rehabilitation after fibula fracture cast removal? Dear Consultation Team, I have a fracture and dislocation near the joint of my right fibula. On July 20, I underwent a surgical procedure to fixate the bone with screws and was placed in a cast. The cast was remo...

Dr. Zhan Xian Reply:
After removing the cast, walking should be gradually increased and not done excessively at once. If there is slight swelling, elevate the limb and rest. If pain and swelling do not improve, consider returning to the original clinic for follow-up.

Understanding Fibula Fractures: Signs of Displacement and Recovery Timeline

Fibula fracture I apologize, but I would like to ask about my current situation. I have a proximal fibula oblique fracture that is 18 days old. I am using a knee brace for external fixation, which allows for 60 degrees of flexion. However, when performing ankle dorsiflexion and p...

Dr. Zhan Xian Reply:
Without an X-ray, it is not possible to make a diagnosis. Please consult the original attending physician.

Post-Surgery Leg Alignment: Concerns After Femur Fracture Repair

Femoral fracture Is there a problem if the femur is misaligned compared to the original bone after the insertion of a steel nail? Here is the X-ray taken two and a half weeks post-surgery: https://1drv.ms/u/s!Ah0EJZCX9RDJlS9JCp8pm1KVFvv9?e=Bh2J22

Understanding Screw Displacement in Orthopedic Surgery After Fractures

Screw displacement Hello Dr. Lee, I would like to ask about a situation following a car accident where I fractured my tibia and fibula. I underwent surgery and had an intramedullary nail implanted. However, after more than two months, an X-ray showed that one of the screws near t...

Dr. Li Yongheng Reply:
Hello, as long as the bone screws are not displaced significantly due to activities like walking, there should be no major issues, so please don't worry too much.

Understanding Screw Migration After Intramedullary Nail Surgery

Dr. Li Yongheng Reply:
Hello, as long as there is not much displacement of the bone screws due to activities like walking, there should be no major issues, so please don't worry too much.

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