Understanding Ankle Open Fractures in Children After a Car Accident
Open fracture of the ankle due to a car accident? Hello Doctor: At the end of May this year, my 13-year-old child was involved in a car accident, resulting in an open dislocation and fracture of the right ankle joint, as well as fractures of the first and second metatarsals. This...
Dr. Li Yongheng Reply:
Hello, based on what you described: the bones from below the right knee to the ankle are slightly shifted to the right, and the foot is turned inward like a "pigeon toe," which is abnormal. It is advisable for you to return for a follow-up consultation with a surgical s...[Read More] Understanding Ankle Open Fractures in Children After a Car Accident
Managing Osteomyelitis: Antibiotic Use and Follow-Up Care
Antibiotic Use in Osteomyelitis After experiencing an open fracture of the left calf that led to osteomyelitis, there have been no issues for three years. Recently, the area of the previous injury has developed a skin abrasion, with swelling and mild tingling sensations, possibly...
Dr. Shi Guozheng Reply:
CRP and ESR can be checked; the former is C-reactive protein and the latter is erythrocyte sedimentation rate. Both of these indicators are used to assess inflammation or bacterial infection. Antibiotics should be administered according to specific guidelines for medication use. ...[Read More] Managing Osteomyelitis: Antibiotic Use and Follow-Up Care
Understanding Fracture Severity and Healing Time After Injury
How to assess the severity of a fracture and the healing time for fractures? Hello Dr. Chen: I was involved in a car accident on January 17, 2019, resulting in a comminuted fracture of my thigh, a comminuted and open fracture of my lower leg, and a torn posterior cruciate ligamen...
Dr. Chen Yongxue Reply:
Hello, it seems that you have sustained a severe injury with a comminuted fracture of the femur and an open fracture of the tibia, along with a torn posterior cruciate ligament. Comminuted fractures are generally worse than simple linear fractures, and open fractures are more ser...[Read More] Understanding Fracture Severity and Healing Time After Injury
Understanding Open Fractures: Complications and Recovery After Surgery
Open fracture I suffered a comminuted fracture in my hand due to a car accident, and after surgery on July 13, the doctor used steel pins and plates, as well as an external pin (inserted through the skin). About a week after the surgery, I noticed some discharge that resembled pu...
Dr. Li Wenhong Reply:
Hello: Based on your description, the so-called "external fixation pins (that are placed on the skin)" refer to percutaneous pins that are partially exposed through the skin. Due to friction between the pins and the skin, there may often be serous fluid leakage, which c...[Read More] Understanding Open Fractures: Complications and Recovery After Surgery
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
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
Can Manual Manipulation Surgery Be Done After Leg Fracture with Metal Implants?
Manual therapy for lower extremities surgery Hello, I was in a car accident at the end of December last year, which resulted in an open fracture of the tibia and fibula, along with comminuted cartilage damage in my knee. I had a steel plate and screws inserted. Initially, my knee...
Dr. Li Yongheng Reply:
Hello, it has been 3-4 months since your surgery, and you should be able to undergo manipulation surgery with anesthesia. You can discuss this with your surgeon and ask them to arrange it. However, I want to remind you that if you do not actively participate in rehabilitation aft...[Read More] Can Manual Manipulation Surgery Be Done After Leg Fracture with Metal Implants?
Is Surgical Removal Necessary for Chronic Infection After Fracture?
Is it necessary to extract it? In May, my husband suffered a work-related injury resulting in an open fracture of his right calf. Following the doctor's advice, he opted for a titanium alloy material that does not require removal. However, he has since been in and out of the...
Dr. Shi Guozheng Reply:
After a fracture, if there is a fixation with a plate and an infection occurs, it is necessary to remove the screws and plate to treat the infection; otherwise, it is difficult to resolve the infection. Reoperation may be required to improve the condition.[Read More] Is Surgical Removal Necessary for Chronic Infection After Fracture?
Understanding Intramedullary Nail Removal After Femur Fracture Surgery
Removal of intramedullary nail for open fracture of the left femur? I had a car accident two years and one month ago, resulting in an open fracture of the femur. I was taken to National Taiwan University Hospital for intramedullary nailing. After regular follow-up visits, I have ...
Dr. Shi Guozheng Reply:
After a femoral fracture has healed, the removal of the intramedullary nail typically requires one to two weeks of rest. It is normal to experience some discomfort, which indicates that the nail can be removed.[Read More] Understanding Intramedullary Nail Removal After Femur Fracture Surgery
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?
Challenges in Healing: Right Ulnar Fracture and Radial Head Dislocation
Right ulnar fracture with radial head dislocation, postoperative nonunion? Dear Dr. Chen, I sustained an injury while attending a meeting on February 10 of this year, resulting in an open fracture: a fracture of the right ulnar bone accompanied by a dislocation of the radial hea...
Dr. Chen Yongxue Reply:
1. The described unusual sensation is likely primarily related to a bone issue. 2. To promote bone development and healing, immobilization is essential in the initial phase, and calcium supplementation is also very important. Additionally, there are reports that ultrasound may ...[Read More] Challenges in Healing: Right Ulnar Fracture and Radial Head Dislocation
Understanding Recovery from Comminuted and Open Fractures: What to Expect
Comminuted fractures of the thigh and knee with open fractures? I apologize, but I have suffered a comminuted and open fracture in my thigh and knee, and it has been exactly two months. The doctor said that I can start rehabilitation in another month. My parents are saying that I...
Dr. Wang Shouji Reply:
Hello: The management of comminuted and open fractures depends on the presence of infection and the status of bone healing. Generally, if there is no infection and the fracture is healing well, with no severe damage to the joint, most patients can regain over 90% of their origina...[Read More] Understanding Recovery from Comminuted and Open Fractures: What to Expect
Accelerating Recovery from Toe Fractures: What You Need to Know
Toe fracture rehabilitation to accelerate recovery? Hello, doctor. I was in a car accident recently and I'm not sure exactly where I have a fracture. I am currently in a fiberglass cast. The doctor told me I could walk, and it has been exactly one month since the injury. The...
Dr. Chen Yongxue Reply:
Hello, due to the fracture, it can be classified as simple, complex, comminuted, or open fracture, which have significant differences. It is best to consult your attending physician for more information.[Read More] Accelerating Recovery from Toe Fractures: What You Need to Know
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 Timeline for Open and Comminuted Fractures: What to Expect
Open fracture with comminuted fracture? Doctor, I had a severe car accident on October 2nd, and I currently have comminuted fractures in my right thigh, knee, and lower leg, along with an open fracture. I need to avoid putting weight on it for three months. I would like to know h...
Dr. Li Yongheng Reply:
Hello, generally speaking, comminuted and open fractures of the thigh, knee, and calf tend to have a slower recovery process, and rehabilitation may take longer and be more challenging. You may need to discuss with your attending physician whether you must wait three months befor...[Read More] Recovery Timeline for Open and Comminuted Fractures: What to Expect
Should You Remove Metal Plates After Severe Leg Fractures?
Should it be removed? Hello, doctor. Three years ago, I suffered a comminuted open fracture of my left thigh due to a car accident. At that time, two steel plates were inserted, and follow-up examinations showed that the bone healed well. The doctor mentioned that the plates coul...
Dr. Li Yongheng Reply:
Hello, your left femur fracture has healed. If you do not experience any discomfort in your daily life, it is generally not recommended to undergo surgery to remove the hardware. Especially since you are considering learning to ski, it is even less advisable to have another surge...[Read More] Should You Remove Metal Plates After Severe Leg Fractures?
Understanding Ligament Tears: Symptoms and Treatment Options
Ligament rupture conditions? Dr. Wang, what are the circumstances of a ligament tear? On August 7th, I was crushed by a machine, resulting in an open fracture at the tip of my left middle finger, along with a laceration that required 8 stitches. It has been almost two weeks, but ...
Dr. Wang Shouji Reply:
Hello: Finger injuries that involve tendon damage are not uncommon. Your condition appears to be a mallet finger. After assessing the extent of joint mobility impact following the recovery from the fracture (as injuries to the finger joints often result in stiffness after healing...[Read More] Understanding Ligament Tears: Symptoms and Treatment Options
Conflicting Medical Advice on Tibia Fracture Recovery: What to Do?
Questions about tibial fractures? Hello Doctor: I was in a car accident on the evening of October 13, 2016, which resulted in an open fracture of my right tibia and fibula. I was taken to the hospital for treatment and had bone screws and plates installed. Since then, I have been...
Dr. Shi Guozheng Reply:
A tibial fracture that has not healed after a year is considered to be healing slowly. However, in the case of an open fracture, it may take a year and a half to two years to heal. If there is significant bone loss, bone grafting may be necessary. The physician recommends weight-...[Read More] Conflicting Medical Advice on Tibia Fracture Recovery: What to Do?
Post-Fracture Rehabilitation: Concerns After Removing Steel Pins
Rehabilitation Issues After Removal of Metal Pins from Fractures Hello Dr. Lee: On June 26, I suffered a comminuted open fracture of the left fifth metatarsal due to a car accident, and I had four steel pins inserted. On August 16, an X-ray showed that the bone had healed, and th...
Dr. Li Yongheng Reply:
Hello Amily: Typically, recovery from a comminuted open fracture is slower than that of a regular fracture. However, it has been nearly two months since your injury, and the doctor has removed your bone screws. Therefore, you can carefully walk on your flat foot as long as you av...[Read More] Post-Fracture Rehabilitation: Concerns After Removing Steel Pins
Post-Surgery Rehabilitation Concerns After Fracture: What to Expect
Rehabilitation Issues After Removal of Metal Pins from Fractures - 2 Hello Dr. Lee, thank you for your response. I would like to ask you again. It has been almost two months since my comminuted open fracture on June 26, and I had my metal screws removed on August 16, allowing me ...
Dr. Li Yongheng Reply:
Hello Amily: It is normal to experience swelling and pain in the foot two months post-surgery; typically, it takes about three months for the swelling to subside. It also takes approximately three months for a fracture to heal enough for normal walking. Please try not to worry to...[Read More] Post-Surgery Rehabilitation Concerns After Fracture: What to Expect