Understanding Post-Op Sounds and Care for Hip Replacement Surgery
Artificial hip joint I underwent left total hip arthroplasty on January 5th of this year. However, on the third day post-surgery, I started to notice a sound of friction from the artificial joint (not constantly throughout the day, but it occurs occasionally). This happens every ...
Dr. Shi Guozheng Reply:
Some patients with all-ceramic artificial hip joints may experience a grinding noise as long as there is no pain and the hip joint is properly positioned, it is not a significant concern. The surgical area can be treated with heat therapy.[Read More] Understanding Post-Op Sounds and Care for Hip Replacement Surgery
Impact of Slow Bone Healing on Athletes After Leg Fracture
Fracture of the left femur due to a car accident? Hello doctor, I had a car accident on February 10th that resulted in a fracture of my left femur. It has been six months now, and during my recent follow-up appointment, the doctor advised me to wait another two months before retu...
Dr. Wang Shouji Reply:
Hello: The speed of fracture healing is closely related to the mechanism of injury, surgical methods, and nutritional status. However, even with slow bone healing, most strength training can still be performed, just not with full weight-bearing. It is essential to closely monitor...[Read More] Impact of Slow Bone Healing on Athletes After Leg Fracture
Post-Operative Hip Replacement: When to Seek Further Medical Evaluation
Postoperative hip joint care Hello, doctor. My grandmother had a hip replacement surgery on her left leg about seven months ago, just before the Lunar New Year. Normally, she should be able to walk independently without using a cane within two to three months, but she still needs...
Dr. Shi Guozheng Reply:
There are two types of artificial hip joints: total hip replacement and hemiarthroplasty (artificial femoral head). It is common to experience pain within the first three months after surgery; however, if pain persists after six months, it may indicate a problem that needs to be ...[Read More] Post-Operative Hip Replacement: When to Seek Further Medical Evaluation
Choosing the Right Ceramic Hip Implant: Durability and Noise Concerns
Materials for artificial hip joints? Hello Doctor, I have developmental dysplasia of my left hip joint, and over the past year, the pain while walking has significantly worsened. The doctor at the hospital has recommended that I undergo ceramic total hip arthroplasty. I researche...
Dr. Shi Guozheng Reply:
There are two types of liners: ceramic liners and ultra-wear-resistant liners. Both can use full ceramic materials, which may produce unusual sounds, whereas the ultra-wear-resistant plastic gasket liners do not. The wear resistance of both types is quite similar.[Read More] Choosing the Right Ceramic Hip Implant: Durability and Noise Concerns
Post-Hip Replacement Complications: Understanding Bone Fractures and Leg Length Discrepancy
Postoperative hip joint fracture? Hello Dr. Tsai, I would like to consult you. In November of last year, I underwent surgery to replace my left hip joint. Post-operative X-rays during follow-up visits showed everything was normal. On December 17, I used a walker to go up and down...
Dr. Cai Shanglin Reply:
If everything was normal immediately after the surgery but later developed a leg length discrepancy, this indicates that the prosthetic joint may be loose or sinking. Generally, a revision surgery is recommended in such cases. This time, the procedure would theoretically involve ...[Read More] Post-Hip Replacement Complications: Understanding Bone Fractures and Leg Length Discrepancy
Understanding Ischemic Necrosis of the Toe: Causes, Treatment, and Recovery
Ischemic necrosis of the toes Hello, about a year ago, while I was traveling in another city, I wore a pair of high sandals (the overall height, not just the front or back being higher) for a while. I felt a slight stabbing pain in my right foot but thought it was due to somethin...
Dr. Shi Guozheng Reply:
The necrosis of the second metatarsal bone in the foot is a relatively rare case. If the pain does not improve, the physician recommends surgery. You might consider seeking opinions from other doctors. Without seeing your X-ray, I cannot provide a complete assessment. Avascular n...[Read More] Understanding Ischemic Necrosis of the Toe: Causes, Treatment, and Recovery
Recommended Surgeons for Congenital Hip Dislocation in Kaohsiung
Recommendation for surgeons specializing in congenital hip dislocation surgery? Hello Dr. Hong: I would like to ask if you could recommend a physician in Kaohsiung who specializes in congenital hip dislocation. My left leg is affected by congenital hip dislocation, resulting in a...
Dr. Hong Ximing Reply:
Congenital hip dislocation with a 7 cm discrepancy in leg length is not a very complicated surgery; however, the challenge lies in shortening the length of both legs. Therefore, it is recommended to consult a specialist in hip joint subspecialty at a medical center to discuss the...[Read More] Recommended Surgeons for Congenital Hip Dislocation in Kaohsiung
Understanding Recovery After Femur Nail Surgery: What to Expect
Femoral nail implantation? Hello Doctor, I was in a car accident on March 25 and underwent surgery on March 27 for a femoral fracture and dislocation, with some small fragments (very small area) that required two steel pins to be inserted. The pins do not need to be removed from ...
Dr. Ye Qingnian Reply:
In cases of hip joint fracture-dislocation treated with internal fixation using screws, I generally recommend using crutches for walking to avoid putting weight on the fractured limb too soon, which could lead to displacement of the fracture. The duration of this precaution shoul...[Read More] Understanding Recovery After Femur Nail Surgery: What to Expect
Is Your Pelvis Misaligned? Understanding Hip and Spine Issues
Pelvic misalignment? Spinal misalignment? I have a blood pressure of 150/48 and a normal weight, but when I do side leg raises (lifting my right leg), I hear a popping sound in my right pelvis with each repetition. However, I can walk normally. I would like to know if this indica...
Dr. Shi Guozheng Reply:
The sound may be coming from the ligaments or tendons near the hip joint, and it could also be a sign of crepitus. It is best to consult a physician for a proper diagnosis.[Read More] Is Your Pelvis Misaligned? Understanding Hip and Spine Issues
Post-Surgery Hip Joint Pain: When to Seek Medical Attention?
Postoperative issues following hip joint surgery? Hello Doctor, during the Lunar New Year period on February 8th, my mother fell and sustained a fracture in her left hip joint. She underwent surgery on February 15th to have screws placed for stabilization. However, three months h...
Dr. Shi Guozheng Reply:
Hip fractures need to be evaluated based on the specific location of the fracture, as they typically take three to six months to heal. If the pain persists, it is necessary to return to an orthopedic specialist to check whether the fracture has healed.[Read More] Post-Surgery Hip Joint Pain: When to Seek Medical Attention?
Recovery and Complications After Severe Femoral Fractures: A Patient's Guide
Comminuted fracture of the femur below the greater trochanter of the right leg? Hello Doctor, I had a car accident in January of this year, resulting in a comminuted fracture of the femur just below the greater trochanter of my right thigh and a fracture of the medial malleolus o...
Dr. Shi Guozheng Reply:
If a fracture does not heal properly after about six months, it may take up to a year, and the long-term effects are related to the severity of the initial injury. Sometimes, the range of motion in the hip joint may be affected, and there could be discrepancies in leg length. Add...[Read More] Recovery and Complications After Severe Femoral Fractures: A Patient's Guide
Understanding Squatting Difficulties: Causes, Symptoms, and Solutions
Questions related to difficulties in squatting? Hello, Doctor! I would like to ask about my difficulty in squatting. Currently, I have self-tested by trying to squat with my feet together, but I cannot keep my heels on the ground. When I press my heels down, I immediately fall ba...
Dr. Shi Guozheng Reply:
Difficulty squatting is usually due to issues with either the hip joint or the ankle joint. In the case of the hip joint, it may involve gluteal fibrosis (commonly known as frog leg syndrome), where the thighs cannot bend beyond 90 degrees when brought together, causing the body ...[Read More] Understanding Squatting Difficulties: Causes, Symptoms, and Solutions
Post-Surgery Hip Pain: Understanding Recovery Challenges and Solutions
Postoperative pain after hip joint surgery? Hello doctor, my grandmother had a hip replacement surgery before the Lunar New Year. She is 69 years old, and the doctors said her hip joint recovery was good after the surgery. However, she is currently in severe pain that extends dow...
Dr. Shi Guozheng Reply:
After hip joint surgery, recovery is generally good around three months. If pain persists, it is necessary to return for a follow-up appointment and get an X-ray to determine where the issue lies.[Read More] Post-Surgery Hip Pain: Understanding Recovery Challenges and Solutions
Persistent Hip Pain After Surgery: What to Expect in Recovery
Persistent pain after hip joint surgery? I recently underwent hip joint decompression surgery (drilling a hole in the bone) and was discharged three days ago. After stopping the pain medication, I noticed that the original joint pain seems to still be present. Does this mean that...
Dr. Shi Guozheng Reply:
Need to wait a little longer.[Read More] Persistent Hip Pain After Surgery: What to Expect in Recovery
Understanding Persistent Pain in the Left Knee and Ankle After a Fall
Left knee and ankle pain due to a fall, with discomfort near the buttocks? 1. Since June of last year, I have been experiencing intermittent pain in my left knee and the outer side of my ankle, regardless of whether I am standing or sitting. I cannot predict when the pain will oc...
Dr. Hong Ximing Reply:
Knee and ankle contusions or sprains can potentially lead to permanent damage due to trauma, and X-rays are primarily used to assess for fractures. Physical therapy serves as an adjunct for soft tissue rehabilitation, but the most important aspect is to self-protect and avoid re-...[Read More] Understanding Persistent Pain in the Left Knee and Ankle After a Fall
Post-Surgery Rehabilitation Challenges for Hip Joint Patients
Could you please provide more details about the rehabilitation issues related to Dr. Shi's artificial hip joint? Thank you? Post-surgery rehabilitation issue. Mr. Chen underwent surgery on his left hip in Miaoli on March 24 and was discharged on the 28th. He has a question r...
Dr. Shi Guozheng Reply:
Two weeks after surgery, you can start applying heat to the thigh and gradually perform straightening movements. You can also bend the left thigh while seated, but the hip joint's flexion should not exceed 90 degrees initially. Additionally, you may consider taking muscle re...[Read More] Post-Surgery Rehabilitation Challenges for Hip Joint Patients
Types and Materials of Artificial Hip Joints: Key Considerations and FAQs
Types and Materials of Artificial Hip Joints Hello, Dr. Shi. I have a few questions to ask. 1. When I searched for ceramic artificial hip joints on Google, I came across some contraindications, one of which states, "Ceramic heads are prohibited for use in revision surgery ...
Dr. Shi Guozheng Reply:
1. The two materials may not be compatible, so replacing the femoral stem together will ensure better compatibility. 2. Essentially, the femoral stem is similar but tends to be longer, and the acetabular component has more fixed holes. 3. There will be no impact on leg length...[Read More] Types and Materials of Artificial Hip Joints: Key Considerations and FAQs
Understanding Knee Injuries: Causes, Symptoms, and Treatment Options
Knee injury from a fall? Hello, doctor. I am a high school student, 16 years old. At school, I slipped on a wet floor and fell, landing on my left knee. I had a similar incident two years ago. After the fall, my knee was completely weak at first, but after about 5 minutes, the pa...
Dr. Wang Shouji Reply:
Hello: This condition requires attention to whether there is any injury to the hip joint or if it is simply a bruise causing temporary pain and weakness. If the pain persists for more than a week, it is recommended to visit an orthopedic clinic for further evaluation. Thank you![Read More] Understanding Knee Injuries: Causes, Symptoms, and Treatment Options
Post-Hip Replacement Recovery: Balancing Caution and Progress
Postoperative Recovery After Hip Replacement Surgery My husband underwent hip joint replacement surgery before the Lunar New Year, and he has been feeling good during his recovery. However, he is quite anxious and fears damaging the artificial joint. It has been a month and a hal...
Dr. Hong Ximing Reply:
After hip replacement surgery, if recovery is good, normal functioning can resume after 8 to 10 weeks of protection. However, it is important to rest when needed, as maintaining muscle strength is essential for the stability of the artificial joint.[Read More] Post-Hip Replacement Recovery: Balancing Caution and Progress
Understanding Local Anesthesia for Hip Joint Replacement: Key Considerations
Could you please provide more details about Dr. Shi's concerns regarding the use of local anesthesia for joint replacement surgery? Hello, I am the person who consulted you the day before yesterday regarding my father's desire to change his artificial joint. Thank you v...
Dr. Shi Guozheng Reply:
Most cases can be applicable; if there is no bleeding tendency, local anesthetics can be administered for nerve block anesthesia. In our team, this can be done in almost 95% of cases. You can search online for "regional nerve block" to find more information. This techni...[Read More] Understanding Local Anesthesia for Hip Joint Replacement: Key Considerations