Accelerating Bone Healing: The Role of Ultrasound Therapy in Orthopedics
Ultrasound Bone Healing Acceleration System Hello Doctor, I had an open fracture of the right foot's metatarsal on January 18th, and I underwent surgery with intramedullary nailing about 10 centimeters below the knee. I had my cast removed on February 14th and returned for a...
Dr. Li Wenlin Reply:
Hello, in response to your question: 1. Bone fractures require various conditions for healing. The first is whether the fracture was managed correctly. Based on your description, the use of intramedullary nails and plaster cast fixation should be sufficient. The second factor i...[Read More] Accelerating Bone Healing: The Role of Ultrasound Therapy in Orthopedics
Understanding Pain in Toenails: Causes and When to Seek Help
Pressing on the toenail causes pain? Hello: One day I suddenly noticed that my toe was painful! I thought it might be due to a bump and that it would get better in a few days, so I didn't pay much attention to it. However, after several days, the pain persisted, and I later ...
Dr. Zhou Lizhi Reply:
Toe pain is usually caused by paronychia, which can result from a wound or trauma, but the user does not have such a medical history. Gout typically affects the first metatarsophalangeal joint, while pain between the second and third toes is often associated with neuropathic issu...[Read More] Understanding Pain in Toenails: Causes and When to Seek Help
Understanding Pediatric Humerus Fractures: Need for Custom Fixators?
Comminuted fracture of the left humerus? Hello Dr. Chen: My child had a bicycle accident and suffered a comminuted fracture of the left humerus (broken in the middle). Surgery has been performed to implant a steel rod. The doctor mentioned that we will assess the bone growth in a...
Dr. Chen Xingyuan Reply:
Dear Netizen, Even after surgical reduction and fixation with nails or plates, comminuted fractures can still be unstable. It is common to refer patients to the rehabilitation department to create a lightweight splint made of a plastic-like material for protection. As for whethe...[Read More] Understanding Pediatric Humerus Fractures: Need for Custom Fixators?
Recovery Insights for Femur and Clavicle Fractures After Accident
A 20-year-old female has sustained fractures of the left femur and clavicle, and has undergone surgical fixation? Hello: I was in a car accident on October 7, resulting in fractures of my left femur and left clavicle, with no external injuries. The femur was fractured in the midd...
Dr. Chen Xingyuan Reply:
Dear Reader, The primary purpose of surgery is to reduce pain and promote functional recovery. Therefore, surgery is just the first step; you must also take good care of yourself and engage in active rehabilitation to minimize the losses caused by the injury. Below are the answe...[Read More] Recovery Insights for Femur and Clavicle Fractures After Accident
Understanding Comminuted Humerus Fractures: Surgery, Recovery, and Options
Comminuted humeral fracture Dr. Lee: Hello, my younger brother's mother suffered a humeral fracture in a car accident a week ago, resulting in a comminuted fracture at the junction of the proximal humerus and the long bone with slight displacement. The physician believes tha...
Dr. Li Wenlin Reply:
Hello: In response to your question, based on your description, your mother likely has a neck of the humerus fracture. Generally, the decision to operate depends on factors such as age, gender, side of the body, and overall health condition. For instance, for individuals over 65 ...[Read More] Understanding Comminuted Humerus Fractures: Surgery, Recovery, and Options
Understanding Ankle Fractures: Should Plates and Screws Be Removed?
The doctor said that the steel plate inserted for the ankle fracture from the car accident does not need to be removed? I was in a car accident in the U.S. at the end of April, and it seems I have a comminuted fracture in my ankle. I have already had a steel plate and screws inse...
Dr. Li Wenlin Reply:
Hello: In response to your question, previously there was only one type of internal fixation material (stainless steel, with a steel core and a cobalt or copper electroplated surface), so it is not recommended to leave it in the body for a long time, as these metals can be absorb...[Read More] Understanding Ankle Fractures: Should Plates and Screws Be Removed?
Understanding Comminuted Fractures: Healing Concerns and Recovery Tips
Comminuted fracture Hello, Doctor: My husband had a car accident in mid-November last year, resulting in a comminuted fracture of the right tibia and a clavicle fracture. He had steel nails and plates inserted (he is 36 years old). It has been over three months now, but the docto...
Dr. Shi Guozheng Reply:
Fractures of the tibia (shinbone) that are comminuted often lead to poor healing or nonunion, as the extent of the fracture typically results in damage to the surrounding soft tissues (skin, subcutaneous tissue, blood vessels, nerves, etc.) to varying degrees. Generally, if a tib...[Read More] Understanding Comminuted Fractures: Healing Concerns and Recovery Tips
Impact of Retained Bone Pins on Older Adults: What You Need to Know
Does leaving a fracture fixation nail in the body have any effects on health? Hello Dr. Hong, My mother was in a car accident in July of this year, resulting in a fracture of her tibia (with a steel nail implanted that needs to be surgically removed). During her follow-up appoin...
Dr. Hong Ximing Reply:
SAM: After internal fixation with steel nails following a fracture, it is generally best to remove them after one to one and a half years once the fracture has healed. However, if the patient is older or has other considerations, not removing them will not affect health. Moreover...[Read More] Impact of Retained Bone Pins on Older Adults: What You Need to Know
Where to Get Your Intramedullary Nail Removed After Fracture?
Could you please provide more details about your questions regarding the removal of metal screws? Hello, Doctor. About a year ago, I had a car accident that resulted in a femur fracture. Afterward, I underwent surgery to fix it with an intramedullary nail. The hospital where I ha...
Dr. Wang Zikang Reply:
Hello: There are many brands of intramedullary nails, and if removal is necessary, tools from the same brand are required. Since we cannot determine which brand you have, we recommend that you come to the clinic for further evaluation. Thank you![Read More] Where to Get Your Intramedullary Nail Removed After Fracture?
Understanding Recovery After Knee Fracture: Rehab and Swelling Solutions
Fracture Hello Dr. Lee, About seven weeks ago, I was involved in a motorcycle accident where my left leg, below the knee, was crushed. I primarily sustained a fracture on the inner side of my knee. After being in a cast for six weeks, it was removed, and during my follow-up appo...
Dr. Li Wenlin Reply:
Hello: In response to your question regarding the treatment of fractures, it is essential to ensure the healing of the fracture site, which requires stabilization (internal fixation, such as plates or intramedullary nails; external fixation, such as casts or external fixators). A...[Read More] Understanding Recovery After Knee Fracture: Rehab and Swelling Solutions
Understanding Non-Union Fractures: Key Questions for Orthopedic Recovery
I'm sorry, but I need more context or specific content to provide a translation. Please provide the text you would Once, I heard a rehabilitation therapist say that if the bone has not healed, any rehabilitation efforts will be ineffective. Later, I sought treatment at Natio...
Dr. Zhou Hongzhi Reply:
1. It depends on the duration of time. 2. It should not be. 3. Caused by a comminuted fracture. 5. Yes. 6. There should be improvement. 7. Yes. 8. Possibly. 9. Yes. 10. It depends on the location of the fracture.[Read More] Understanding Non-Union Fractures: Key Questions for Orthopedic Recovery
Understanding Intertrochanteric Femur Fractures: Healing Time and Surgical Considerations
Intertrochanteric femoral fracture I fell on December 19, 2004, and sustained an intertrochanteric fracture of the left femur (it was just a crack). I underwent surgery to have a steel nail inserted, and it has been nearly two months since then. The doctor told me that it would t...
Dr. Xu Zhaoren Reply:
Intertrochanteric fractures typically occur in the elderly, while younger individuals usually sustain them due to significant trauma. In younger patients, the associated soft tissue injuries (muscle, periosteum) tend to be more severe. Healing generally takes about 4 to 6 months....[Read More] Understanding Intertrochanteric Femur Fractures: Healing Time and Surgical Considerations
Effective Treatments for Elbow Joint Stiffness After Fracture
Elbow joint stiffness? Hello Director Li, I apologize for disturbing you. You experienced a car accident on March 8, 2003, which resulted in a comminuted fracture of the ulnar bone in your left elbow. After an emergency surgery, internal fixation was performed using steel pins, w...
Dr. Li Wenlin Reply:
Hello: In response to your question, there are several treatment options for nonunion fractures: First, electrical stimulation, which is currently used infrequently and may not always be effective. Second, ultrasound stimulation, with various manufacturers offering both large and...[Read More] Effective Treatments for Elbow Joint Stiffness After Fracture
Understanding Open Fractures of the Fibula and Tibia: Recovery Insights
Open fractures of the fibula and tibia? Dear Dr. Chen, I have a few questions to ask you. Last month, I suffered an open fracture of the fibula and tibia in my left lower leg due to a car accident, with the tibia having a comminuted fracture. Additionally, there is a V-shaped im...
Dr. Chen Xingyuan Reply:
Dear Mr. Didi, After an injury and fracture, poor blood circulation is a common phenomenon. In principle, elevating the affected area, performing muscle contraction exercises in the legs, and practicing walking can help improve circulation. Initially, during walking practice, yo...[Read More] Understanding Open Fractures of the Fibula and Tibia: Recovery Insights
Post-Surgery Recovery: What to Expect After Tibia Nail Removal
Postoperative muscle soft tissue? Hello Doctor: I would like to ask you some questions regarding the removal of the steel pins after a tibial fracture: 1. How many days of rest are needed after the removal of the steel pins? 2. After the removal of the steel pins, will there be s...
Dr. Shi Guozheng Reply:
In principle, tibial fractures typically heal within six months to a year. However, the removal of intramedullary nails should occur after one year, as reports indicate that some patients who had their nails removed within a year experienced re-fractures, while those who had them...[Read More] Post-Surgery Recovery: What to Expect After Tibia Nail Removal
Choosing Whether to Use Pins for Toe Fractures After an Accident
The choice of whether to use a steel nail? In the case of a car accident where there are some fractures in the bones of the big toe, some doctors may recommend the insertion of a pin, while others may suggest that it is unnecessary. How should one decide? Thank you.
Dr. Luo Zhaozhong Reply:
Hello! Fractures must be stabilized. Stabilization can be achieved through internal fixation or external fixation. Internal fixation typically involves the use of intramedullary nails, while external fixation may involve casts, braces, etc. The choice of fixation method should be...[Read More] Choosing Whether to Use Pins for Toe Fractures After an Accident
Optimal Timeframe for Realigning Fractured Toes After Surgery
How long does it take to adjust back to normal? Hello Director Shih! The patient has sustained fractures of the distal phalanx of the third toe and the proximal phalanx of the fourth toe on the left foot, and has undergone open reduction and internal fixation with nails. If there...
Dr. Shi Guozheng Reply:
If the bone displacement is within an acceptable range, it may not be a significant issue if it is not realigned. However, if the displacement is severe, it should be adjusted as soon as possible; delaying too long can make recovery more difficult.[Read More] Optimal Timeframe for Realigning Fractured Toes After Surgery
Can Bone Displacement Occur After Surgery? Tips for Prevention
Is it possible for the bone to undergo heterotopic ossification after surgery? Fractures of the distal phalanx of the third toe and the proximal phalanx of the fourth toe on the left foot underwent open reduction and internal fixation with nails. Is there a possibility of heterot...
Dr. Shi Guozheng Reply:
If the bone screws become loose or their position changes, it may lead to bone displacement. Therefore, it is important to take good care of the area after surgery and protect it until the bone heals. Avoid impacts or excessive activity. If there is a cast for protection, it shou...[Read More] Can Bone Displacement Occur After Surgery? Tips for Prevention
How Often Should X-Rays Be Taken to Monitor Bone Healing?
How long should I wait to take an X-ray to observe the healing speed of a bone? For a fracture of the third and fourth toes on the left foot that has undergone open reduction and internal fixation with nails, it is generally recommended to obtain follow-up X-rays to assess healin...
Dr. Shi Guozheng Reply:
Generally, the interval is about one to three months, typically consisting of checks every six weeks, twelve weeks, six months, nine months, and once a year. This results in approximately ten check-ups per year, which is usually not a problem.[Read More] How Often Should X-Rays Be Taken to Monitor Bone Healing?
How Long Does It Take for a Toe Fracture to Heal for Safe Walking?
How long does it take for a toe bone fracture to heal and become as strong as the adjacent bones, allowing for normal walking? The patient has fractures of the distal phalanx of the left third toe and the proximal phalanx of the fourth toe, and has undergone open reduction and in...
Dr. Shi Guozheng Reply:
After surgery, it typically takes about eight to twelve weeks for healing, after which the removal of bone screws can be considered. Safe walking can usually begin around twelve to twenty-four weeks. The healing time may vary depending on the severity of each fracture.[Read More] How Long Does It Take for a Toe Fracture to Heal for Safe Walking?