Open fracture, Orthopedics FAQ

Post-Operative Recovery Insights for Right Distal Tibia-Fibula Fracture

Postoperative care following an open fracture of the distal right tibia and fibula? Hello Dr. Chen, I was involved in a car accident on January 19th, which resulted in an open fracture of the distal fibula on the right side. I underwent reduction and internal fixation surgery wit...

Dr. Chen Bochen Reply:
Hello: 1. Rehabilitation for fractures is highly individualized and there is no standardized protocol. Generally, it follows the recommendations of the surgeon who performed the operation or is assessed by a rehabilitation physician from the same hospital. 2. Muscle atrophy after...

Post-Surgery Concerns for Ankle Fracture Recovery

Postoperative Issues Following Ankle Fracture Surgery Hello, doctor. My husband had an open fracture of his right ankle from a car accident a few days ago, and he underwent surgery today to have a metal plate inserted. He has been experiencing recurrent fevers every day, and afte...

Dr. You Dianqi Reply:
Hello: The occurrence of fever without any accompanying symptoms is not common. Please discuss this with the surgeon as soon as possible to ensure that your husband is within the normal range of postoperative recovery. We hope for a swift recovery for your family.

Limited Knee Joint Mobility After Fracture: Causes and Solutions

Limited range of motion in the knee joint after a fracture? Hello Doctor, last year I suffered an open fracture of the distal femur (near the knee) in a car accident, along with a fractured patella, and underwent internal fixation surgery. The bone has healed since then, but duri...

Dr. Chen Yongxue Reply:
Hello, 1. When the knee joint is flexed to 80 degrees, and it cannot be further increased even with mechanical loading, accompanied by a feeling of tightness around the knee, could this be solely an adhesion issue? Or is there a possibility that the joint mobility is affected b...

Understanding Recovery from Open Femur Fracture After Car Accident

Open femoral fracture of the right thigh due to a car accident? Hello Doctor, I would like to ask about a fracture caused by a car accident on June 30. During a follow-up X-ray on September 27, there is still a clear fracture line, but there is already bone callus surrounding it....

Dr. Wang Shouji Reply:
Hello, in the case of an open fracture, there is a more severe destruction of the soft tissue surrounding the fracture, which increases the likelihood of delayed healing. Joint flexion and extension activities should not pose significant issues, but caution is advised when walkin...

Impact of Delayed Surgery on Open Fractures and Recovery Outcomes

Timing of Open Fractures Hello doctor, my brother recently had a car accident resulting in an open fracture of his right lower leg. However, due to minor fractures in his skull and face, as well as mild intracranial hemorrhage, the hospital assessed that surgery on his right leg ...

Dr. Zhan Xian Reply:
Hello, I would like to point out that some cases of intracerebral hemorrhage require observation and treatment before surgery for safety reasons. Open fractures inherently have a higher infection rate, and postoperative follow-up is sufficient. Other complications cannot be asses...

Understanding Toe Fractures: Treatment, Recovery, and Pain Management

Toe fracture Hello Doctor: I have a 2 cm laceration on the third toe of my left foot with an open fracture that only underwent suturing. I have questions regarding dressing changes and medication: 1. Is there no need for surgery, a fixation plate, or other treatments? 2. Is it no...

Dr. Chen Bochen Reply:
Open fractures of the toes do not always require surgery, but special attention should be paid to the healing of the wound and any signs of infection. Stabilization can be achieved by wearing protective footwear, hard-soled shoes, or by taping the 2nd, 3rd, and 4th toes together ...

Overcoming Severe Leg Injuries After a Car Accident: My Journey

I was in a car accident before? I was in a car accident where the other driver was going the wrong way, and I was thrown from the impact. I suffered compound fractures of both femurs and tibias, with bone protruding through the skin, and I had dislocated knees along with comminut...

Dr. You Dianqi Reply:
Hello, from your article, I can sense that you indeed suffered a very serious injury, yet you still optimistically describe the beauty of the world. You are very brave, keep it up! Given that you had an open fracture and a dislocated knee, which indicates potential ligament issue...

Severe Right Leg Injury: Fractures, Dislocation, and Tumor Concerns

What happened to your right foot? I fell down the stairs at work and have a bruise on my left thigh. My right leg has a fracture of the tibia and fibula, with a suspected open fracture. I also have a dislocated knee and a comminuted fracture. Additionally, I have a pre-existing t...

Dr. Chen Yongxue Reply:
As mentioned in the letter, the simultaneous occurrence of a knee joint dislocation and an open fracture of the tibia and fibula (where the bone protrudes through the skin) is very rare. Such injuries typically require significant external force. It is crucial to seek medical att...

Post-Operative Concerns: Removing Pins After Radius and Ulnar Surgery

Postoperative Removal of Steel Pins for Radius and Ulnar Fractures Hello Dr. Chen, I underwent two surgeries for internal fixation with plates and screws in early November 2019, specifically for a comminuted fracture of the right radial head and proximal ulnar fracture, as well a...

Dr. Chen Bochen Reply:
I plan to have surgery in July to remove the metal screws and plates. Is there a possibility of nerve damage? >> It is possible, but not common. How long will it take to rehabilitate after the removal? >> It may not necessarily lead to "full recovery," but r...

Understanding Complications After Open Fracture Surgery: A Patient's Journey

Open comminuted fracture of the tibia? Hello Doctor, I was in a car accident on February 26, 2020, which caused a bone to puncture my skin, resulting in an open wound. I underwent surgery at that time and received a blood transfusion. Over a year later, the wound has been peeling...

Dr. Wang Shouji Reply:
Hello, if the fracture has already healed, removing the metal screws should not be an issue. However, if there was a wound at the time of the fracture, it is important to rule out any infection at the wound or fracture site. During the pandemic, it is recommended to apply heat th...

Chronic Ankle Shortening and Muscle Tension After Old Leg Fracture

The muscle and tendon tissue at the site of an old fracture in the calf is being pulled, resulting in a persistent shortening of the ankle extension? Approximately 30 years ago, I sustained an open fracture of the left tibia in a car accident. The steel rod that was placed to sup...

Dr. Shi Guozheng Reply:
It may be related to tissue adhesions, so you can try rehabilitation to see if it alleviates the symptoms. If there is no improvement, further evaluation will be needed to determine if surgery is necessary.

Ankle Ligament Tear: Is Surgery Necessary for Full Recovery?

Is surgery necessary for an ankle ligament tear? Hello, I would like to ask about my left foot, which has an open fracture on the outer side that has resulted in a ligament tear. It has been two weeks, and the swelling has reduced by about 60-70%, but I still cannot put weight on...

Dr. You Dianqi Reply:
You have an open fracture. Will there be surgery? Also, the term "left foot" is a bit broad; does it refer to the ankle or the foot? Additionally, based on the principle that injuries often leave traces, whether you have surgery or not, I believe there will be some diff...

Understanding Recovery from Open Femur Fractures: A Patient's Guide

Femoral fracture Doctor, I have a question. I suffered an open fracture in my leg due to a car accident. From today, July 25 to November 19, it has been over three months. During my first follow-up appointment, the doctor said my metal plate was misaligned and advised me not to p...

Dr. Li Wenhong Reply:
Hello, the femur is a bone that bears significant weight during walking, and the degree of fracture comminution varies among individuals. The integrity of the surrounding soft tissues also differs, leading to various fixation methods. If, during follow-up, there is some displacem...

Delayed Wound Healing After Surgery: When to Seek Further Medical Attention?

The wound has not healed two weeks after surgery? Two weeks ago, I was involved in a car accident and sustained a tibial fracture, with some comminution of the adjacent small bone, and there was a puncture wound through the skin. Surgery was performed on the day of the accident, ...

Dr. Chen Bochen Reply:
1. Comminuted fractures and open fractures typically have a slower healing process due to the nature of the wounds. 2. If there are concerns about wound infection, it is advisable to change the dressings two to three times a day. 3. If you feel that the wound is worsening, co...

Understanding Second Metatarsal Fractures: Recovery and Pain Management

Second metatarsal fracture Hello Doctor, I had a car accident on July 11th, resulting in an open fracture with displacement of the second metatarsal in my left foot. The doctor mentioned that surgery was not necessary and that I could just use a cast. However, at night while slee...

Dr. Shi Guozheng Reply:
1. Did not return to its normal original position. 2. Normal. 3. Not necessary. 4. Electrical therapy will not accelerate bone growth. Keeping the cast stable will promote faster healing.

Understanding Fifth Metatarsal Fractures: Recovery and Rehabilitation Insights

Fifth metatarsal fracture Hello Doctor: On April 26, I suffered a right foot inversion injury that resulted in a diaphyseal fracture of the fifth metatarsal (transverse complete fracture) with slight displacement. The orthopedic surgeon advised against surgery, and I was placed i...

Dr. Chen Bochen Reply:
Hello Ray: 1. It is common to experience stiffness and swelling after having a cast, but 10 weeks is quite a long time. I recommend that you visit a rehabilitation specialist to enhance your recovery and minimize any long-term effects, as there may be adhesions or contractures ...

Understanding Open Fractures: Insights on Diagnosis and Treatment

Open fracture Hello Doctor, my relative has a condition of poliomyelitis, which has led to poor development of the lower limbs. As they have aged, they are now unable to walk and require assistance to be carried. They are nearly 70 years old, and recently the patient reported pai...

Dr. Wang Shouji Reply:
Hello, an open fracture is defined as a fracture accompanied by a skin injury that communicates with the fracture site. I believe there may be some misunderstanding. Changhua Hospital cares about your health. Wang Shou-ji.

Understanding Patellar Fractures and Ligament Injuries: Recovery Insights

Patellar fracture with ligament rupture? Hello Doctor, I was involved in a car accident on February 8th, resulting in a fractured patella in two pieces and a ligament tear with an open fracture. The next day, the doctor performed surgery, and after two weeks, I had my stitches re...

Dr. Chen Yongxue Reply:
1. Swelling should gradually subside. 2. There will be no leg length discrepancy. 3. It is advisable to seek treatment from the attending physician.

Recovery Timeline and Long-Term Effects of Open Tibia and Fibula Fractures

Open fractures of the tibia and fibula, and when one can resume walking, as well as the potential for long-term complications? I would like to ask the doctor about my condition. I suffered an open fracture of the left tibia and fibula due to a car accident, and I also underwent a...

Dr. Xie Hongjia Reply:
Mr. Abo: Hello, regarding the issue you raised, it is difficult to determine the severity of the injury based solely on your description, and it is also not possible to predict the healing process accurately. It is recommended that you consult the hospital where the surgery was p...

Understanding Open Tibial Fractures: Recovery and Treatment Insights

Open fracture of the tibia due to a car accident? Hello, Doctor. I have a few questions for you: 1. Chief complaint: A 57-year-old male, in August 2019, was struck by a car, resulting in an open fracture of the tibia, multi-fragmentary fracture of the tibia, and a diaphyseal fr...

Dr. Zhan Xian Reply:
The postoperative X-ray shows an acceptable fracture location; however, there are many factors that can affect fracture healing, such as soft tissue damage and blood circulation at the fracture site, which cannot be assessed by X-ray. Generally, more severe fractures in the lower...

Previous｜Page ｜Next