Nails, Orthopedics FAQ

Understanding Clavicle Fractures: Recovery, Rehabilitation, and Concerns

Clavicle issues Hello, I have a fracture in my right clavicle (broken into three pieces in the middle). The doctor used nails and a plate for fixation, and it has been a month. The doctor said I could remove the arm sling, but after taking it off for two days, I noticed that my r...

Dr. Shi Guozheng Reply:
First, it is important to assess the stability of the fixation. If it is secure, early mobilization is generally better for the joint. It is advisable to consult with a physician to evaluate the condition of the bone before making a decision.

Managing Osteomyelitis After Complex Fractures: A Patient's Journey

Comminuted fracture with nonunion and osteomyelitis? Hello, Doctor: I suffered a comminuted fracture of my left arm in a car accident on October 16 last year and underwent surgery on October 17, where they inserted steel nails and secured them with screws. Two months post-surgery...

Dr. Chen Yongxue Reply:
Hello, in principle, osteomyelitis can lead to delayed fracture healing or even nonunion. Generally, multiple debridements are required, along with the removal of internal fixation and antibiotic therapy. If the virulence of the bacteria is not strong, a portion of the fracture s...

Post-Surgery Care: Essential Tips After Metal Plate Removal for Femur Fracture

Femoral fracture completely healed, and the metal screws were removed one year later? Because I didn't follow the doctor's advice after the steel pins were inserted, I gradually started to feel soreness and pain, especially with changes in the weather. This time, it has...

Dr. Shi Guozheng Reply:
Femoral fractures typically allow for the removal of intramedullary nails after more than a year, provided that the fracture has healed well prior to removal. Once the intramedullary nail is removed, normal function and weight-bearing ability usually return within approximately t...

Understanding Numbness After Intramedullary Nail Surgery for Leg Fractures

After two weeks of having steel pins inserted for a tibia and fibula fracture, the sole of the foot began to feel numb? Hello, I would like to ask about my condition. On March 15th, I was hit by a car, resulting in both legs being crushed and an open fracture. The next day, I had...

Dr. Hong Ximing Reply:
Open fractures of the tibia and fibula were stabilized with intramedullary nailing; however, the injury may have affected the nerves. It is advisable to consult the attending physician for a nerve conduction study to determine the location of nerve damage and facilitate early int...

Safety and Efficacy of Noli Nails for Clavicle Fracture Surgery

Sankei Noli-type steel nail Hello, Doctor. I would like to inquire about clavicle fracture surgery. I am considering using the Nuss procedure with a locking plate for fixation, as it results in a smaller incision. Is the Nuss procedure safe? Have there been any recommendations fo...

Dr. Shi Guozheng Reply:
Are you referring to the Knowles pin? If so, it is used for the fixation of fractures, but its application depends on the specific location of the fracture, as it is not suitable for use in all areas. It would be better to provide more precise details for a more accurate response...

Recovery After Tibial Fracture: ACL Rehabilitation and Hardware Removal

Removal of intramedullary nail for tibial fracture and reconstruction of the posterior cruciate ligament? Hello, doctor: After a car accident, I had an intramedullary nail placed for a tibial fracture. Three months later, during a follow-up, it was discovered that I have a torn p...

Dr. Wang Shouji Reply:
Hello: The presence of intramedullary nails in the tibia can indeed affect anterior cruciate ligament (ACL) reconstruction. I recommend removing the metal pins after the fracture has healed before addressing the ACL issue. For ACL reconstruction, you may consult an orthopedic sur...

Recovery After Tibia Fracture: ACL Rehabilitation and Hardware Removal

Removal of intramedullary nail for tibial fracture and reconstruction of the posterior cruciate ligament? Hello, Doctor: After a car accident, I had an intramedullary nail placed for a tibial fracture. Three months later, during a follow-up visit, it was discovered that I have a ...

Exploring Internal Bone Lengthening Surgery Options in Taiwan and Beyond

Bone lengthening surgery Doctor, may I ask if there are any practitioners in Taiwan performing internal bone lengthening surgeries using Albizzia or Guichet techniques? Additionally, could you recommend any doctors in Hong Kong or Singapore who specialize in this procedure? Thank...

Dr. Shi Guozheng Reply:
Currently, I am not sure, but this type of lengthening surgery is rarely performed in Taiwan. You can inquire at the pediatric orthopedic department of a medical center. Albizzia or Guichet nails are a type of specialized intramedullary nail. Once implanted into the medullary cav...

Should You Remove Steel Pins After Wrist Fracture Surgery?

Wrist fracture I have had a steel screw implanted near my wrist joint for 7 months. The doctor said it can be surgically removed, but the physical therapist mentioned that the joint may still feel stiff after the screw is taken out. Is it okay to leave the screw in place? Will re...

Dr. Hong Ximing Reply:
The removal of intramedullary nails for wrist joint fractures can occur once healing is achieved, and is not related to joint mobility, but rather to the extent and mechanism of the injury.

Recovery Time for Tibial Shaft Fractures: What to Expect After Surgery

The recovery time for a tibial shaft fracture in the lower leg? Hello Doctor: I was hit by a motorcycle on March 2nd and sustained a fracture of the right tibial shaft. On March 3rd, I underwent surgery where an intramedullary nail was placed through the knee, with two screws (no...

Dr. Shi Guozheng Reply:
It is normal for recovery to take about three months, and tightness is a common phenomenon. Rehabilitation can be done independently by performing ankle dorsiflexion and plantarflexion exercises. Additionally, raise the calf and perform knee flexion and extension movements. It is...

Post-Surgery Complications of Tibial Intramedullary Fixation

Complications following internal fixation of the tibia? Hello Dr. Shi, I suffered a comminuted fracture of the tibia and fibula in a car accident last July. The attending physician used internal fixation for the tibia and added a steel plate for the fibula. After the surgery, I n...

Dr. Shi Guozheng Reply:
Intramedullary nails typically cause pain at the entry point in the tibia, while numbness is less common. You might consider taking some active B12 to see if it helps with recovery. Generally, the sensation of numbness may take about a year to improve, and the intramedullary nail...

Recovery Timeline for Tibial Shaft Fractures: What to Expect After Surgery

Dr. Shi Guozheng Reply:
To determine whether a fracture is comminuted, if it is a simple fracture, recovery can be quicker, typically taking about six to eight weeks. A single crutch can be used for approximately three months, and rehabilitation generally lasts around three months. Full recovery usually...

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.

Recovery Journey After Tibia and Fibula Fracture: What to Expect

Fracture of the left lower leg? Hello, Doctor. I suffered a fracture in my left lower leg due to a car accident on November 20 of last year, resulting in a comminuted fracture of the tibia and a fractured fibula. I underwent surgery the next day, where steel nails were used for f...

Dr. Shi Guozheng Reply:
If a fracture in the lower leg has been surgically stabilized, it typically takes about three months to heal before follow-up X-rays are taken. After confirming healing, weight-bearing activities can gradually resume, provided there is no injury to the joint.

Understanding Pelvic Fractures and Leg Length Discrepancy After Surgery

Pelvic fracture with limb length discrepancy? Hello, I had surgery for a comminuted fracture of my left knee with the placement of steel nails and plates on September 30. A month later, I discovered that I also have a pelvic fracture, and since then, I have noticed that the crack...

Dr. Wang Shouji Reply:
Hello: Limb length discrepancy may be caused by pelvic fracture displacement. It is necessary to assess the degree of displacement to determine if surgical correction is required. If the displacement of the pelvic fracture is minimal, conservative treatment may be sufficient. Tha...

Recovery Timeline for Weight Training After Removing Leg Nails

Removal of steel pins? After the removal of the thigh nail on October 30th, how long should I wait before I can start weight training for my thigh? Thank you, doctor.

Dr. Wang Shouji Reply:
Hello: One month after the removal of the metal plate from a fracture, gradual weight training should be able to resume. Thank you!

Understanding Open and Comminuted Fractures: Recovery and Rehabilitation Insights

Regarding open fracture of the right tibia? Hello Dr. Shi, I would like to ask you some questions. On October 1, 2015, I jumped from a height and was diagnosed with an open fracture of the right tibia with internal fixation using steel nails. I underwent surgery, and the surgeon ...

Dr. Shi Guozheng Reply:
An open fracture refers to a fracture where there is a wound in the skin, connecting the fracture to the outside environment. If the fractured bone ends have protruded through the skin, it is considered a more severe open fracture. Some open fractures may only have a small wound ...

Understanding Bone Graft Healing: Why Do Bone Lines Remain Visible?

Foot problems Why can the bone line still be seen after autologous bone grafting? How is the growth capability of the autologous bone graft? After 6 months post-injury, the bone line has healed, but why is there still pain, especially when squatting and applying pressure?

Dr. Chen Yongxue Reply:
Hello, your letter did not specify which bone was fractured. The healing capacity of certain bones may be slower due to the distribution of blood vessels. Additionally, the assessment of bone healing is not solely determined by the disappearance of the fracture line. The success ...

Clavicle Fracture Complications: Plate Penetration and Surgical Solutions

Clavicle fracture with plate penetration through the skin? Hello Doctor, I was in a car accident on March 17, 2015, which resulted in a mid-shaft fracture of my left clavicle, causing the bone to break into two displaced segments. In early April, I underwent surgery to place a pl...

Dr. Shi Guozheng Reply:
The fixation method you mentioned may involve the use of intramedullary nails. This is not a minimally invasive surgery, but the incision can be smaller. After healing, in some cases, a small incision can be made from the lateral side to remove the bone screws. Whether a second s...

Understanding Recovery from Radial Head and Femoral Neck Fractures

Closed fracture of the radial head. Right femoral neck fracture? 1. I sustained an injury on May 13 and had a steel plate inserted. Currently, when I perform wrist rotation and palm-up movements, there is a popping sound and pain. Is that normal? When both arms are extended, the ...

Dr. Huang Minxu Reply:
Hello: 1. The swelling and pain approximately six weeks post-surgery may be related to the severity of the injury. It is difficult to assess the postoperative condition based solely on appearance, so it is recommended to follow up with an outpatient X-ray to evaluate the situatio...

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