Do You Need to Remove Screws and Wires After Patellar Fracture Surgery?
Postoperative care for patellar fracture? Do I need to remove the nails and wires after one year?
Dr. Chen Yongxue Reply:
Hello young man, it's good to have it removed; keeping it serves no purpose and will only increase the chance of wear and tear. Thank you.[Read More] Do You Need to Remove Screws and Wires After Patellar Fracture Surgery?
Post-Surgery Concerns: Managing Swelling After Tibial Plateau Fracture
Postoperative care for tibial plateau fractures? Hello, I sustained a tibial plateau fracture in April 2020 and underwent arthroscopy and repair of the fractured plateau, along with the placement of artificial bone and steel nails. The plates and screws were removed in December o...
Dr. Wang Shouji Reply:
Hello, intra-articular fractures may lead to post-traumatic arthritis as a sequela. It largely depends on the condition of the joint after the fracture. Applying heat therapy may help, but if there is no improvement, it is advisable to consider arthroscopy to assess the intra-art...[Read More] Post-Surgery Concerns: Managing Swelling After Tibial Plateau Fracture
Healing Time and Mobility After Left Tibia Fracture: What to Expect
Comminuted fracture of the left tibia? How long does it take for a comminuted fracture of the tibia in the left lower leg to heal? Can the left lower leg with a comminuted fracture of the tibia bend?
Dr. Chen Yongxue Reply:
Hello, fractures need to be stabilized and weight-bearing should be avoided for about six weeks. There are various methods of fixation, including casts, nails, and plates, as well as external fixation, each suitable for different situations. Bone healing requires healthy soft tis...[Read More] Healing Time and Mobility After Left Tibia Fracture: What to Expect
Post-Surgery Recovery Tips for Tibia and Fibula Fractures
Postoperative care for tibia and fibula fractures? Hello Dr. Chan: I would like to ask about my situation after the car accident on September 17, where I sustained a tibial fracture and fibular fracture, and underwent internal fixation surgery with steel nails and plates. 1. Wh...
Dr. Zhan Xian Reply:
Hello, since the healing of fractures varies from person to person and the fixation methods differ, please consult the orthopedic surgeon who performed your surgery regarding rehabilitation issues. If there are any concerns with the wound, you should return for follow-up at the c...[Read More] Post-Surgery Recovery Tips for Tibia and Fibula Fractures
Should You Remove Titanium Screws After Rib Fracture Surgery?
Regarding the issue of rib screw removal? In March, I was involved in a car accident and suffered a rib fracture, which required surgery to insert a plate and screws. Initially, titanium alloy was chosen for the materials. Recently, I noticed some discomfort when bending over, so...
Dr. Chen Yongxue Reply:
Hello, regarding the steel nails and plates, since they are foreign objects, I personally recommend removing them once their temporary purpose has been fulfilled. The removal should ideally take place about a year after surgery, from March until now, as the fracture site should h...[Read More] Should You Remove Titanium Screws After Rib Fracture Surgery?
Post-Surgery Complications After Scaphoid Fracture: Pain and Weakness Explained
After surgery for a scaphoid fracture, the fingers have transitioned from numbness to pain, and there is weakness in fist clenching? Hello Doctor, I suffered a traffic accident and have a closed fracture of the scaphoid bone with a third of the bone displaced in my left wrist. I ...
Dr. Zhan Xian Reply:
Hello Mr. Fan, I am unable to answer your questions due to a lack of understanding of your surgical situation. Further evaluation, including physical examination and imaging studies, is necessary. You may visit a major hospital's orthopedic department for consultation. Wishi...[Read More] Post-Surgery Complications After Scaphoid Fracture: Pain and Weakness Explained
Choosing the Right Hardware for Ankle Ligament Repair: Key Considerations
How to choose screws for a torn ligament in the right ankle? After today's ultrasound, the doctor said that the ligaments in my right ankle are torn, specifically the two most commonly injured ones, and I need to undergo ligament repair surgery. I would like to ask Dr. Chen:...
Dr. Chen Yongxue Reply:
Hello, 1. Is the probability of cheaper steel nails falling out high in the future? ANS: Not necessarily. 2. Which would you recommend, steel nails or absorbable screws? (Which has a better cost-performance ratio?) ANS: Absorbable screws. 3. Can I continue playing foo...[Read More] Choosing the Right Hardware for Ankle Ligament Repair: Key Considerations
Do I Need to Reinsert Intramedullary Nails for Bone Healing?
Does bone grafting require re-insertion of intramedullary nails? Hello, doctor. I was in a car accident last October, resulting in fractures of my left thigh and hip bone. I had an intramedullary nail placed in my thigh and screws fixed in my hip bone, as well as above my knee. A...
Dr. Chen Bochen Reply:
1. My doctor advised me to return for a follow-up in three months to assess whether I need a bone graft. The recovery period after surgery is at least three months, but my wife is due in January, and I hope to be able to support her during her postpartum period. Should I wait thr...[Read More] Do I Need to Reinsert Intramedullary Nails for Bone Healing?
Recovery Timeline for Tibial Comminuted Fractures: What to Expect
The recovery timeline for a comminuted fracture of the tibia? Hello, Doctor! I was involved in a car accident on March 10 of this year, resulting in a comminuted fracture of my right tibia. The following day, I underwent internal fixation surgery using intramedullary nails and bo...
Dr. Chen Yongxue Reply:
1. Fracture healing takes at least 6 weeks. Severe comminuted fractures or those with infection may experience delays. 2. Internal fixation can provide support for the fracture, and fractures generally heal well; however, if there is an infection, the hardware must be removed to ...[Read More] Recovery Timeline for Tibial Comminuted Fractures: What to Expect
Can Leg Length Discrepancy Improve After Femur Fracture Surgery?
Femoral fracture Hello, Doctor You. I suffered a thigh fracture and a hip fracture from a car accident, and I have already undergone surgery. They used intramedullary nails for fixation. It has been two and a half months since the surgery on October 30. Shortly after the surgery,...
Dr. You Dianqi Reply:
Hello: The removal of bone screws generally does not cause the "lengthening" of bones as you mentioned. However, it is important to discuss with your attending physician whether there is indeed a condition of leg length discrepancy. If there is, we need to determine the...[Read More] Can Leg Length Discrepancy Improve After Femur Fracture Surgery?
Exploring Minimally Invasive Height Increase Surgery Options for Men
A male who is 159 cm tall is inquiring about minimally invasive height increase surgery? Hello Doctor, I am currently 23 years old and have had an X-ray that shows my growth plates have fully closed. I learned too late that growth hormone therapy could have been an option for me....
Dr. Shi Guozheng Reply:
Bone lengthening surgery involves cutting the original healthy bone (such as the femur or tibia) and then using instruments to gradually lengthen it, often with the implantation of intramedullary nails. After extending the bone to a certain length, it is stabilized to allow for p...[Read More] Exploring Minimally Invasive Height Increase Surgery Options for Men
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
Understanding Nail Removal After Injury: What to Expect for Recovery
Nail avulsion? I would like to ask the doctor, on October 8th, I had to have my left big toe nail completely removed due to a car accident. After the removal, the doctor placed the original nail back to protect the nail bed. However, during my follow-up appointment today, I was s...
Dr. Chen Bochen Reply:
Hello: Placing a nail on top can provide a protective effect. Some doctors may use specialized silicone pads for nails, but it's not necessary. Without them, the area may be more susceptible to pain upon contact, and the newly grown nail may appear less aesthetically pleasin...[Read More] Understanding Nail Removal After Injury: What to Expect for Recovery
Addressing Issues with Distal Humerus Fracture and Hardware Removal
Distal humeral fracture screw removal issues? Hello Doctor, I was in a car accident on June 2nd of this year, which resulted in a distal humerus fracture in my left arm. On June 3rd, I underwent surgery where two plates and eight screws were inserted to stabilize my upper arm, an...
Dr. Shi Guozheng Reply:
After the removal of bone screws, joint mobility may improve slightly, but the sensation of stiffness may not necessarily improve. If there are two bone plates fixed, removing them simultaneously may sometimes lead to re-fracture; therefore, it is reasonable to perform the remova...[Read More] Addressing Issues with Distal Humerus Fracture and Hardware Removal
Understanding Recovery After a Tibia Fracture: Pain and Mobility Concerns
Fracture of the left femur due to a car accident? Hello, doctor. I was in a car accident on September 21 and fractured my left femur. I underwent surgery on September 22, where titanium alloy intramedullary nails were used for support. As of now, my knee still cannot bend normall...
Dr. Wang Shouji Reply:
Hello, the intramedullary nail for the femur, due to the presence of distal locking screws, can commonly affect knee joint mobility. However, this usually alleviates over time. It is advisable to perform knee flexion and extension exercises, and avoid weight-bearing until the X-r...[Read More] Understanding Recovery After a Tibia Fracture: Pain and Mobility Concerns
Post-Surgery Swelling After Tibial Plateau Fracture: Is It Normal?
Swelling after tibial plateau fracture surgery in mid-April? Hello, I would like to ask about my condition. I had an internal fixation with steel nails and plates for a tibial plateau fracture, along with bone grafting and arthroscopy, and it has been almost six months since the ...
Dr. Wang Shouji Reply:
Hello, tibial plateau fractures are intra-articular fractures that carry a risk of developing post-traumatic arthritis. It is important to monitor for any intra-articular irregularities or the presence of arthritis. Resting and staying in bed usually helps reduce swelling, but on...[Read More] Post-Surgery Swelling After Tibial Plateau Fracture: Is It Normal?
Post-Tibial Screw Removal: Essential Care Tips and Precautions
Post-removal care for tibial screws should be noted? Hello, I would like to ask what precautions should be taken after removing the tibial screws. If I accidentally bump into the bone, will it break? Thank you.
Dr. Chen Bochen Reply:
Hello, whether or not to remove the intramedullary nail and the associated risks can only be accurately assessed with a physical examination and X-rays. However, I can share some general information: 1. Intramedullary nails in the tibia can typically be removed after the fracture...[Read More] Post-Tibial Screw Removal: Essential Care Tips and Precautions
Managing Nail Bed Infections: When to Seek Medical Attention
Paronychia abscess Hello doctor, I recently visited a dermatologist for paronychia. The doctor prescribed me oral medication and an ointment to apply. Today, I noticed that the abscess has spread, and I’m not sure when I accidentally ruptured it, but it has started to drain. Will...
Dr. Chen Bochen Reply:
Hello LDH, actually, paronychia is an infection! If the abscess has burst, there’s no need to panic. Here’s how to manage it: 1. After disinfecting with povidone-iodine, gently squeeze to help the pus drain out more quickly. 2. Soak the wound in povidone-iodine (alcohol-free) ...[Read More] Managing Nail Bed Infections: When to Seek Medical Attention
Does Removing a Steel Pin Help Healing After a Femur Fracture?
Does removing a steel rod from a femur fracture help with bone healing? I had a car accident on July 5th, resulting in a closed fracture of my right femur, with a clean break between two segments. I underwent surgery at Yuanlin Christian Hospital on the same day. During my follow...
Dr. Chen Yongxue Reply:
Hello, as mentioned in your letter, your bone fracture is very "clean," which likely means there are not many fragments. In this situation, if the bone healing is too slow after surgery (especially when using intramedullary nails for fixation), it is possible to remove ...[Read More] Does Removing a Steel Pin Help Healing After a Femur Fracture?
Recovering from Severe Leg Fractures: Improving Knee Flexibility After Surgery
Severe foot fracture, with the knee able to bend only 90 degrees? Hello Doctor: I sustained a left leg fracture due to a car accident as follows: On February 27, 2018, I underwent surgery for the application of an external fixator on the left tibia and closed reduction with inter...
Dr. Cai Shanglin Reply:
It is recommended to have the original surgeon follow up with an X-ray to confirm that rehabilitation can begin, as the bone needs to be stable before starting rehabilitation.[Read More] Recovering from Severe Leg Fractures: Improving Knee Flexibility After Surgery