Comprehensive Recovery Strategies for Severe Lower Limb Fractures
Open fracture of the tibia, fibula, and closed fractures of the left femoral neck, femoral shaft, and supracondylar region of the left femur. Closed fracture of the left patella? On February 27, 2018, a car accident resulted in: 1. Open fracture of the left tibia and fibula; 2. C...
Dr. Chen Yongxue Reply:
Hello, given the severity of the injury, a full recovery may be challenging. Active rehabilitation therapy should ideally wait until the bones have healed for safety; otherwise, there is a risk of re-fracture. Thank you.[Read More] Comprehensive Recovery Strategies for Severe Lower Limb Fractures
Understanding Intramedullary Nail Removal After Femoral Fracture
Issues related to the removal of intramedullary nails for femoral fractures? Hello, Doctor. A year ago today, I was involved in a car accident that resulted in a closed fracture of the femoral shaft. I have been continuously monitored over the past year, and the bone has healed. ...
Dr. Li Yongheng Reply:
Hello, here are the responses to your questions: 1. Although the bone has healed, it is still recommended to wait a year and a half before removing the screws. 2. There should be no major issues. 3. Generally, crutches can be discontinued after suture removal; however, there may ...[Read More] Understanding Intramedullary Nail Removal After Femoral Fracture
Challenges in Femoral Fracture Healing: A Patient's Journey
Poor healing of the femur? Hello, doctor. During last year's Lunar New Year, I was involved in a car accident that resulted in an open fracture of my left femur, located in the middle of the femur near the knee (approximately 3/2 of the way down). The doctor inserted a steel...
Dr. Li Yongheng Reply:
Hello, after undergoing autologous bone grafting for poor healing of the femur, and with an additional layer of steel plate fixation, it has now been six months and only half of the bone callus has formed, while the other half shows little progress. My personal recommendation ali...[Read More] Challenges in Femoral Fracture Healing: A Patient's Journey
Post-Fracture Surgery: When to Remove Pins and Assess Healing
Removal of metal screws after fracture surgery? Hello Dr. Lee, I fell at the end of 2016 and sustained a comminuted fracture of the right radius, after which I had steel nails and plates inserted. At that time, the doctor mentioned that if healing did not go well, I might need to...
Dr. Li Yongheng Reply:
Hello, you have a comminuted fracture of the right distal radius. Even if the fracture has not completely healed post-surgery, wrist arthroplasty is typically not performed, and currently, wrist arthroplasty is not common. Therefore, I recommend that you seek another larger hospi...[Read More] Post-Fracture Surgery: When to Remove Pins and Assess Healing
Understanding Thigh Bone Fractures: Recovery Tips and Mobility Guidance
Femoral fracture, closed fracture? Hello doctor, I would like to inquire about my condition. I had a car accident on January 12 and suffered a fracture. It has been almost four months since then. During my last follow-up appointment, the doctor mentioned that bone growth has star...
Dr. You Dianqi Reply:
Hello, Xuan Xuan: Your main issue is a femoral fracture, and it is mentioned that there is a small piece missing. If this small piece is not significant, along with the physician stating that you can gradually start using crutches, it indicates that you are currently on a normal ...[Read More] Understanding Thigh Bone Fractures: Recovery Tips and Mobility Guidance
Understanding Knee Stiffness After Leg Fracture Surgery: A Month Later
One month after the car accident? Hello Doctor: I was in a car accident on the 14th of last month, resulting in fractures in my right thigh and calf. I underwent surgery to place plates and screws in my right leg. So far, I haven't experienced any discomfort in my right leg,...
Dr. Li Yongheng Reply:
Hello, based on your condition, you have sustained fractures of the right femur and right tibia, and it has been six weeks since the internal fixation with bone nails was performed. Currently, limited range of motion in the right knee and discomfort in the right hip are normal ph...[Read More] Understanding Knee Stiffness After Leg Fracture Surgery: A Month Later
Understanding Nonunion Fractures: To Operate or Not?
Incomplete fracture healing: to undergo surgery or not? Hello, Doctor. On December 29, I asked about an open fracture of the right forearm that underwent surgery with titanium alloy nails and plates. Eleven months later, X-rays show incomplete healing with dark gaps at the fractu...
Dr. Shi Guozheng Reply:
1. If there are no signs of healing nearly a year after fracture surgery, the final management option is to perform another surgery and augment the bone. 2. The risks associated with the surgery, such as infection and nerve injury, are similar to those of general surgeries. 3...[Read More] Understanding Nonunion Fractures: To Operate or Not?
Managing Pain from Rectal Cancer Metastasis to the Femur
Rectal cancer metastasis to the femur? Hello Doctor: I am a 52-year-old female patient with rectal cancer. I underwent surgery and oral chemotherapy last year, and this year I discovered bone metastasis (in the right thigh). In May, I had surgery to implant a steel rod to prevent...
Dr. Chen Yongxue Reply:
Hello: Malignant tumors that metastasize to the bones can cause insufficient support and pain. Typically, intramedullary nails or plates are used to enhance support. If the pain is severe, analgesics can be used, and if necessary, morphine may also be administered. Additionally, ...[Read More] Managing Pain from Rectal Cancer Metastasis to the Femur
Knee Issues After Tibial Fracture: Recovery and Rehabilitation Tips
Knee issues following a tibial fracture? Hello, I had a car accident on October 1st, resulting in an open fracture of the tibia and fibula in my right lower leg. That night, I underwent surgery for intramedullary nailing of the tibia. I was able to get out of bed on October 3rd a...
Dr. Shi Guozheng Reply:
Surgical treatment for tibial fractures often involves the use of intramedullary nails, with the entry point located at the proximal tibia near the knee joint. This typically requires an incision through the patellar tendon to insert the nail. Occasionally, this may irritate the ...[Read More] Knee Issues After Tibial Fracture: Recovery and Rehabilitation Tips
Recovery Tips for Femoral Fractures: Walking with Crutches and Beyond
Comminuted femoral fracture Hello, I would like to ask a question. I had a car accident in June of this year, and I have been using crutches for four months now. I suffered a comminuted fracture of the right femur, close to the upper end, but not involving the joint. I would like...
Dr. Li Yongheng Reply:
Hello, typically after four months of a fracture and being young, you should first confirm the current healing status of the fracture with your attending physician. As long as the fracture has initially healed, you can use crutches to walk slowly. Walking slowly, the metal pins a...[Read More] Recovery Tips for Femoral Fractures: Walking with Crutches and Beyond
Understanding Recovery and Rehabilitation After Toe Fracture Surgery
Fracture of the left toe? Hello Dr. Lee: I had a car accident and fractured all five of my toes. When I went to the hospital, the doctor said I needed to have nails inserted, but they did not perform surgery and the nails are exposed. Approximately when can the nails be removed? ...
Dr. Li Yongheng Reply:
Hello, you are 24 years old and have five fractured toes, for which you underwent internal fixation surgery with steel pins. Generally, the pins can be removed six weeks post-surgery. Of course, before removing the pins, your attending physician will perform an X-ray examination ...[Read More] Understanding Recovery and Rehabilitation After Toe Fracture Surgery
Rehabilitation Tips for Climbing Stairs After Femur Fracture Surgery
Climbing stairs after a femoral fracture? Currently, it has been five months since my femur fracture surgery. I have had nails inserted and can walk normally, but I struggle with going up and down stairs without support, as my leg feels particularly strained and my balance is uns...
Dr. Shi Guozheng Reply:
1. Practicing thigh lifts can increase muscle strength to improve function. 2. The presence of metal screws may affect the range of motion in the wide joint. 3. Occasional tingling sensations are normal and may be related to muscle tightness.[Read More] Rehabilitation Tips for Climbing Stairs After Femur Fracture Surgery
Understanding and Managing Pain in the Big Toe: Causes and Solutions
Pain in the big toe? It occasionally happens that when moving, the joints of the fingers or the area beneath the nail bed may experience pain. Additionally, there are certain areas that appear to be in a state similar to bruising.
Dr. Chen Yongxue Reply:
Hello, please pay attention to the length of your toenails. Additionally, if your shoes do not fit properly or if you are using them excessively in a short period, it may lead to issues. If there are any real concerns, please visit the outpatient clinic for further evaluation. Th...[Read More] Understanding and Managing Pain in the Big Toe: Causes and Solutions
Understanding Recovery from Leg and Wrist Fractures After a Car Accident
The car accident resulted in a femoral fracture and a comminuted fracture of the wrist? In mid-March, I was involved in a car accident that resulted in a fracture of my left femur and a comminuted fracture of my right wrist. I would like to ask the doctor some questions that the ...
Dr. Shi Guozheng Reply:
Following medical advice, it will take approximately one to one and a half years for the left leg's poor bending to recover, and rehabilitation is necessary. The removal of the metal screws will also occur in about one to one and a half years.[Read More] Understanding Recovery from Leg and Wrist Fractures After a Car Accident
Understanding Tibial Plateau Fractures and Knee Pain After Surgery
Tibial plateau fracture with knee depression? Hello, doctor. I was involved in a car accident on March 18, 2017, which resulted in a fracture of the left tibial plateau along with a depression in the knee area. I underwent surgery on March 19 at 7 PM, which lasted until 2 AM the ...
Dr. Shi Guozheng Reply:
After fracture surgery, fixation with steel nails is usually not that fragile, and you can wait until your follow-up appointment for the doctor to examine it. If there is sudden displacement, it can cause severe pain, or pain due to joint deformity is inevitable and will take som...[Read More] Understanding Tibial Plateau Fractures and Knee Pain After Surgery
Understanding Nonunion in Fibula Fractures: Treatment Options and Recovery
Fibular nonunion? Hello Doctor, I had a car accident at the end of December last year that resulted in a fibula fracture. The mid-section of the fibula is displaced, and the upper and lower segments are only in contact with each other. One hospital initially recommended surgery, ...
Dr. Shi Guozheng Reply:
Fibula fractures typically heal within about three months without the need for surgical intervention, and afterward, there should be no impact on mobility or walking. If three months have passed, the use of crutches can be discontinued. In cases of tibial fractures where intramed...[Read More] Understanding Nonunion in Fibula Fractures: Treatment Options and Recovery
Concerns About Exposed Screws After Surgery: What You Need to Know
Exposed steel nail I had surgery on February 3rd to have metal pins placed. The doctor said I could remove the cast myself but should avoid bumping it; if I do, I need to return for a follow-up. Today, I removed the cast and noticed that one of the three pins has darkened gauze a...
Dr. Wang Shouji Reply:
Hello: Steel nails may change color when in contact with materials like plaster or iodine. As long as they are not removed, they can be cleaned.[Read More] Concerns About Exposed Screws After Surgery: What You Need to Know
Long-Term Pain: Seeking Insights on Musculoskeletal Issues
Long-term suffering requires advice? Hello, I have been suffering from a range of symptoms for about a year and a half. These include dizziness, headaches, tinnitus, hearing loss, weakness in my limbs (I struggle to open a glue bottle, and from an outsider's perspective, it ...
Dr. Shi Guozheng Reply:
Based on your description, it is possible that this could be a systemic condition, such as an issue related to rheumatology or autoimmune disorders. You may consider consulting a rheumatologist or a rehabilitation physician. Generally, with shoulder periarthritis, engaging in reh...[Read More] Long-Term Pain: Seeking Insights on Musculoskeletal Issues
Recovery Timeline for Right Tibial Plateau Fracture After Surgery
Closed fracture of the distal right tibia with an elevated bony prominence? Two weeks ago, I was coming down from Yangmingshan with a friend when it started to rain, making the road slippery. During the descent, my tires slipped while braking, and I accidentally fell off my bike....
Dr. Shi Guozheng Reply:
A tibial fracture typically takes about three months to heal completely, and it generally takes a similar amount of time to transition from using crutches to walking independently. If the surgical fixation is done well, you may be able to start putting light weight on the leg wit...[Read More] Recovery Timeline for Right Tibial Plateau Fracture After Surgery
Understanding Thumb Weakness: Causes and When to See an Orthopedist
Inability to exert force with the thumb? Hello, my left thumb at the joint connecting to the web space has a congenital condition that allows it to hyperextend backward, but it hasn't caused any issues in my daily life. However, about 2 to 3 weeks ago, I started experiencing...
Dr. Shi Guozheng Reply:
It could be joint inflammation or neuritis, so you might want to consult an orthopedic specialist.[Read More] Understanding Thumb Weakness: Causes and When to See an Orthopedist