Hip joint, Orthopedics FAQ

Recovering from Multiple Fractures After a Car Accident: A Patient's Journey

Multiple fractures from a car accident? I was in a car accident on March 15 of this year, resulting in a left thigh hip joint fracture, anterior and posterior pelvic fractures with displacement, and a right clavicle fracture. I underwent surgery at Cheng Kung University Hospital ...

Dr. Li Yongheng Reply:
Drop foot is a more challenging issue. If there has been no gradual improvement within 3 to 6 months from the date of injury, then there may be limited potential for further progress. It is currently recommended to increase the intake of B vitamins and to consult a hospital to ev...

Managing Post-Surgery Hip Pain: Rehabilitation Options for Recovery

Artificial hip joint My father had surgery last May, and it has been almost a year since then, but he still cannot walk normally. He says his legs are very sore, and he has seen a doctor who took X-rays. The doctor mentioned that he has nerve damage, and that the pain from the ne...

Dr. Chen Yongxue Reply:
Hello, your letter mentions that your father has been unable to walk nearly a year after undergoing hip replacement surgery, which is quite unusual. If what you say is true, is the issue related to nerve compression at the spinal level or at the hip joint? Rehabilitation is certa...

Managing Post-Surgery Hip Pain: Rehabilitation Options for Recovery

Dr. Chen Yongxue Reply:
Hello, your letter mentions that your father has been unable to walk nearly a year after undergoing total hip replacement, which is quite unusual. If it is indeed a neurological issue, is it due to compression at the spinal level or at the hip joint? Rehabilitation is certainly b...

Understanding Hip Joint Swelling After Replacement Surgery

Hip joint swelling Hello, Dr. Shi. I had a right hip joint replacement in 2005 due to a car accident, and in February 2015, I underwent another replacement because the ceramic liner and ceramic femoral head fractured. Currently, in April 2017, I am experiencing swelling at the su...

Dr. Shi Guozheng Reply:
It is advisable to see a physician as soon as possible, as it may be related.

Managing Chronic Osteomyelitis in Elderly Patients with Joint Replacements

Please consult a physician in Kaohsiung who specializes in the treatment of osteomyelitis? Hello, Director. My father is 78 years old. About two years ago, he experienced pain and acute inflammation due to wear and tear from a long-term artificial joint. He underwent debridement ...

Dr. Chen Yongxue Reply:
Once an artificial joint becomes infected, it turns into a nightmare. Debridement surgery, along with intravenous or oral antibiotics, may only help to control the infection but not cure it. To achieve a cure, the artificial joint should be removed, and antibiotic-impregnated bon...

Understanding Hip Pain: Could It Be Avascular Necrosis?

Avascular necrosis of the femoral head? Doctor, I've been experiencing pain in my groin and the inner thigh recently, which gets particularly worse with exercise or prolonged walking. I searched online and I'm really worried it might be avascular necrosis of the femoral...

Dr. Shi Guozheng Reply:
You can consult an orthopedic physician for an examination. An X-ray is usually sufficient for diagnosis, and only if necessary, further imaging such as a CT scan or MRI may be performed. If you do not smoke, drink alcohol, or use steroids, your risk of developing this condition ...

Will Bone Regenerate After Hip Screw Removal? Expert Insights

Bone issues after removal of hip joint screws..? Dear Doctor: I had a car accident in June of the year before last, which resulted in a comminuted fracture of my left hip joint. Next month, I will be having the plates and screws removed. I have a question regarding the void left ...

Dr. Wang Shouji Reply:
Hello: If the hole left after removing the metal screw is not too large, it will typically close up within about three months, and usually, there is no need for additional bone grafting. Please avoid weight-bearing and vigorous activities for one month. Thank you.

Managing Hip Dysplasia: Tips for Pain Relief and Exercise

Developmental Dysplasia of the Hip (DDH) I am a twin, and during middle school, while running, I suddenly felt a sharp pain in my right foot halfway through. Since then, I have visited several hospitals (E-Da Hospital, Bo-Cheng Hospital) for X-ray examinations, and the doctors di...

Dr. Shi Guozheng Reply:
Try to minimize intense exercise and consult a physician to determine if corrective surgery is necessary to prevent the future development of osteoarthritis.

Understanding Hip Labral Tears: Symptoms, Treatment, and Recovery Concerns

Hip Labral Tear Symptoms: Right hip labral tear, swelling in the right calf, and left-sided back pain. Since I was 15 years old, during my first year of high school, I noticed pain near my right hip joint after running too intensely. Initially, I didn't think much of it and ...

Dr. Shi Guozheng Reply:
A labral tear does not cause calf pain or back pain, and it is not suitable for surgery. It is necessary to consult a surgical specialist and consider visiting another medical center that specializes in sports injuries or hip joint issues to evaluate the possibility of recovery, ...

Knee Discomfort and Hip Popping After Injury: Seeking Answers

Feeling of foreign body sensation when straightening the knee and hip pain? Hello Doctor: I was involved in a car accident around November last year, resulting in a bruise on my left knee and a severe hematoma on my right knee. An MRI of my right knee revealed a partial tear of t...

Dr. Shi Guozheng Reply:
1. It may not necessarily be related; if there is a sound but no pain, it may not require treatment. 2. There may be inflammation present in the knee joint; you can ask your attending physician for further evaluation.

Understanding Bone Discomfort After Drinking Herbal Liquor: Causes and Solutions

Drinking alcohol causes bone pain? Hello, Doctor! I am 39 years old, a housewife, do not smoke or drink alcohol, often stay up late, experience high levels of stress, and frequently eat out. I usually take vitamin supplements. This year, I've been experiencing soreness in my...

Dr. Shi Guozheng Reply:
Drinking alcohol does not improve muscle or neck and shoulder pain. In fact, excessive alcohol consumption can lead to avascular necrosis, which commonly occurs in the femoral head of the hip joint. This condition is caused by metabolic factors that result in vascular obstruction...

Effective Rehabilitation Strategies for Seniors After a Fall

Elderly individuals may experience weakness in their legs and difficulty walking after a fall? Hello Doctor: My elderly family member is in their eighties and fell over a month ago, landing on their buttocks. After being sent to the hospital for emergency treatment, it was found ...

Dr. Shi Guozheng Reply:
Gradually increase standing and walking abilities. Start by practicing sitting in a chair and performing bending and straightening movements with the knees. As muscle strength improves, you will be able to stand up or walk.

Understanding Pain After Hip Replacement: Causes and Care Tips

Does a hip prosthesis affect pain in certain areas? Hello, doctor. Due to my previous use of steroids (which I have stopped), I had a right hip replacement in August 2015 and a left hip replacement in August 2016. I am currently recovering well, but the issue is that last month, ...

Dr. Shi Guozheng Reply:
Thigh pain in patients who have undergone total hip arthroplasty may sometimes be attributed to the adaptation of the femoral stem of the prosthesis to the femur. It is advisable to visit the hospital to check for any issues with the knee joint on the same side. Typically, medica...

Post-Surgery Issues After Ceramic Hip Replacement: Infection and Recovery Concerns

Postoperative issues following left total ceramic hip arthroplasty infection? I was involved in a car accident in early January 2015, which resulted in a left femoral neck fracture and a left anterior cruciate ligament tear. I underwent a ceramic total hip arthroplasty at the end...

Dr. Shi Guozheng Reply:
It is possible that the presence of bone cement has caused this issue. After multiple surgeries, the surrounding soft tissue may also become hardened. If the infection cannot be controlled, ultimately, the artificial joint will need to be removed.

Understanding L2-L4 Lamina Fractures: Symptoms, Treatments, and Recovery

Vertebral arch fracture I have been diagnosed with a fracture of the lumbar vertebrae L2-L4, and most of the doctors I consulted recommended surgery. They mentioned that based on the condition of the maintenance, once the cartilage wears out and I get older, surgery will be inevi...

Dr. Shi Guozheng Reply:
1. Joint pain below the waist may not be related to the spine. 2. Due to posture, pain near the knee joint is related to movement and is associated with ligament or synovial inflammation. 3. Surgery for vertebral arch fractures must include spinal fusion; if spinal fusion is ...

Understanding Hip Joint and Pelvic Issues: Symptoms and Solutions

Pelvic cavity and hip joint issues? Hello, doctor. When I sit, I feel that the bone on the right side of my buttocks is more prominent. I usually find it more comfortable to sit with a slouched posture or at the edge of the chair while leaning against the backrest. If I sit up st...

Dr. Shi Guozheng Reply:
You should see a doctor for an examination, and possibly get an X-ray to determine if there are any issues with your hip joint.

Caring for Elderly Hip Fracture Patients: Home Care Tips and Considerations

Hip Fracture Nursing Care Hello Doctor, last Friday (the 28th), my grandmother fell and fractured her hip. The doctor recommended surgery, but considering her advanced age and chronic illnesses, the family decided against it due to concerns about anesthesia risks. I would like to...

Dr. Shi Guozheng Reply:
The preferred treatment for fractures near the hip joint is surgical intervention. In older adults, as long as anesthesia is managed carefully and the surgery is performed, most patients can recover to a state similar to that before the fracture. Therefore, it is best to choose s...

Understanding Thigh Pain After Femoral Shaft Fracture Rehabilitation

Comminuted fracture of the femoral shaft with hip joint rehabilitation causing pain? Hello, Doctor: I was involved in a car accident on July 3, 2016, which resulted in a comminuted fracture of the left femoral shaft. I underwent open reduction and internal fixation surgery. Durin...

Dr. Shi Guozheng Reply:
Prolonged inactivity of the muscles can lead to such conditions. Continuing rehabilitation therapy is essential until the thigh bone heals sufficiently to bear weight.

Understanding Ankylosing Spondylitis: Blood Tests and Age Factors

I would like to inquire about ankylosing spondylitis? Hello Dr. Wang, I would like to ask about ankylosing spondylitis. If a blood test comes back positive, does that mean the disease will definitely develop? Also, is it true that only individuals under 40 can develop ankylosing ...

Dr. Wang Shouji Reply:
Hello: At this age, the pain is mostly likely due to ankylosing spondylitis. A positive HLA-B27 test does not necessarily mean that it is ankylosing spondylitis; there must also be evidence of enteropathic arthritis or even chronic inflammatory changes leading to fusion to make t...

Common Questions About Hip Joint Replacement Surgery

Questions about total hip replacement surgery? Hello, Doctor. I am experiencing hip joint pain and had an X-ray at the hospital, which revealed avascular necrosis in both femoral heads. The doctor has recommended total hip replacement surgery for both sides, but I have some quest...

Dr. Shi Guozheng Reply:
Typically, recovery of physical strength can take one to three months, with three months being the ideal timeframe. However, if the patient's health status is good, it is possible to perform bilateral surgeries under a single anesthesia. This decision depends on the surgeon&...

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