Open fracture, Orthopedics FAQ

Understanding Open Fractures: Healing, Allergies, and Recovery Insights

Open fracture Hello Doctor, my husband had a car accident on April 29 and sustained a fracture of the left lower leg, specifically the tibia and fibula. The doctor mentioned it was an open fracture, and he underwent surgery to have a self-funded implant placed. The wound is still...

Dr. Shi Guozheng Reply:
Treatment is needed to assess potential wound issues such as infection or skin problems. A fracture of the lower leg typically takes about three months to heal, and continued outpatient follow-up is necessary.

Understanding Sensations After Forearm Surgery with Metal Plates

After the steel plate insertion, there is sensation in the hand? I would like to ask the doctor, I have an open fracture in my right forearm and had two plates inserted. It has been over two weeks since the surgery, and I am no longer taking pain medication or antibiotics. Someti...

Dr. Wang Shouji Reply:
Hello: After a fracture surgery, the main focus is on the stability of the fracture reduction and fixation. There may be some aching pain and swelling, but there are no specific abnormalities. If there is severe pain, further X-ray examination is necessary.

Understanding Bone Tumors: Symptoms, Concerns, and Next Steps

Osteoma issues? Hello Doctor: Thank you for taking the time to patiently answer my questions. Thirty years ago, I suffered an open fracture of the tibia in my right leg, which required four surgeries over four years, including the insertion and removal of a metal plate. During re...

Dr. Shi Guozheng Reply:
1. Go to the hospital for a check-up when you have time. 2. It may be unrelated. 3. If the tumor is growing, there is usually a phenomenon of pain. 4. Temporarily avoid vigorous exercise.

Managing Pain After Pelvic and Thigh Surgery in Cold or Rainy Weather

After surgery on the pelvis or thigh, experiencing soreness or pain on rainy days or in cold weather is common? My daughter suffered an open fracture of both sides of her pelvis and thigh due to a car accident. She underwent surgery and had an external fixator for three months, w...

Dr. Chen Yongxue Reply:
Hello, after a fracture has healed, approximately 40% of patients may experience soreness when there are sudden changes in temperature or atmospheric pressure. You can try applying a warm compress to the affected area, which may provide relief. If the effect is not significant, y...

Post-Fracture Recovery: Addressing Common Concerns and Complications

Issues Related to Fractures Hello Dr. Shih, On the evening of October 13th of this year, I was involved in a car accident that resulted in an open fracture of my right tibia and fibula. Subsequently, the doctor performed surgery to install bone screws and plates, and applied a l...

Dr. Shi Guozheng Reply:
The healing of a bone fracture typically requires a period of time, and follow-up X-rays are necessary to assess the healing process. It is unlikely for the fracture to heal in just two months; usually, it takes three to six months or even longer. If there is poor flexion in the ...

Can My Brother Recover Normal Walking After Severe Leg Injury?

Are there methods to restore normal walking? Hello Doctor, my brother, who is 21 years old, injured his right leg near the knee while working at a construction site last August. He was operating a bulldozer and accidentally crushed a section of his tibia, which resulted in a frac...

Dr. Shi Guozheng Reply:
If the bone infection has resolved, then corrective surgery on the bone can be performed. The treatment from the original hospital is considered quite good, as open fractures of the lower leg are challenging to treat. Sometimes, amputation is necessary during the initial treatmen...

How Soon Can I Return to Work After Tibial Fracture Surgery?

How long after surgery for a tibial fracture from a car accident can one return to work? Hello Dr. Hong: I was involved in a car accident last month that resulted in a comminuted open fracture of the distal tibia in my left ankle. Due to the wound on my ankle, the doctor first pe...

Dr. Hong Ximing Reply:
After a comminuted fracture of the ankle joint, follow-up X-rays are necessary to monitor the healing process of the fracture. Rehabilitation exercises can be initiated to prevent muscle atrophy. For detailed information, please consult your attending physician.

Understanding Open Fractures of the Tibia and Fibula: Recovery Insights

Tibial and fibular open fracture with internal fixation? On April 7, I was involved in a car accident resulting in an open fracture of the tibia and fibula in my lower leg. I underwent surgery the same day for wound closure and external fixation. On May 7, one month later, the ex...

Dr. Shi Guozheng Reply:
After a fracture has completely healed, the crutches can be discontinued. If the fracture has not fully healed, there is a possibility that the bone plate may deform.

Do I Need to Remove the Steel Plate After Ulnar Fracture Surgery?

Does the plate need to be removed after a ulnar fracture? You have an open fracture in your left hand, with a ulnar fracture near the wrist. The doctor used a plate for stabilization, but I'm unsure about the material of the plate. The doctor mentioned that there is no need ...

Dr. Chen Yongxue Reply:
Hello, generally speaking, it is advisable to remove the metal plate after the fracture has healed. Thank you.

Is Periosteal Tear the Same as a Bone Fracture? Understanding the Difference

Hello, is a periosteal tear considered a bone fracture? Hello Doctor: Regarding the issue mentioned above, my uncle fell and got injured a while ago, and he is experiencing significant pain in his elbow. He mentioned that it feels like the periosteum is torn. Does this indicate a...

Dr. Shi Guozheng Reply:
The periosteum is a thin membrane that covers the outer surface of bones. It is thinner in adults and tends to be thicker in children. Typically, it cannot be seen on X-rays. During surgery, when we need to expose the bone, we will incise the periosteum. It has the ability to gen...

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...

Understanding Bone Graft Options for Non-Healing Fractures After Injury

Bone marrow concerns? I suffered a left humeral fracture, an open fracture of the left ulna, and a proximal left femur fracture due to a car accident. However, it has been a year, and the left humerus has not healed. Is there a need for bone grafting? If I undergo bone grafting, ...

Dr. Shi Guozheng Reply:
A humeral fracture that does not heal may require bone grafting surgery. The bone marrow you mentioned is likely referring to platelet-rich plasma (PRP), but its effectiveness is uncertain.

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

Nail problems Hello, doctor. I have had an open fracture in my right calf for over three months now. At that time, both bones were broken. The larger bone was stabilized with a metal rod. Last week, I went for a follow-up appointment and had an X-ray. The doctor said both bones a...

Dr. Shi Guozheng Reply:
Be cautious before your fracture has healed, as walking too much or exerting yourself can potentially cause displacement of your current bone condition. If there is already a displacement, you should consult your physician to determine if a revision surgery is necessary. If the s...

Left Clavicle Fracture: Surgery Options and Recovery Timeline

Left clavicle fracture? On May 7th, I fractured my left clavicle due to a motorcycle accident. Since I am still in military service and have only one week left until my discharge, I am currently using a sling for stabilization. I have not yet had a second examination to determine...

Dr. Chen Yongxue Reply:
Hello, a clavicle fracture does not always require surgery to heal. Surgery is typically necessary in certain situations, such as open fractures, comminuted fractures, inability to use a figure-of-eight bandage, multiple fractures, or if there is compression of nerves or blood ve...

Overcoming Stiffness After Leg Surgery: Tips for Recovery

Removal of plaster cast due to stiffness in the bones? Hello Doctor: I had a car accident on December 18th last year, resulting in an open fracture of the tibia in my right leg. Due to concerns about infection from the wound, I was treated with a triangular external fixator. Afte...

Dr. Chen Yongxue Reply:
Hello, it is quite common to experience joint stiffness after a fracture. It is important to engage in rehabilitation to restore the knee joint's original range of motion as soon as possible. If rehabilitation is not effective, and depending on the situation, an anesthetic m...

Understanding Open Fractures: Recovery and Long-Term Effects on Leg Health

Open fracture of the femur? Hello Doctor, I had a car accident on February 10th, which resulted in a fracture just above my right knee. It was a complete fracture, breaking into two pieces. The growth plate was not affected, but when the bone broke, it protruded and then retracte...

Dr. Shi Guozheng Reply:
The healing of a femoral fracture typically takes three to six months, so it is unlikely to see significant healing after just one month. It is essential to rely on crutches for walking during this period, and continued outpatient follow-up is necessary.

Preventing Infection and Promoting Healing in Open Fracture Recovery

Open fracture Hello Dr. Hong, I would like to ask about my husband, who was hit by a car a few days ago. He has open fractures of the tibia and fibula in both lower legs. His right leg has already undergone surgery yesterday, and a steel rod was inserted. The left leg has a more...

Dr. Hong Ximing Reply:
Bilateral tibia and fibula fractures are quite serious. After surgery, it is important to cooperate with your attending physician, as their team will do their utmost to provide treatment. For detailed information regarding your condition, you should consult with your attending ph...

Challenges After Skin Grafting for Open Fractures: Recovery Insights

Issues Following Skin Grafting for Open Fractures Hello, Doctor: I suffered an open fracture of the fourth and fifth metatarsals on the dorsum of my right foot due to a car accident, and I underwent debridement and skin grafting because of necrosis of the overlying skin. After a...

Dr. Shi Guozheng Reply:
When circulation in the feet worsens, the color of the wounds may change. These wounds can be cleaned with saline solution, but it is important to take precautions to prevent infection. It is generally safe to walk on flat surfaces and use stairs.

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.

Understanding Open Fractures: Recovery and Care After Surgery

Open fracture I would like to ask the doctor, I am 15 years old and I had a car accident on February 6th, which resulted in a laceration and an open fracture of the second metatarsal in my right foot. Is it normal that I didn't have surgery immediately? I am scheduled for su...

Dr. Hong Ximing Reply:
Open fracture of the metatarsal should first involve the management of the contaminated wound, followed by scheduling for surgical reduction and fixation. Once the surgery is completed and the wound is stable, the patient can use crutches for ambulation. For further details, it i...

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