Understanding Tibial Fractures: Treatment, Surgery, and Growth Concerns
Tibial fracture Hello: My daughter suffered a tibial fracture in a car accident on September 5, 2018. She underwent surgery at that time, where a steel plate was used for fixation. The plate was removed the following July, and upon further observation, it was discovered that she ...
Dr. Wang Shouji Reply:
Hello, if a pediatric fracture affects the growth plate, it can sometimes lead to asymmetrical growth. In such cases, it is necessary to suppress the growth on one side to prevent increasing deformity and to correct the malalignment. We will only know if there is still a leg leng...[Read More] Understanding Tibial Fractures: Treatment, Surgery, and Growth Concerns
Understanding Leg Length Discrepancy After Hip Replacement Surgery
Left total hip arthroplasty? Hello Doctor: I was in a car accident last December and suffered a comminuted fracture of my left hip joint. I had to undergo surgery to insert screws, but the fracture kept displacing, so I had no choice but to have a hip replacement. However, after ...
Dr. Shi Guozheng Reply:
There are several reasons for leg length discrepancy after total hip replacement surgery, often related to the length of the bones. It is essential to ensure that both sides are of equal length when implanting the artificial joint. Sometimes, if the artificial joint is placed too...[Read More] Understanding Leg Length Discrepancy After Hip Replacement Surgery
Will Tibia Fracture Lead to Leg Length Discrepancy After Healing?
Tibial fracture Hello, doctor. I have a displaced fracture of the left tibia due to a car accident. I am recovering well, but I would like to ask the doctor if there is a high probability of having a leg length discrepancy after the fracture heals. Thank you, doctor.
Dr. Zhan Xian Reply:
Hello Ms. Chen, leg length discrepancy mainly depends on the location of the fracture, the age at which it occurred, and the status of fracture reduction. Each case varies, and continued outpatient follow-up is necessary![Read More] Will Tibia Fracture Lead to Leg Length Discrepancy After Healing?
Understanding Patellar Fractures and Ligament Injuries: Recovery Insights
Patellar fracture with ligament rupture? Hello Doctor, I was involved in a car accident on February 8th, resulting in a fractured patella in two pieces and a ligament tear with an open fracture. The next day, the doctor performed surgery, and after two weeks, I had my stitches re...
Dr. Chen Yongxue Reply:
1. Swelling should gradually subside. 2. There will be no leg length discrepancy. 3. It is advisable to seek treatment from the attending physician.[Read More] Understanding Patellar Fractures and Ligament Injuries: Recovery Insights
Does Sitting Cross-Legged Cause Scoliosis and Leg Length Discrepancy?
Scoliosis, leg length discrepancy, and sitting posture are related? Recently, I came across a news report suggesting that children should avoid crossing their legs (sitting with one leg over the other) because it could lead to scoliosis and leg length discrepancies. Is this reall...
Dr. Chen Yongxue Reply:
Is sitting cross-legged or with one leg over the other really serious enough to cause scoliosis and leg length discrepancy? Scoliosis can occur due to 1. congenital neuromuscular disorders, 2. degenerative scoliosis, and the most common type is idiopathic scoliosis during adolesc...[Read More] Does Sitting Cross-Legged Cause Scoliosis and Leg Length Discrepancy?
Understanding Growth Guidance Surgery for Limb Length Discrepancy in Children
Treatment for leg length discrepancy? Hello Doctor, my daughter has congenital clubfoot on her left foot, and she has been receiving treatment since birth. She is currently 8 years old. Aside from a noticeable size difference in the soles of her feet, she also has a leg length di...
Dr. Li Wenhong Reply:
Hello: 1. The risks associated with reverse growth guidance surgery are similar to those of general orthopedic surgeries; however, children tend to have faster healing times and lower risks of nonunion or infection. Side effects may include excessive growth suppression or uneven ...[Read More] Understanding Growth Guidance Surgery for Limb Length Discrepancy in Children
Do You Need a Second Surgery for Misaligned Bone Fractures?
Does a secondary fracture displacement require a second surgery? Thank you, Dr. Wang, for taking the time to answer. My brother had an accident while riding a motorcycle last June, resulting in a closed femoral fracture. Due to insufficient femoral diameter, intramedullary nailin...
Dr. Wang Shouji Reply:
Hello: According to the X-ray, the fracture at the lower end has healed, while the upper fracture may be limited by the lower plate, resulting in a discrepancy. The healing status will depend on the extent of soft tissue detachment from the periosteum during surgery. However, due...[Read More] Do You Need a Second Surgery for Misaligned Bone Fractures?
Can Limb Lengthening Surgery Correct My Leg Discrepancy?
Treatment for leg length discrepancy? Hello Doctor: When I was 2 or 3 years old, I fractured my lower leg, resulting in a slight leg length discrepancy. I have been using shoe inserts, but now at 20 years old, the issue has worsened. When I stand with my legs straight, my pelvis ...
Dr. Chen Yongxue Reply:
Leg length discrepancy can lead to scoliosis and lower back pain. If the length difference reaches 3 centimeters, surgical lengthening should be considered. However, this procedure is time-consuming; if everything goes smoothly, it may take about six months to remove the external...[Read More] Can Limb Lengthening Surgery Correct My Leg Discrepancy?
Understanding Inner Knee and Thigh Pain: Possible Causes and Solutions
Thigh root, knee? Hello, doctor. This issue has been going on for about two weeks. Initially, I experienced a dull pain on the inner side of my right knee. Two days later, I also started feeling soreness in the groin area of my right thigh and in the knee, intermittently, without...
Dr. Shi Guozheng Reply:
Issues with the spine or pelvis can be evaluated with an X-ray, which may clarify the cause of the popping sound in the thigh, potentially related to ligaments near the hip joint. Pain on the inner side of the knee may be associated with the ligaments or tendons around the joint....[Read More] Understanding Inner Knee and Thigh Pain: Possible Causes and Solutions
Understanding Congenital Limb Length Discrepancy and Surgical Options
Congenital limb length discrepancy, with the left calf noticeably more curved than the right? Hello, I am 27 years old. I have a congenital leg length discrepancy, with my right leg being approximately 5-6 cm shorter than my left. I underwent examinations as a child, which reveal...
Dr. Shi Guozheng Reply:
If there is a dislocation of the left hip joint accompanied by pain symptoms and medication treatment is ineffective, a total hip arthroplasty on the left side may be considered. If the dislocation is not severe and there are no pain symptoms, then consideration can be given to w...[Read More] Understanding Congenital Limb Length Discrepancy and Surgical Options
Single-Stage Limb Lengthening Surgery: Options and Costs in Taiwan
Single-stage bone lengthening surgery Doctor, could you please tell me which hospital can perform a one-time lengthening surgery for the thigh or calf by 3 to 6 centimeters? Will there be any complications from a one-time lengthening procedure? I saw that there is a one-time leng...
Dr. Shi Guozheng Reply:
Limb lengthening surgery is typically applied to patients with limb length discrepancies, and very few doctors are willing to perform lengthening procedures on normal limbs. This surgery can extend the length of a limb by approximately one-tenth of its original length, but it may...[Read More] Single-Stage Limb Lengthening Surgery: Options and Costs in Taiwan
Understanding Thigh Bone Fractures: Recovery and Walking Without Crutches
Femoral fracture Hello, Doctor. I was in a car accident on November 27, 2017, and I sustained a comminuted fracture of the femur near my hip. I underwent surgery the same day, where they inserted metal pins and plates for stabilization. During my follow-up appointment on December...
Dr. Shi Guozheng Reply:
You should continue to use the crutches until the bone is fully healed. Do not put weight on the injured area without the crutches, as it may not be fully healed and could bend, which could lead to a discrepancy in leg length.[Read More] Understanding Thigh Bone Fractures: Recovery and Walking Without Crutches
Understanding Lateral Leaning of the Lower Back While Standing
When standing, there is an issue with lateral leaning of the lower back? In the past, I remember my waist being symmetrical when standing, but now it tends to tilt to one side. However, when I sit, the degree of tilt decreases, and when I lie down, my body appears normal. Previou...
Dr. Shi Guozheng Reply:
If a patient has a herniated lumbar disc, undergoing rehabilitation and medication treatment for a period of time may lead to improvement. If there is no improvement, surgical intervention should be considered, and the patient should consult a physician for further management opt...[Read More] Understanding Lateral Leaning of the Lower Back While Standing
Can Surgery Correct Hip Joint Misalignment for Better Flexibility?
The location of the hip joint? Hello doctor, my right hip is significantly abducted when standing on my right leg, which makes it difficult to maintain balance. I can only achieve a split with my legs at about 60 to 70 degrees. I have been diagnosed with leg length discrepancy an...
Dr. Shi Guozheng Reply:
Cerebral palsy often presents issues with joint contractures, which can limit the normal range of motion in the joints. To increase the range of motion, surgery may be necessary; however, a thorough evaluation by a physician is required to make a definitive determination.[Read More] Can Surgery Correct Hip Joint Misalignment for Better Flexibility?
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...[Read More] Recovering from Multiple Fractures After a Car Accident: A Patient's Journey
Understanding Limb Length Discrepancy: Surgical Options and Risks
Leg length discrepancy? Hello, Doctor. I don't know why, but since childhood, my left knee has been growing outward. I had surgery to correct it during my freshman year, but the leg length discrepancy did not improve. As a result, my pelvis is also tilted, causing a lot of i...
Dr. Shi Guozheng Reply:
It is a limb lengthening surgery, but first, a scanogram X-ray is required to determine the difference in length between the two legs before deciding whether surgery is necessary. The procedure carries certain risks.[Read More] Understanding Limb Length Discrepancy: Surgical Options and Risks
Effective Treatments for Leg Length Discrepancy: Surgery or Alternatives?
Management of limb length discrepancy? Hello, I have a significant leg length discrepancy, and it is very noticeable when I walk. I would like to know what options are available to address this issue—whether surgery is necessary or if there are other methods.
Dr. Li Wenhong Reply:
A physician must not administer treatment, prescribe medication, or issue a diagnosis without a personal examination. Hello: You may consider using insoles. Thank you! Dr. Li Wen-Hong, Orthopedics, Changhua Hospital.[Read More] Effective Treatments for Leg Length Discrepancy: Surgery or Alternatives?
Understanding Scoliosis: Causes, Symptoms, and Treatment Options
Scoliosis Hello doctor, my physical examination report from my vocational school indicated that I have scoliosis, but since I didn't know the angle, I have been undergoing posture correction (due to poor sitting habits) without visiting a hospital for two years. However, the...
Dr. Shi Guozheng Reply:
You are already 26 years old, and if you have scoliosis, it is unlikely to worsen significantly. Typically, scoliosis tends to progress during puberty when growth spurts occur. After reaching adulthood, the curvature rarely increases. Treatment is generally required only for scol...[Read More] Understanding Scoliosis: Causes, Symptoms, and Treatment Options
Impact of Thyroid Medication on Bone Healing After Fracture
Simultaneous use of Ontruzant and osteoporosis medications? Hello Dr. Tsai, my mother is 63 years old. She had a femur fracture from a car accident six months ago. Recently, during a follow-up appointment, the doctor mentioned that after six months, she should not be walking with...
Dr. Cai Shanglin Reply:
Hello: There is a certain percentage of poor healing associated with femoral fractures, and the prognosis depends on the location of the fracture, the degree of comminution, and the surgical approach used, so it may not necessarily be related to thyroid medication. There are seve...[Read More] Impact of Thyroid Medication on Bone Healing After Fracture
Understanding Coccyx and Pelvic Issues: A Path to Mobility Recovery
Coccygeal and pelvic issues causing mobility difficulties? 1. My daughter (27 years old this year) fell on her tailbone onto a concrete surface during her first year of high school. The doctor said there was no issue, but it seems she may have injured some tissues, resulting in a...
Dr. Shi Guozheng Reply:
Coccydynia is typically managed with conservative treatments such as heat therapy and medication. It may also be beneficial to avoid pressure on the coccyx. If symptoms persist, it might be necessary to consult another orthopedic specialist for further evaluation.[Read More] Understanding Coccyx and Pelvic Issues: A Path to Mobility Recovery