Post-Surgery Concerns: Understanding Clavicle Fracture Recovery
Postoperative care for clavicle fracture? Hello doctor, I had a car accident on June 18 and suffered a right-sided clavicle fracture. I underwent surgery on June 18 to fix it with steel nails and plates. I had my stitches removed on July 1, but on July 7, I experienced discomfort...
Dr. Shi Guozheng Reply:
1. It is normal to feel discomfort during activity. 2. The tingling sensation near the plate may be due to the prominence of the bone screws or the plate itself. 3. If you are concerned, you should return for an X-ray.[Read More] Post-Surgery Concerns: Understanding Clavicle Fracture Recovery
Convincing Your Doctor to Remove Intramedullary Nails After Surgery
Removal of metal pins issues Hello Doctor, I was in a car accident in December 2022, resulting in a comminuted fracture of my thigh. After surgery, I was fortunate to recover. It has been almost two years now, and I would like to have the metal screws removed. However, when I inq...
Dr. Zhan Xian Reply:
Whether to remove the metal pins is not definitive; if the patient experiences discomfort or if the pins are protruding, they need to be addressed. Metal pins are considered foreign objects in the body. If the patient is relatively young and in good health, it may be worth discus...[Read More] Convincing Your Doctor to Remove Intramedullary Nails After Surgery
Should You Remove Intramedullary Nails After Fracture Surgery?
Is it necessary to remove the intramedullary nail? Hello Doctor: I was involved in a car accident on July 23, 2023, which resulted in a closed fracture of my right tibia with three segments broken and bone fragmentation. I underwent an open reduction and internal fixation surgery...
Dr. Shi Guozheng Reply:
1. Intramedullary nails should only be removed after the fracture has healed. If the nail is protruding, it should be extracted. 2. Some physicians may not perform bone grafting, and this may not pose any issues. 3. Leaving the nail in place can cause a foreign body sensation...[Read More] Should You Remove Intramedullary Nails After Fracture Surgery?
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:
Is the location of your fracture in the upper arm (humerus)? After two failed surgeries with plate fixation, the use of intramedullary nails is a viable option, but it is crucial to ensure that the fixation is very secure. Additionally, bone grafting is necessary to promote bette...[Read More] Understanding Steel Plate Fractures in Orthopedic Surgery: Risks and Solutions
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
Assessing the Need for Dynamic Intramedullary Nail Surgery After Two Years of Nonunion
Is surgery for dynamization necessary for a femoral nonunion that has persisted for two years? Hello Dr. Chen, Two years ago, in February 2022, I was involved in a car accident and underwent surgery for an intramedullary nail fixation of the femur. Since then, the results have ...
Dr. Chen Yongxue Reply:
Hello, the attached X-ray shows a nonunion of the right femoral shaft fracture after treatment with intramedullary nailing. At this point, a "dynamization" approach can be utilized (removing the locking screws at the ends to promote compression at the fracture site), wh...[Read More] Assessing the Need for Dynamic Intramedullary Nail Surgery After Two Years of Nonunion
Slow Recovery After Limb Lengthening Surgery: Common Concerns and Rehab Tips
Slow recovery after bone lengthening surgery? Hello, Doctor. I underwent a left femur lengthening surgery on April 2034, achieving an extension of 4 cm. In October 2023, the external fixator was removed and replaced with an internal fixation plate (not intramedullary nails), spec...
Dr. Chen Yongxue Reply:
Hello, if there is a discrepancy in leg length, it often accompanies issues with spinal scoliosis. When the lower limb is lengthened, the spinal curvature may not improve immediately, which can lead to other problems, making it feel as though the legs are still unequal in length....[Read More] Slow Recovery After Limb Lengthening Surgery: Common Concerns and Rehab Tips
Should You Remove Intramedullary Nails After Fracture Healing?
Is it necessary to remove intramedullary nails? Hello, I suffered a closed femoral fracture on the left side due to a car accident a year ago (November 2022). At that time, I was treated with intramedullary nailing. My recovery has been relatively good, and I can walk freely, alt...
Dr. You Dianqi Reply:
Each individual's condition and recovery process varies, so it is recommended to consult with an orthopedic specialist for personalized advice. Thank you.[Read More] Should You Remove Intramedullary Nails After Fracture Healing?
Should Facial and Foot Fracture Hardware Be Removed After Surgery?
Do facial and foot fractures need to be removed? Hello, doctor. Recently, I was involved in a car accident and suffered fractures in my right face and right thigh, which were treated with screws and plates by different doctors. The doctor who treated my foot mentioned that since ...
Dr. Chen Yongxue Reply:
Hello, metal nails and plates are considered foreign objects. In principle, they should be removed after the completion of staged tasks (bone healing). The reason is that several years later, if the body's resistance is low (such as in cases of dialysis or diabetes), there i...[Read More] Should Facial and Foot Fracture Hardware Be Removed After Surgery?
Choosing Between Steel Nails and Plates for Toe Fracture Surgery
Should a toe fracture be treated with a nail or a plate? Hello, doctor. I was in a car accident on December 4th, and the emergency department diagnosed a closed fracture at the second phalanx of my right big toe. I underwent surgery on December 5th. During my follow-up appointmen...
Dr. Chen Yongxue Reply:
Hello, toe fractures are generally not as severe as finger fractures. Typically, as long as the fracture is stabilized, it can heal properly. Usually, toe fractures rarely require self-funded plates, but it also depends on the severity of your fracture. If possible, please visit ...[Read More] Choosing Between Steel Nails and Plates for Toe Fracture Surgery
Concerns About Removing Intramedullary Nails After 4 Years
Questions about the removal of intramedullary nails from the femur? 1. If the intramedullary nails in both femurs have been in place for 4 years, it may be possible to remove them, but the difficulty of removal can vary depending on factors such as bone healing and the presence o...
Dr. Shen Boquan Reply:
Hello, if the bone screws or plates inserted after a fracture are causing discomfort or other issues, they should be removed. If your intramedullary nail is not worn out, there are no issues with the removal tools, and it hasn't been placed too deeply, it should be removable...[Read More] Concerns About Removing Intramedullary Nails After 4 Years
Understanding Recovery After Intramedullary Nail Removal in Femur Fractures
Removal of intramedullary nail from the femur? Hello, doctor. I am 23 years old and four years ago, I underwent surgery for femoral fractures in both legs due to a car accident, during which intramedullary nails were inserted. I am now considering having them removed. Will the re...
Dr. Shi Guozheng Reply:
1. Recovery after the removal of intramedullary nails is usually quick. 2. Weight-bearing on both feet should be resumed within a week. 3. Knee adhesions will not have any impact. 4. It will take about one to two months.[Read More] Understanding Recovery After Intramedullary Nail Removal in Femur Fractures
Common Toe and Finger Deformities: Causes and Treatment Options
Toe problems Overlapping and crowded toes often cause discomfort, and the nails have become prone to ingrown toenails or paronychia. I would also like to inquire about my fingers, which are not straight and have a noticeable lateral curvature. It seems that the first joints of bo...
Dr. Shi Guozheng Reply:
It is essential to first determine whether there is any displacement before deciding if treatment is necessary; therefore, it is recommended to consult a physician for a clear diagnosis.[Read More] Common Toe and Finger Deformities: Causes and Treatment Options
Understanding Broken Pins in Bones: What You Need to Know
The metal pin has broken inside the bone? Hello Dr. You: On August 19, my daughter was involved in a car accident resulting in comminuted fractures of both radius bones, with both wrists broken. On the same day, the doctor performed a surgery to fixate the fractures with nails an...
Dr. You Dianqi Reply:
Each individual's situation is different, so it is recommended to consult your primary physician. Thank you.[Read More] Understanding Broken Pins in Bones: What You Need to Know
Understanding Femoral Fracture Healing: Recovery Tips and Concerns
Comminuted femoral fracture Hello Doctor: I was involved in a car accident on January 25 of this year, resulting in a comminuted fracture of my right femur. The following day, I underwent surgery (open reduction and internal fixation with nails and plates). It has now been four m...
Dr. Shi Guozheng Reply:
1. Weight-bearing walking should only be done after healing. Walking with crutches too early may lead to a re-fracture. 2. Normal. 3. A nutritious diet is essential, and it is important to supplement with calcium, protein, vitamins, and other nutrients.[Read More] Understanding Femoral Fracture Healing: Recovery Tips and Concerns
Managing Acute Compression Fractures of the Lumbar Spine: A Patient's Guide
Acute compression fracture of the first lumbar vertebra? About six months ago, I was hit on the head by a fallen tree trunk. After taking only pain relief and anti-inflammatory medication, I experienced persistent lower back pain for three months. After examination, I was diagnos...
Dr. Chen Bochen Reply:
Hello Mr. Lin, if follow-up X-rays show that the compression fracture has healed three months after the injury and you do not experience any pain during movement, you can gradually discontinue the use of the back brace and return to normal activities. However, it is important to ...[Read More] Managing Acute Compression Fractures of the Lumbar Spine: A Patient's Guide
Recovering from Femoral Shaft Fracture: When Can You Walk Without Crutches?
Femoral shaft comminuted fracture? Hello, this is my first time using this, and I'm not sure how to upload photos. I had a car accident on August 26 and suffered a comminuted fracture of the femoral shaft. The doctor said it was broken in three pieces. I then underwent a sel...
Dr. Wang Jiacheng Reply:
Typically, if the images on the X-ray show that the fracture has healed, the use of crutches may no longer be necessary. However, if the bone has not healed properly, caution is required, as there is a possibility of re-fracture. Therefore, it is essential to return for a follow-...[Read More] Recovering from Femoral Shaft Fracture: When Can You Walk Without Crutches?
Recovering from a Complex Femoral Shaft Fracture: When to Ditch the Crutches?
Comminuted femoral shaft fracture due to a car accident? Hello, this is my first time using this, and I'm not sure how to upload photos. I had a car accident on August 26, resulting in a comminuted fracture of the femoral shaft, with the doctor stating it was broken in three...
Dr. Shi Guozheng Reply:
Typically, if the images on the X-ray show that the fracture has healed, the use of crutches may no longer be necessary. However, if the bone has not healed properly, caution is required, as there is a possibility of re-fracture. Therefore, it is essential to return for a follow-...[Read More] Recovering from a Complex Femoral Shaft Fracture: When to Ditch the Crutches?
Challenges in Healing Open Fractures: A Case Study of Tibia and Fibula
Incomplete healing after open reduction and internal fixation of a right distal tibiofibular fracture? Hello Doctor, I had an open fracture of the distal fibula on the right side due to a car accident in January this year, and I underwent surgery with self-funded internal fixatio...
Dr. Shi Guozheng Reply:
1. If there is a defect in the bone, healing can be very slow, and sometimes it may not heal at all. In such cases, surgical bone grafting may be necessary to promote healing. Usually, if a fracture has not healed after one year, surgery can be considered. 2. If the fracture si...[Read More] Challenges in Healing Open Fractures: A Case Study of Tibia and Fibula
Post-Surgery Concerns: Understanding Intramedullary Nails and Bone Plates
Regarding intramedullary nailing of the femur and plate fixation of the metacarpals postoperatively? Dear Doctor, I have a few questions regarding my recovery one month after my femur fracture surgery, and I would like to seek your expertise: 1. When I fully extend my knee, I ca...
Dr. Zhan Xian Reply:
Hello Mr. Lin, the X-ray you provided cannot be opened, and I am unable to give feedback on the images. Since it has been about a month post-fracture surgery and the fracture has not yet healed, you can discuss your concerns with the surgeon during your follow-up appointment.[Read More] Post-Surgery Concerns: Understanding Intramedullary Nails and Bone Plates