Understanding Tibial Plateau Fractures: Treatment, Recovery, and Complications
Regarding comminuted fractures? I came across an article written by Dr. Shi regarding tibial plateau fractures and would like to ask some questions about comminuted tibial plateau fractures: Regarding comminuted fractures, in general orthopedic management, is a CT scan always per...
Dr. Shi Guozheng Reply:
If the X-ray images can clearly diagnose the condition, it may not be necessary to perform a CT scan. Bone grafting may be subject to absorption, and the knee joint could be affected by a possible injury to the lateral tibial plateau, leading to a varus deformity. As a result, th...[Read More] Understanding Tibial Plateau Fractures: Treatment, Recovery, and Complications
Should You Get Your Knee Cap Checked After a Past Injury?
Patella Hello: My knee seems to have a slight protrusion due to a fall I had a long time ago. It has been several years, and I have no discomfort. Is there a need to get it checked?
Dr. Shi Guozheng Reply:
If there are no uncomfortable symptoms, there is no need to seek medical consultation.[Read More] Should You Get Your Knee Cap Checked After a Past Injury?
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
Understanding Pain from Hips to Feet: Possible Causes and Solutions
Pain from the buttocks to the soles of the feet? Hello Doctor, initially I felt discomfort in my buttocks, and pressing on a specific symmetrical point on both sides caused discomfort. Later, my thighs and calves also became uncomfortable. I visited a traditional Chinese medicine...
Dr. Shi Guozheng Reply:
It is likely sciatica, which is characterized by pain in the buttocks that radiates down the back of the thigh to the knee, and further down to the calf and the sole of the foot. Sometimes, there may also be a tingling sensation. In more severe cases, there can be weakness in the...[Read More] Understanding Pain from Hips to Feet: Possible Causes and Solutions
Understanding Complications of Orthopedic Screws After Fracture Surgery
Nail rotation I suffered a right femur fracture from a fall on January 10 of this year and had two metal screws inserted, secured with a steel cable. During a follow-up appointment on February 15, it was discovered that one of the screws, which was supposed to be anchored in the ...
Dr. Chen Yongxue Reply:
Hello, for a patella fracture, using two steel pins and wires for fixation is considered standard practice. After the surgery, once the swelling subsides, it is common to see the steel pins protruding, which can sometimes be sensitive for the patient. It would be unwise to avoid ...[Read More] Understanding Complications of Orthopedic Screws After Fracture Surgery
Understanding ACL Tears: Recovery Time and Management Tips
Ligament tear injury Hello, doctor. I have a question. About a week ago, I stepped off a ledge with my left foot and my right foot didn't have proper support, causing my kneecap to twist. Since then, I have been unable to put weight on it to stand up. I went to the hospital ...
Dr. Hong Ximing Reply:
If a tear of the anterior cruciate ligament (ACL) results in joint instability, an MRI is required for diagnosis. The recovery time will depend on the severity of the injury. For details regarding treatment and rehabilitation, please consult an orthopedic specialist.[Read More] Understanding ACL Tears: Recovery Time and Management Tips
How Long Until I Can Walk Without Crutches After Femur Fracture?
How long after a femoral fracture in the left thigh with a metal rod can one stop using crutches? I am currently 19 years old and had a car accident on January 16 of this year, which resulted in a fractured left femur. It was an open fracture, and I was taken to National Taiwan U...
Dr. Shi Guozheng Reply:
Approximately three to six months, but it depends on the quality of the surgical alignment at the fracture site and the status of bone healing. If intramedullary nails are used for fixation, gentle weight-bearing may be allowed.[Read More] How Long Until I Can Walk Without Crutches After Femur Fracture?
Understanding Avascular Necrosis: Risks and Concerns with Fosamax Use
Avascular necrosis of bone? Hello Dr. Wang, I do not have osteoporosis, but I have ischemic necrosis in both my upper arm and hip, so I am currently using Fosamax. Could the use of Fosamax cause other healthy joints to develop necrosis? I have recently experienced similar symptom...
Dr. Wang Shouji Reply:
Hello: Fosamax is used to inhibit osteoclast activity to prevent bone destruction. Generally speaking, the use of Fosamax to suppress the symptoms of osteonecrosis has not been established and should still be considered in the context of treating the underlying causes of ischemic...[Read More] Understanding Avascular Necrosis: Risks and Concerns with Fosamax Use
Understanding Knee Pain: Causes, Treatments, and Growth Concerns in Teens
Recently, I have been experiencing knee pain? Hello, I would like to ask: Previously, I had knee pain and went to see a doctor. The doctor asked if I had been running or exercising, and I said yes, during physical education class, practicing for a relay race. When I stood up or w...
Dr. Shi Guozheng Reply:
Knee pain can be caused by various conditions, and the location of the pain can help determine the diagnosis. If the pain is located at the front or next to the patella, it may indicate different issues. Pain at the interface between the patella and the femur could suggest a prob...[Read More] Understanding Knee Pain: Causes, Treatments, and Growth Concerns in Teens
Understanding Tibial Plateau Fractures: Recovery and Complications
Tibial plateau fracture After being diagnosed with a tibial plateau fracture, I underwent surgery on the third day. Post-surgery, my knee and lower leg were significantly swollen. Two months later, I noticed valgus deformity of the knee. I am concerned that the bones may have hea...
Dr. Shi Guozheng Reply:
It may be necessary to take another X-ray to confirm the position of the joint, as it can sometimes be slightly angulated. However, if the angle is not significant, it is usually not a major concern.[Read More] Understanding Tibial Plateau Fractures: Recovery and Complications
Understanding Post-Operative Pain After Meniscus Surgery: What to Expect
Meniscal fold arthroscopy Hello Doctor, I recently had an MRI on my left knee which revealed a meniscus tear and a cyst, leading to the decision to undergo arthroscopic surgery. After the surgery, the doctor mentioned that my meniscus tear was not severe, so it was not addressed;...
Dr. Shi Guozheng Reply:
Surgery for joint plica is not difficult, and it is advisable to use medication to alleviate symptoms during the recovery period.[Read More] Understanding Post-Operative Pain After Meniscus Surgery: What to Expect
Which Specialist to See for Persistent Knee Pain: A Guide
If you have knee pain and are unsure which specialist to consult, you should consider seeing an orthopedic surgeon or a sports medicine physician? Hello Doctor, I have had knee pain since childhood, and recently both the inner and outer sides of my knees have been hurting. A few ...
Dr. Chen Yongxue Reply:
Hello, please visit the orthopedic outpatient clinic. General orthopedics should be sufficient. First, let's perform an X-ray (in special angles) for examination. Thank you.[Read More] Which Specialist to See for Persistent Knee Pain: A Guide
Persistent Knee Pain After Two Accidents: What Should I Do?
Car accident November 2013 Hello, I had two car accidents in November 2013, both impacting the same area of my left knee. After the second accident, I experienced significant pain during that week. A few days after the second accident, I had an X-ray, and the doctor said there we...
Dr. Chen Yongxue Reply:
Hello, sometimes inflammation of the periosteum can persist for a long time, causing discomfort for the patient. Please visit the outpatient clinic for a physical examination. If the pain has lasted too long, you might consider trying a corticosteroid injection, which may be effe...[Read More] Persistent Knee Pain After Two Accidents: What Should I Do?
Knee Pain During Basketball: Should You See a Doctor or Self-Rehab?
Knee pain during exercise? I went out to play basketball in the morning, and while attempting a jump shot, I felt a sharp pain in my knee when I landed. A few minutes later, I found it difficult to jump, and jumping caused pain. Squatting also hurts. After a few days, it improved...
Dr. Hong Ximing Reply:
There are many causes of knee pain related to exercise, most of which involve issues with the joint cartilage and ligaments. It is advisable to visit a specialist at a hospital for a thorough examination.[Read More] Knee Pain During Basketball: Should You See a Doctor or Self-Rehab?
Managing Knee Pain After Intramedullary Nail Surgery for Leg Fracture
Crush fracture of the tibia underwent intramedullary nailing through a knee incision, resulting in knee discomfort? Dr. Chen, I have a question. I suffered a comminuted fracture of my lower leg in a car accident on January 15, and I had an intramedullary nail inserted through sur...
Dr. Chen Yongxue Reply:
Hello, intramedullary nailing is the standard treatment for tibial fractures. After the insertion of the intramedullary nail, some patients may experience knee pain. However, it is important to rule out the issue of excessive nail prominence. If the length of the nail is appropri...[Read More] Managing Knee Pain After Intramedullary Nail Surgery for Leg Fracture
Knee Pain and Popping Sounds: Understanding Your Symptoms
Knee pain accompanied by a cracking sound? Hello, doctor. I would like to ask about a knee issue. For the past few weeks, my right knee has been experiencing pain that is not severe and is bearable, but it's difficult to pinpoint the exact location of the pain as it seems to...
Dr. Shi Guozheng Reply:
Knee pain accompanied by a cracking sound is often indicative of issues with the joint surfaces between the patella and the femur, or it may be related to patellar malalignment. This condition can lead to pain, and it is advisable to consult a physician to assess for these potent...[Read More] Knee Pain and Popping Sounds: Understanding Your Symptoms
Rehabilitation Exercises for Inner Knee Ligament Injuries: A Guide
Knee injury Hello, Dr. Shi: I have been suffering from an injury to my medial collateral ligament for three months. I still feel discomfort when squatting, and the pain is quite vague; I can't pinpoint exactly where it hurts. After researching online, I suspect it might be a...
Dr. Shi Guozheng Reply:
Quadriceps strength training can be performed through leg extensions and leg raises.[Read More] Rehabilitation Exercises for Inner Knee Ligament Injuries: A Guide
Understanding Patellofemoral Pain Syndrome and Its Management Strategies
Patellofemoral chondromalacia Hello Doctor: I have a habit of walking, doing yoga, and aerobic exercises about three times a week. On August 20, 2015, while wearing new shoes, I experienced some friction in my knee during my second walking session (on an elementary school playgro...
Dr. Wang Shouji Reply:
Hello: If pain and discomfort persist despite treatment and activity restrictions (such as limited climbing, squatting, and going up and down stairs), and the pain is primarily located in the knee joint, it is necessary to consider the possibility of patellar chondromalacia or pa...[Read More] Understanding Patellofemoral Pain Syndrome and Its Management Strategies
Managing ACL Tear: Solutions for Knee Instability After Injury
Anterior cruciate ligament (ACL) tear Hello doctor, last June, I suffered a tear of the anterior cruciate ligament (ACL) while playing basketball (as indicated by the MRI). Initially, the doctor said I would fully recover in about six weeks, and since I am still young, surgery wa...
Dr. Hong Ximing Reply:
Anterior cruciate ligament (ACL) injury can lead to knee joint instability. If surgery is not performed, a knee brace may be needed for protection. It is advisable to consult a rehabilitation physician.[Read More] Managing ACL Tear: Solutions for Knee Instability After Injury
Understanding the Bump on Your Tibia: Is It a Muscle or a Cyst?
Palpation of the tibial tuberosity? Today in chemistry class, I accidentally touched a spot on my tibia that felt like something was there. It doesn't really feel like a lump; it feels more like a tendon. When I touch it from side to side, it has a sliding sensation. I'...
Dr. Hong Ximing Reply:
The depression in the tibia refers to the area around the knee joint, where a patellar ligament connects to the femur, and the patella is capable of gliding.[Read More] Understanding the Bump on Your Tibia: Is It a Muscle or a Cyst?