Understanding Steel Plate Fractures in Orthopedic Surgery: Risks and Solutions
Steel plate fracture I had my first surgery with steel nails, but my hand ended up misaligned by 2.8 mm, which made it difficult to lift. Later, I underwent treatment with a steel plate, and I was able to lift my hand again. However, the steel plate broke within three months, and...
Dr. Shi Guozheng Reply:
You did not specify whether it is a humeral fracture or a fracture of another bone. If there is a dislocation, an X-ray can determine the fracture. After surgery, if the plate has broken again and there has been no subsequent surgery on the bone, the best option would be to suppl...[Read More] Understanding Steel Plate Fractures in Orthopedic Surgery: Risks and Solutions
Impact of Retained Humeral Plate on Recovery: Can Full Motion Be Regained?
If the humeral plate is not removed, will mobility be affected, and will extension not return to pre-injury condition? On February 23 of this year, I underwent surgery for a left humeral fracture, during which a steel plate was implanted. One week after being discharged, I began ...
Dr. Shen Boquan Reply:
Hello, based on your description, I suspect that you have sustained a proximal humeral fracture and have undergone plate fixation surgery. It is common to experience temporary limitations in shoulder mobility postoperatively. If the plate or screws do not penetrate the joint, the...[Read More] Impact of Retained Humeral Plate on Recovery: Can Full Motion Be Regained?
Understanding the Need for Hardware Removal After Arm Fracture Surgery
Removal of metal screws issue Hello Doctor, I had surgery on October 27th of last year following a car accident, primarily for a right distal humeral fracture. The current condition, as shown in the photos [link], has improved with ongoing rehabilitation, but I still experience s...
Dr. Chen Yongxue Reply:
Each person's recovery varies. Whether or when to remove it should be discussed with your attending physician. Generally, a hospital stay of about 3 to 4 days is required post-surgery, and it is advisable to avoid vigorous exercise for at least 3 months. Thank you.[Read More] Understanding the Need for Hardware Removal After Arm Fracture Surgery
Recovery Timeline and Treatment for Distal Humerus Fracture with Ulnar Nerve Injury
Distal humeral fracture with ulnar nerve injury? In late August, I suffered a distal humeral fracture and ulnar nerve injury due to a car accident, and I have already undergone surgery. However, to this day, my ring finger, little finger, and the outer part of my palm are still s...
Dr. Shen Boquan Reply:
Hello, the numbness in your ring and little fingers after a remote humeral fracture surgery is likely due to ulnar nerve neuropathy. During the surgery, we need to retract the ulnar nerve to perform fracture reduction and plate fixation. If your physician confirms that the ulnar ...[Read More] Recovery Timeline and Treatment for Distal Humerus Fracture with Ulnar Nerve Injury
Post-Fracture Rehabilitation Challenges: Understanding Shoulder Recovery
Post-fracture rehabilitation issues? I have a proximal humeral fracture, and the incision from the surgery is on the side of my shoulder. They used a titanium alloy plate and screws for fixation, but there is less muscle in that area. Will the surgery have damaged the muscle to s...
Dr. Chen Bochen Reply:
Hello Bobo, there will inevitably be some muscle damage during surgery, and joint stiffness after the operation is also a common phenomenon. As long as the surgery is successful and the fracture heals, gradual rehabilitation and exercise will lead to a smooth recovery. Wishing yo...[Read More] Post-Fracture Rehabilitation Challenges: Understanding Shoulder Recovery
Can Minor Impact After Shoulder Surgery Cause Titanium Screw Failure?
Post-operative care for fracture surgery? I recently underwent surgery for a displaced proximal humeral fracture on my right shoulder, using plates and screws for fixation, about three to four days ago. However, while walking, I accidentally bumped my right shoulder against a wal...
Dr. Shi Guozheng Reply:
If the upper arm can still move, it may not be fractured. The safest approach is to get an X-ray to confirm the diagnosis.[Read More] Can Minor Impact After Shoulder Surgery Cause Titanium Screw Failure?
Options for Non-Surgical Healing of Humeral Fractures: Shockwave and Ultrasound Therapy
Comminuted humeral fracture Hello Dr. Wang, I would like to ask if there are any signs of healing after four months post-surgery for a comminuted humeral fracture. Would self-funded shockwave therapy or ultrasound bone healing treatment be helpful? What methods can assist in the ...
Dr. Wang Jiacheng Reply:
Both treatment methods you mentioned have been attempted and may be helpful, but they are not 100% successful. In case of non-healing, it is still necessary to consider undergoing bone grafting surgery.[Read More] Options for Non-Surgical Healing of Humeral Fractures: Shockwave and Ultrasound Therapy
Post-Surgery Recovery for Humeral Fractures: Exploring Healing Options
Postoperative care for comminuted humeral fracture? Hello, doctor. I have a comminuted humeral fracture that has shown no signs of healing four months post-surgery. I would like to know if self-funded shockwave therapy or ultrasound bone healing treatment would be beneficial. Wha...
Dr. Shi Guozheng Reply:
Both treatment methods you mentioned have been attempted and may be helpful, but they are not 100% successful. In case of non-healing, it is still necessary to consider undergoing bone grafting surgery.[Read More] Post-Surgery Recovery for Humeral Fractures: Exploring Healing Options
Should You Remove Titanium Intramedullary Nail After Humerus Fracture?
Hello, doctor? Currently, I have a spiral fracture of the left humerus that has been treated with a titanium intramedullary nail. However, I am experiencing discomfort and a foreign body sensation, and I plan to have it removed after one year (which will be in August this year). ...
Dr. Chen Yongxue Reply:
In fact, bone screws are not part of the body's original tissue, and they should ideally be removed after the staged tasks are completed. However, there is a risk of injuring the radial nerve when removing the plate at the site of a humeral fracture. Thank you.[Read More] Should You Remove Titanium Intramedullary Nail After Humerus Fracture?
Post-Fracture Recovery: Managing Pain and Mobility Challenges
Post-operative issues following a fracture? Hello Doctor, I would like to inquire about my condition. It has been approximately five months since my car accident, during which I sustained an open fracture of the left femur and a closed (displaced) fracture of the left tibia. Sinc...
Dr. Shi Guozheng Reply:
1. Heat therapy can usually relieve muscle soreness, and anti-inflammatory pain medications can also be taken for relief. 2. Before a fracture has fully healed, swelling in the lower extremities can occur; elevating the affected limb and performing some muscle contraction exerc...[Read More] Post-Fracture Recovery: Managing Pain and Mobility Challenges
Concerns About Titanium Intramedullary Nail Removal After Humerus Fracture
Nail problems I have a distal humeral fracture that was stabilized with a titanium intramedullary nail. I sometimes feel a foreign body sensation, which is quite uncomfortable, and it has affected the flexibility and range of motion of my arm. I hope to have the intramedullary na...
Dr. You Dianqi Reply:
Hello: If this is your recent X-ray, the removal is not an option yet since your bone has not fully healed. If you wish to have it removed later, as you mentioned, it will indeed be technically more challenging due to the intramedullary nail being more embedded, but it is certain...[Read More] Concerns About Titanium Intramedullary Nail Removal After Humerus Fracture
Recovery After Removal of Proximal Humerus Screws: What to Expect
Removal of proximal humeral intramedullary nails? Hello Doctor, due to a proximal humeral fracture, I had seven steel pins inserted for fixation. After the bone healed, I can only raise my arm to about 150 degrees. Later, during a check-up at the rehabilitation department, it was...
Dr. Chen Yongxue Reply:
Hello, if the steel nail has loosened after a fracture, it usually indicates that the fracture has not healed properly. Please be cautious regarding the information provided in the letter; if you are unable to lift your shoulder, it may be due to tendon rupture or joint stiffness...[Read More] Recovery After Removal of Proximal Humerus Screws: What to Expect
Understanding Recovery from Right Shoulder Fracture Surgery: Key Questions Answered
Right shoulder humeral comminuted fracture? Hello, Doctor! I sustained a comminuted fracture of the right humerus due to a sports accident on October 11, and I underwent ORIF (Open Reduction and Internal Fixation) surgery on October 12. I would like to ask the following questions...
Dr. Chen Yongxue Reply:
Hello, after undergoing internal fixation surgery for a comminuted humeral fracture on October 12th, I have a few questions: 1. Should I continue to wear the shoulder sling post-surgery? In most cases, it is recommended to wear it for six weeks, unless it is a simple linear frac...[Read More] Understanding Recovery from Right Shoulder Fracture Surgery: Key Questions Answered
Post-Operative Low-Grade Fever After Humerus Fracture Surgery: Is It Normal?
Postoperative care for humeral fracture? Hello, doctor. I underwent a reduction surgery for a humeral fracture on August 15, during which a titanium alloy plate was implanted. The wound has been treated with self-paying tissue adhesive and non-removable sutures. The doctor prescr...
Dr. Zhan Xian Reply:
Hello, please drink plenty of water and continue to monitor your condition. If you have any wounds or urinary tract issues, you may visit the outpatient clinic. If you experience any COVID-19 related symptoms, please call 1922 first.[Read More] Post-Operative Low-Grade Fever After Humerus Fracture Surgery: Is It Normal?
Calcium Supplementation After Fracture: Is Procal Right for You?
Issues with taking Procal after a fracture? Director Chen: I suffered a proximal humeral fracture in a car accident last year, and five months later, the bone has not healed properly. The doctor prescribed one Prolia injection in the morning and one in the evening, and I underwen...
Dr. Chen Bochen Reply:
1. Calcium propionate is calcium acetate, which has poor absorption and a strong odor. It is generally used for patients with kidney issues to help eliminate phosphate ions (as calcium binds with phosphate to precipitate and subsequently excrete it). It is usually recommended to ...[Read More] Calcium Supplementation After Fracture: Is Procal Right for You?
Post-Surgery Challenges After Distal Humerus Fracture: Recovery Insights
Postoperative issues following distal humeral fracture surgery? Hello Doctor, I am here to inquire again about my car accident on June 2nd of this year, which resulted in a distal humeral fracture in my left arm. On June 3rd, I underwent surgery where two metal plates and eight s...
Dr. Shi Guozheng Reply:
1. Apply heat or use pain relievers. 2. Surgical implantation of a steel plate for distal humeral fracture, as it is very close to the radial nerve, should not be removed unless absolutely necessary. 3. Activities can be resumed after bone healing. 4. Weight should be gradually i...[Read More] Post-Surgery Challenges After Distal Humerus Fracture: Recovery Insights
Should You Remove Plates and Screws After a Humerus Fracture?
After a mid-shaft humeral fracture, is it necessary to remove the screws and plates in the future? Hello Dr. Zhan, A month ago, I had an accident that resulted in a mid-shaft humeral fracture. I had an 11-hole plate and 7 screws implanted. Currently, my shoulder range of motion...
Dr. Zhan Xian Reply:
Hello Ray, as you mentioned, we need to consider the factors regarding whether to extract it. We can discuss this with the attending physician once the fracture has healed.[Read More] Should You Remove Plates and Screws After a Humerus Fracture?
Concerns About Removing Steel Plate After Proximal Humerus Fracture
Issues related to the removal of the plate after proximal humeral fracture in the left arm? Doctor, I had surgery for a proximal humeral fracture in my left arm last June, and I will be returning to the hospital soon for an X-ray to see if I can have the plate removed. I would li...
Dr. Shi Guozheng Reply:
1. There is a risk, but it is very low. 2. It will increase the difficulty and the likelihood of complications, but careful execution of the surgery can usually mitigate these risks. 3. After one year post-surgery, and once it is confirmed that the fracture has healed, the pl...[Read More] Concerns About Removing Steel Plate After Proximal Humerus Fracture
Rehabilitation After Humerus Fracture Surgery: When to Start?
Postoperative care for humeral fracture? Hello Doctor: I suffered a humeral fracture on April 4th and underwent surgery on April 10th. I would like to ask if, based on my current condition, it is advisable to start rehabilitation. This is the X-ray taken on April 24th: https://pp...
Dr. Xie Hongjia Reply:
Mr. Shih: Hello, regarding the issue you raised, we recommend that you first consult with the original physician. We apologize for any inconvenience this may cause. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Rehabilitation After Humerus Fracture Surgery: When to Start?
Post-Surgery Concerns: Understanding Recovery After Humerus Fracture Repair
Postoperative care for humeral fracture? Hello Doctor: I have a right humeral fracture and just had surgery on April 10th of this month. Since the surgery, the mobility of my arm is still very limited. I asked my orthopedic surgeon about it, but his response was somewhat vague. I...
Dr. Shi Guozheng Reply:
1. You must personally consult your attending physician about your post-operative condition. 2. With rehabilitation, there is hope for recovery. 3. Typically, you can schedule an appointment with the rehabilitation department to adjust your progress based on your post-fracture su...[Read More] Post-Surgery Concerns: Understanding Recovery After Humerus Fracture Repair