Fracture, Orthopedics FAQ

Understanding Fibula Fractures: Healing Tips and Ankle Positioning

Fibula fracture Continuing from <a href="https://adoctor.tw/article/149719">#149719</a>, if using a brace that does not stabilize the ankle and foot, I experience a sensation during ankle movement at the fracture site that feels like either bone friction or ...

Dr. Li Yongheng Reply:
Hello, actually, proximal fibula fractures are usually not prone to displacement, and even if they do displace, the impact is often minimal. Therefore, if you are concerned about insufficient immobilization with a brace, you may need to resort to casting for stabilization.

Managing Proximal Fibula Fractures: Recovery Tips and Concerns

Fibula fracture issues? You have a proximal fibula oblique fracture that has been present for one week. You are currently using a brace designed for anterior cruciate ligament (ACL) injuries, which allows for a 30-degree flexion. However, you experience a sensation of bone grindi...

Dr. Zhan Xian Reply:
Proximal fibula fractures are typically managed conservatively, although the decision may depend on the degree of displacement. It is recommended to keep the ankle at approximately 90 degrees during rest, to rest frequently, to avoid prolonged walking, and to refrain from smoking...

Post-Fracture Recovery: Managing Pain and Uneven Legs After Injury

After using crutches for about three months due to a fracture, I experience pain when walking for extended periods? Dear Vice Dean, I sustained a comminuted fracture of the femur and tibia (and plateau) due to a car accident on March 10, 2018. After two surgeries, I have finally...

Dr. Li Yongheng Reply:
Hello, a 34-year-old female with a comminuted fracture of the femur and tibia (and plateau) has undergone two surgeries and it has been 5 months since. Currently, after walking for a while, there is significant discomfort at the fracture site, especially with severe pain in the k...

Understanding Fibula Fractures: Treatment Options and Recovery Timeline

Fibula fracture I had a car accident about a week ago that resulted in a simple fibula closed oblique fracture, located approximately 7 to 8 centimeters below the knee. On the first day, I was treated with a cast for external fixation and no other treatment. The next day, I retur...

Dr. Li Yongheng Reply:
Hello, a 19-year-old male with a proximal fibula fracture. The treatment method of using a knee brace for protection and bilateral crutches for ambulation is feasible, and the brace can be removed after 4 weeks for independent walking. Generally, proximal fibula fractures do not ...

Understanding Tibial Fractures: Complications and Treatment Options

Tibial fracture Hello Doctor: My brother is a patient with a closed fracture of the upper end of the right tibia and has undergone internal fixation surgery with bone screws. One and a half months after discharge, he was diagnosed with acute hematogenous osteomyelitis of the tibi...

Dr. Chen Yongxue Reply:
1. Is it more suitable for the original surgeon who initially placed the artificial plates and screws to perform the removal and debridement surgery, or is it acceptable for a surgeon from another hospital to do it? What are the pros and cons of each? Having the original surgeon ...

Traveling Abroad After a Clavicle Fracture: What You Need to Know

Can I travel abroad after a clavicle fracture? Hello, Doctor. At the end of May, I was involved in a motorcycle accident that resulted in a fracture of my right clavicle. I have been wearing a brace for two months, but I plan to travel abroad in early September, which will be thr...

Dr. Li Yongheng Reply:
Hello, I fractured my right clavicle at the end of May, and I will be traveling abroad at the beginning of September, which will be three months later. 1. Flying will not affect the clavicle fracture. 2. I should be able to use amusement park rides as long as there is no risk of ...

Should You Choose a Hard or Soft Neck Brace for Injury Recovery?

Should a cervical collar be hard or soft? I experienced pain in my cervical spine after being hit by an elbow, but I'm also feeling pain in areas that weren't directly impacted, such as my thoracic spine and upper back. The outpatient physician said there are no issues ...

Dr. Li Yongheng Reply:
Hello, I sustained an injury to my cervical spine from an elbow impact, but the outpatient physician stated that there are no fractures. The impact has caused cervical tendinitis, which not only results in neck pain but also radiates to the upper back, causing discomfort in the t...

Understanding Patellar Injuries: When to Seek Medical Attention After a Fall

Falls and patellar issues? Currently, the individual in the UK fell forward on an escalator on July 23, impacting the right angle of the stairs just below the midline of the left patella, resulting in a wound approximately 1 cm in diameter that likely extends into the dermis. Aft...

Dr. Li Yongheng Reply:
Hello, 1. If there is slight swelling at the affected area and the bruise is not prominent, the likelihood of a patellar fracture is low, and you can apply ice and monitor the situation. 2. It is important to reduce walking and avoid squatting, kneeling, and bending the knee join...

Understanding Distal Radius Fractures: Recovery and Rehabilitation Insights

Distal radius fracture Hello, Doctor. I slipped and fell on May 28 of this year, resulting in a distal radius fracture in my left hand. I have been undergoing conservative treatment and only wearing a splint. I regularly consume tea, coffee, milk, and calcium supplements. I had f...

Dr. You Dianqi Reply:
Hello, the general guideline for when a physician allows you to remove the protective brace is when you can start engaging in some light range of motion exercises. Additionally, since you are undergoing conservative treatment, it is normal for the rehabilitation timeline to be sl...

Recovery from Pelvic Fractures After a Car Accident: What to Expect

Pelvic fracture from a car accident? Dear Doctor, due to a car accident, I have suffered severe fractures in my fifth lumbar vertebra and first sacral vertebra. Three months have passed, and I have noticed that stretching no longer feels as comfortable as before, and I even lack ...

Dr. Wang Shouji Reply:
Hello, when it comes to sexual function, it is important to determine whether the injury affected the cauda equina. If so, the recovery time will depend on the severity of the injury, and it is difficult to assess without considering the initial recovery status. Changhua Hospital...

Recovery Tips for Elbow Fractures After a Car Accident

Elbow fracture from a car accident fall? On June 2, 2019, I sustained an injury, and the doctor applied a cast for self-recovery. It has been over a month, but the fracture has not completely healed. What should I do? Are there any methods to promote faster recovery? Will keeping...

Dr. Xie Hongjia Reply:
Hello Mr. Chih-Yuan: Generally, fractures require three months to heal, and there are no specific methods to accelerate this process. Typically, rehabilitation is needed to restore activity afterward, and it is recommended to return to the hospital for a follow-up consultation. T...

Rehabilitation After Distal Radius Fracture: When to Start?

Fracture rehabilitation Hello, Doctor. I slipped and fell on May 28, resulting in a distal radius fracture in my left hand. I did not require surgery and have been undergoing conservative treatment with a splint and sling. I had follow-up X-rays on June 16 and July 14, and there ...

Dr. Li Yongheng Reply:
Hello: It has been nearly two months since the distal radius fracture in your left hand on May 28. Currently, you are experiencing weakness in your hand, and movement is not smooth. Your palm is also swollen, making it difficult to make a fist. Therefore, you should visit the reh...

Post-Patellar Fracture Surgery: Key Rehab Questions Answered

Hello, doctor. I have some questions regarding post-operative issues related to patellar fractures that I would like to ask you? Hello, doctor. It has been 56 days since my patellar fracture and internal fixation surgery (with wires and screws). Two days ago, during a follow-up v...

Dr. Li Yongheng Reply:
Hello: 1. If it has been 56 days since the patellar fracture and internal fixation surgery, but you can only bend your knee about 45 degrees on your own, it may be necessary to take more aggressive measures. You can ask your physician if it is possible to perform manual therapy u...

Understanding Post-Surgery Swelling and Pain After Tibia-Fibula Fracture

Tibiofibular fracture I have a mid-shaft fracture of the left fibula, and it has been three months since the surgery. My affected limb still experiences some swelling and pain; is this normal? Additionally, I would like to know how to alleviate this swelling and pain.

Dr. Chen Yongxue Reply:
Hello, pain after a fracture is quite common. Please consult your attending physician to determine if the fracture has healed. If it has healed, you can start with light weight-bearing exercises, along with heat therapy. If the pain is severe, you may consider using pain reliever...

Post-Patellar Fracture Rehabilitation: Pain, Healing Time, and Recovery Tips

Post-operative and rehabilitation issues following patellar fracture? Hello Doctor, I suffered a comminuted fracture of the patella on May 7th and started rehabilitation last week. While performing quadriceps strengthening exercises, I feel a pulling pain in the patella. I would ...

Dr. Li Yongheng Reply:
Hello, here are the answers to your questions: 1. Patellar fractures typically do not cause pain during rehabilitation and take about six months to heal; X-ray examinations show complete healing in approximately one year. 2. Smoking and alcohol consumption have adverse effects on...

Understanding Ankle Open Fractures in Children After a Car Accident

Open fracture of the ankle due to a car accident? Hello Doctor: At the end of May this year, my 13-year-old child was involved in a car accident, resulting in an open dislocation and fracture of the right ankle joint, as well as fractures of the first and second metatarsals. This...

Dr. Li Yongheng Reply:
Hello, based on what you described: the bones from below the right knee to the ankle are slightly shifted to the right, and the foot is turned inward like a "pigeon toe," which is abnormal. It is advisable for you to return for a follow-up consultation with a surgical s...

Understanding Coccydynia: Recovery Tips After a Tailbone Fracture

Coccygeal fracture Hello, I fell down the stairs yesterday and saw an orthopedic doctor today. The doctor said I have a coccyx fracture and that no special treatment is needed; it should heal on its own in about two months. I would like to know what actions I should avoid during ...

Dr. Li Yongheng Reply:
1. Coccygeal fractures typically heal within 6 to 8 weeks. 2. It is advisable to avoid bending at the waist, squatting, and lifting heavy objects. 3. Currently, there are no specific rehabilitation, exercises, dietary supplements, or medications that can expedite recovery.

Understanding Ankle Sprains: Insights on Ligament Tears and Treatment Options

Ankle sprain - anterior talofibular ligament rupture and tear? Hello, Doctor. I fell down a flight of stairs (about 10 steps) in April 2017, and my right ankle rolled over. It initially rolled inward and then outward. I couldn't get up at first and sat on the ground for over...

Dr. Chen Yongxue Reply:
1. A rehabilitation physician mentioned that my condition may not improve after surgery, so I would like to ask for advice regarding my foot situation. Surgery may not alleviate the issues of pain, numbness, and bruising. Surgical reconstruction of the anterior talofibular ligame...

Pelvic and Lumbar Fractures from Car Accident: Recovery Insights

Pelvic and second lumbar vertebra fractures due to a car accident? Hello, doctor. I had a car accident in mid-May that resulted in a pelvic fracture. Initially, I landed on my right hip, and I still experience soreness in the hip area (does this indicate that it has not healed ye...

Dr. Wang Shouji Reply:
Hello: The assessment of fracture healing requires reviewing X-rays and medical history, and then following the physician's recommendations. Changhua Hospital cares about your health. Wang Shou-ji.

Understanding Clavicle Fractures: Recovery, Muscle Tightness, and Rehabilitation

Clavicle fracture Dear Director, I have had a right clavicle fracture for 5 weeks and have been undergoing conservative treatment with a sling without surgery. I take off the sling at night. 1. However, when I remove the sling, I notice that my entire right arm is pressed tigh...

Dr. Li Yongheng Reply:
Hello: 1. It is possible that the weakness in your right hand is due to a period of disuse. 2. This condition may also be caused by prolonged inactivity of the right hand. 3. After starting rehabilitation, the aforementioned symptoms should gradually improve. Wishing you a speedy...

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