Concerns After Hip Revision Surgery: Understanding the Process and Recovery
Issues After Revision Total Hip Arthroplasty Hello Dr. Shi, I underwent a revision total hip arthroplasty on March 14, and it has been two weeks since the surgery. I feel the results are very good; I can walk steadily without crutches, and the pain, swelling, and bruising have si...
Dr. Shi Guozheng Reply:
If the same brand of prosthetic joint is used, there is usually less likelihood of compatibility issues. This means that the junction between the femoral stem and the ceramic head from the same company may fit well together. If a joint can be revised using the original type of pr...[Read More] Concerns After Hip Revision Surgery: Understanding the Process and Recovery
Understanding Bumps on the Back of Your Head: Causes and Concerns
Protrusion of the occipital region? I'm not sure why I have multiple bumps on the back of my head. There are two diagonal raised areas, and there are also smaller bumps in other places. They don't hurt when I press on them, but recently I've experienced sudden shar...
Dr. Li Wenhong Reply:
Hello! It may be a normal anatomical structure, the occipital protuberance. If there is pain, it is advisable to seek medical attention. Orthopedics, Changhua Hospital, Dr. Li Wen-Hong.[Read More] Understanding Bumps on the Back of Your Head: Causes and Concerns
Understanding Radial Head Fractures: Recovery and Rehabilitation Insights
Radial fracture Hello Doctor, I have a collapse of the right radial head. After seeing a doctor, I was told that surgery is not necessary and that it will heal on its own. I wore a brace for two weeks, and then the doctor said I could remove it. I have started rehabilitation, but...
Dr. Shi Guozheng Reply:
Fractures typically take about six to twelve weeks to heal, and pain may persist during this period. Full recovery usually takes around three months.[Read More] Understanding Radial Head Fractures: Recovery and Rehabilitation Insights
Dealing with Stiff Neck: When to Seek Treatment for Shoulder Pain
Stiff neck issue? It seems that you might have a stiff neck, as you're experiencing some pain in your left shoulder and spine, and turning your head is also painful. What should you do? Is it okay to get a massage, or should you see a doctor?
Dr. Shi Guozheng Reply:
First, apply a warm compress to reduce neck movement and avoid massage. You can take some pain relievers for relief. If there is no improvement, consider consulting a physician.[Read More] Dealing with Stiff Neck: When to Seek Treatment for Shoulder Pain
Challenges After Surgery: What to Do When a Broken Screw Remains
The removal surgery for the steel nail was unsuccessful, resulting in the breakage of the nail head, and the remaining portion could not be extracted? Hello, Doctor. In December of the year before last, I fractured my ankle and underwent surgery where three metal screws were inse...
Dr. Chen Yongxue Reply:
Hello, it is not uncommon for a steel pin to break. In such cases, the pin is often unable to be completely removed and may remain embedded in the bone. There is no need to worry about it piercing the skin, but it is important to check for any other issues, such as whether it has...[Read More] Challenges After Surgery: What to Do When a Broken Screw Remains
Understanding the Impact of Anesthesia on Radial Head Fracture Healing
Relaxation wrench In the case of a comminuted fracture of the radial head with a steel plate fixation, if one fragment has not yet healed and the bone is not osteoporotic, will the relaxation anesthesia performed by an orthopedic specialist cause any displacement?
Dr. Chen Yongxue Reply:
Hello, to check the location of the bone fragments, there will generally be no further changes. Thank you.[Read More] Understanding the Impact of Anesthesia on Radial Head Fracture Healing
Understanding Revision Hip Replacement: Key Concerns and Insights
Revision of total hip arthroplasty Hello, Doctor, thank you for your previous response regarding the materials used in artificial hip joints. I later realized that you had addressed similar questions before, and I apologize for the repetition. I am a patient with systemic lupus e...
Dr. Shi Guozheng Reply:
The test results indicate a high likelihood of infection. The materials you mentioned are usable. However, your hip joint may require a complete set, but the prerequisite is to effectively control the infection issue.[Read More] Understanding Revision Hip Replacement: Key Concerns and Insights
Concerns After Ankle Surgery: What to Do About a Broken Screw?
During the ankle surgery to remove the metal screw, the head of the screw broke off, making it difficult to extract. I am feeling very anxious about this situation? Hello Doctor, on December 25, 2014, I fractured my ankle and underwent surgery to have three metal screws inserted....
Dr. Shi Guozheng Reply:
Patients with metal implants, such as those with artificial joints, typically do not experience significant adverse effects from having metal in their bodies. Generally, these individuals do not suffer from long-term complications.[Read More] Concerns After Ankle Surgery: What to Do About a Broken Screw?
Impact of Anesthesia Techniques on Fracture Displacement in Orthopedic Surgery
Anesthesia wrench If there is a comminuted fracture of the radial head with a steel plate implanted and one part has not yet healed, will the orthopedic specialist's manipulation during anesthesia cause displacement?
Dr. Wang Shouji Reply:
Hello: If the fracture has not healed but the steel pin is securely in place, performing a joint mobilization procedure should not significantly increase the risk of displacement. Thank you![Read More] Impact of Anesthesia Techniques on Fracture Displacement in Orthopedic Surgery
Managing Pain in Avascular Necrosis of the Femoral Head: What to Expect
Pain from avascular necrosis of the femoral head? Hello, Doctor: Thank you for your prompt response! You mentioned that avascular necrosis of the femoral head typically worsens over time, often leading to the need for joint replacement, and that recovery is unlikely with medicati...
Dr. Shi Guozheng Reply:
To reduce the load on the hip joint and alleviate pain, it is advisable to minimize exertion, limit walking, and avoid vigorous activities against walls. Additionally, using a cane or walking stick as an assistive device can help relieve some symptoms. Engaging in rehabilitation ...[Read More] Managing Pain in Avascular Necrosis of the Femoral Head: What to Expect
Distinguishing Between Cobalt and Titanium in Hip Implants: A Patient's Journey
Artificial hip joints made of cobalt-chromium and titanium metals? I am a patient with systemic lupus erythematosus (SLE) and have been on long-term corticosteroid therapy, which led to avascular necrosis of the femoral head. I underwent total hip arthroplasty on both my left and...
Dr. Shi Guozheng Reply:
It is usually clearest to refer to the medical records, as they typically contain a record of the materials used.[Read More] Distinguishing Between Cobalt and Titanium in Hip Implants: A Patient's Journey
Understanding Avascular Necrosis of the Femoral Head: Treatment Options and Outlook
Avascular necrosis of the femoral head I have been experiencing pain in both hip joints while walking for the past month or two. The MRI report confirmed that there is some avascular necrosis of the femoral head due to steroid use. The doctor explained that it is still in the ear...
Dr. Shi Guozheng Reply:
In the early stages, some cases may have a possibility of recovery, although the chances are slim. Pharmacological treatments are usually ineffective. In the past, some have used Fosamax for treatment, but the results are not guaranteed. Before undergoing joint replacement, there...[Read More] Understanding Avascular Necrosis of the Femoral Head: Treatment Options and Outlook
Managing Complex Radius Fractures: An Orthopedic Perspective
Angle-related anxiety The radial head comminuted fracture has not healed with plate fixation. The orthopedic surgeon can help me with anesthesia for manipulation, but they mentioned that there is a risk of displacement and I need to sign a waiver. Just doing rehabilitation exerci...
Dr. Shi Guozheng Reply:
Both anesthesia and relaxation carry certain risks, but not undergoing the procedure will not improve the curvature angle. The decision to proceed is ultimately up to you.[Read More] Managing Complex Radius Fractures: An Orthopedic Perspective
Understanding Radial Head Necrosis: Impacts of Surgical Removal
Radial head necrosis type 2 I apologize for the numerous questions. Last time you mentioned whether to remove the radial head or the non-union area. Will the removal have any impact on future outcomes?
Dr. Chen Yongxue Reply:
Whether to proceed with resection depends on whether the non-healing (or necrotic) radial head is affecting range of motion. If resection is performed, the range of motion may improve, but strength during strenuous activities (such as push-ups) may be diminished.[Read More] Understanding Radial Head Necrosis: Impacts of Surgical Removal
Understanding Radial Head Avascular Necrosis After Fracture
Radial head necrosis A comminuted fracture of the radial head that has not healed after 9 months—could the non-healed portion currently be at risk of necrosis?
Dr. Chen Yongxue Reply:
Hello, a comminuted fracture of the radial head, if severely displaced, often cannot heal properly, affecting the range of motion of the elbow joint. The probability of avascular necrosis is about 5%, which is not considered high. If surgical fixation was not performed initially,...[Read More] Understanding Radial Head Avascular Necrosis After Fracture
Effective Rehabilitation Strategies for Post-Clavicle Fracture Pain Relief
Rehabilitation after Clavicle Injury Hello Doctor, my mother had a car accident in December 2014, which resulted in a comminuted fracture of her clavicle. After surgery, a metal plate was installed for over a year, and earlier this year, she underwent another surgery to remove th...
Dr. Shi Guozheng Reply:
Clavicle fractures typically do not cause much pain after healing. Since you have already had the bone screws removed, it indicates that healing has occurred. The current pain may be related to the fascia or tendons. I recommend taking some pain relievers before bed, and you can ...[Read More] Effective Rehabilitation Strategies for Post-Clavicle Fracture Pain Relief
Post-Operative Care and Rehabilitation After Biceps Tendon Repair
Postoperative care after arthroscopic surgery for long head of biceps tendon rupture? Hello Doctor: I am 7 weeks post-operative from arthroscopic surgery for a rupture of the long head of the biceps tendon. My attending physician advised that I could gradually start some activiti...
Dr. Shi Guozheng Reply:
This is considered a normal phenomenon. To undergo rehabilitation, you should visit a rehabilitation department where a therapist can teach you exercises a few times, and then you can try doing them at home on your own.[Read More] Post-Operative Care and Rehabilitation After Biceps Tendon Repair
Understanding Hip Fracture Recovery: Pain and Healing Insights
The foot has not healed? On May 13, 2015, I had a femoral neck fracture and underwent the insertion of three bone screws. During a follow-up appointment two months later, the doctor did not provide any specific feedback. Currently, when sitting, I experience pain on the outer sid...
Dr. Hong Ximing Reply:
After surgery for a femoral neck fracture, scar tissue may form, leading to tightness around the joint. Patients can only perform rehabilitation exercises and should have follow-up evaluations of the femoral head every six months.[Read More] Understanding Hip Fracture Recovery: Pain and Healing Insights
Can Anesthesia Help Relieve Pain from Long-Term Femoral Neck Injury?
Anesthesia relaxation It has been over 8 months since the femoral neck injury. Lying flat and hugging the knees to the chest still causes pain. Is it possible to use anesthesia for relaxation?
Dr. Wang Shouji Reply:
Hello: There is a certain percentage of femoral head fractures that may result in nonunion or avascular necrosis as sequelae. It is necessary to assess whether such sequelae are causing pain. If you are still able to perform activities such as hugging your knees with both hands, ...[Read More] Can Anesthesia Help Relieve Pain from Long-Term Femoral Neck Injury?
Will Anesthesia Relaxation Cause Inflammation or Bone Displacement?
Anesthesia relaxation 2 A comminuted fracture of the radial head has not yet healed. There have been two manual reductions performed under anesthesia without inflammation or displacement of the bone. Is there a risk of inflammation or bone displacement if another orthopedic speci...
Dr. Shi Guozheng Reply:
It shouldn't happen because it has already been done twice before. When performing such procedures, physicians usually operate with caution. If too much force is applied, it could potentially cause a fracture, and the joint would immediately become very painful.[Read More] Will Anesthesia Relaxation Cause Inflammation or Bone Displacement?