Potential Long-Term Complications After Talus Fracture and Surgery
Sequelae of talus fractures Hello, I had an open fracture and dislocation of the left talus along with ligament tears due to a car accident in mid-September last year. I underwent internal fixation surgery in October, where two metal screws were placed: one to stabilize the fract...
Dr. Shi Guozheng Reply:
If the situation you mentioned occurs, treatment should be initiated, and it will require monitoring for about six months to a year before signs of ischemic necrosis may appear. If it does develop, it could lead to joint surface depression, further progressing to arthritis, which...[Read More] Potential Long-Term Complications After Talus Fracture and Surgery
Post-Surgery Complications and Disability Certification in Orthopedics
Postoperative sequelae & disability certification More than two years ago, I accidentally fell from the third floor, resulting in what appears to be two fractured lumbar vertebrae and open fractures in both legs. I have undergone approximately ten surgeries, including hardwar...
Dr. Wang Shouji Reply:
Hello: Having a disability does not mean that one can apply for certification with just a slight functional impairment; there is a standardized criterion. Based on your symptoms, unless there is a noticeable difference in muscle size bilaterally, it may be difficult to demonstrat...[Read More] Post-Surgery Complications and Disability Certification in Orthopedics
Understanding Knee Flexibility After Open Fracture: Recovery Insights
Inability to flex the knee? Hello doctor, I was in a car accident on October 1, 2015, which resulted in an open fracture of my knee and a closed fracture of my thigh. I have been gradually rehabilitating since then, and I only started walking again last month. Currently, my leg c...
Dr. Shi Guozheng Reply:
It has been over three months since the fracture, and the current degree of bending is still insufficient. It is necessary to actively engage in rehabilitation, as joint mobility is lacking. It may be necessary to consider manipulation under anesthesia to see if there is any impr...[Read More] Understanding Knee Flexibility After Open Fracture: Recovery Insights
Understanding Open Knee Fractures: Recovery and Rehabilitation Insights
Open fracture of the knee joint? Hello Doctor, I have quite a few questions. I was in a car accident on October 1, 2015, and now it is January 16, 2016, so it has been three months since the incident. The accident resulted in a closed fracture of my thigh and an open fracture of ...
Dr. Shi Guozheng Reply:
Currently, rehabilitation needs to continue; if it exceeds six months, further improvement may not be possible. At that point, additional surgery may be required. Assistive devices can typically be used after the fracture has healed, usually around six months.[Read More] Understanding Open Knee Fractures: Recovery and Rehabilitation Insights
Overcoming Stiffness After Open Finger Fracture: Rehabilitation Tips
The space between bones? I suffered an open fracture of my right hand's ring finger from a fall in October two years ago. Due to the severity of the injury, I only started rehabilitation in February of last year. However, my physical therapist informed me that the rehabilita...
Dr. Shi Guozheng Reply:
Typically, the first three months after a finger joint injury are considered the golden period for recovery. After this time, it becomes quite difficult to regain full range of motion. You can try rehabilitation exercises to gradually bend the finger. Start with warm compresses, ...[Read More] Overcoming Stiffness After Open Finger Fracture: Rehabilitation Tips
Understanding Clavicle Fractures: Recovery, Surgery, and Rehabilitation Insights
Clavicle fracture Hello Doctor, my friend had a car accident three days ago and suffered a displaced fracture of her left clavicle. She is an international student and has returned to her home country for treatment, making it difficult to contact her. I would like to understand w...
Dr. Hong Ximing Reply:
In the case of a displaced clavicle fracture, if there is no injury to the neurovascular structures or if the displacement is not severe, an eight-figure clavicle brace can be used for stabilization. However, if the displacement is significant and soft tissue is interposed at the...[Read More] Understanding Clavicle Fractures: Recovery, Surgery, and Rehabilitation Insights
Managing Inflammation After Ankle Open Fracture: Recovery Tips
Open ankle fracture (penetrating injury) I accidentally discharged a bullet that entered through my ankle and exited through the sole of my foot. The ankle bone was fractured, and it has been over two months since the surgery. There is still some inflammation around the ankle, wh...
Dr. Shi Guozheng Reply:
The limited range of motion in the ankle joint is due to the fracture and surgery. If the fracture has already healed, rehabilitation can begin. It is advisable to actively flex the ankle to improve its range of motion, and applying heat can also aid in functional improvement. Th...[Read More] Managing Inflammation After Ankle Open Fracture: Recovery Tips
Understanding Ankle Adhesion: Recovery Timeline and Rehabilitation Tips
Ankle joint adhesion Hello, I previously inquired about a car accident on September 19 that resulted in an open fracture of the talus and ligament tears. I underwent internal fixation and ligament repair surgery on October 1, and the external fixator was removed on November 1. Af...
Dr. Shi Guozheng Reply:
To ensure a quick recovery from joint adhesions, it is essential to start rehabilitation as early as possible. Typically, if more than three months have passed, recovery becomes more challenging, and the longer the duration, the more difficult it is. The progress of rehabilitatio...[Read More] Understanding Ankle Adhesion: Recovery Timeline and Rehabilitation Tips
Understanding Ankle Pain After Surgery: Is Screw Migration a Concern?
The ankle screws may still cause intermittent pain, and there is a possibility of screw displacement? Hello, I was involved in a car accident on September 19, which resulted in an open fracture of the talus in my left ankle and severe dislocation. I underwent surgery on October 1...
Dr. Shi Guozheng Reply:
Pain during movement is normal; typically, the steel pin will not displace unless there is another injury.[Read More] Understanding Ankle Pain After Surgery: Is Screw Migration a Concern?
Open Fractures of the Fibula and Metatarsals: Treatment Options and Recovery
There is an open fracture of the fibula in the left lower leg along with fractures of the second, third, and fourth metatarsals in the left foot? Hello Doctor, I had a car accident on October 31, resulting in an open fracture of the left fibula and fractures of the second, third,...
Dr. Hong Ximing Reply:
Hello: The open fractures of the ribs along with the second, third, and fourth metatarsals indicate that the injury displacement is quite severe. If the trauma is stable, it is recommended to proceed with surgical reduction as soon as possible to restore the original position, in...[Read More] Open Fractures of the Fibula and Metatarsals: Treatment Options and Recovery
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 ...[Read More] Understanding Open and Comminuted Fractures: Recovery and Rehabilitation Insights
Can I Return to Jumping and Running After a Tibia Fracture?
Fracture from running and jumping? Hello, doctor. Two years ago, I had a car accident where both my tibia and fibula were fractured. The position and length of the steel rod extend from my knee to near my ankle. The fibula has healed, but the tibia is healing slowly, possibly due...
Dr. Wang Shouji Reply:
Hello: The tibia bears more than five-sixths of the weight of the lower leg. Based on your symptoms, there should be no issues with intense activity. It is advisable to focus on strengthening exercises. If the fracture has healed, the presence of the steel pin should not have any...[Read More] Can I Return to Jumping and Running After a Tibia Fracture?
Understanding Closed Fractures of the Right Tibia and Fibula: Recovery and Care
Closed fracture of the right tibia and fibula shaft? I apologize, but I would like to ask about my brother's injuries. He was in a car accident yesterday, resulting in an open fracture of the right tibia and fibula. However, he won't be able to have surgery until Wednes...
Dr. Wang Shouji Reply:
Hello: Bone healing takes at least three months, and full functional recovery may require an additional one to three months. If the fracture has healed, there should be minimal sequelae. However, if the fracture is not healed, caution is needed when bearing weight to avoid the ri...[Read More] Understanding Closed Fractures of the Right Tibia and Fibula: Recovery and Care
Post-Surgery Pain Levels and Recovery After Ankle Fracture Fixation
After the fracture reduction surgery, there is a reduced sensation of pain? Hello, Doctor. I suffered an open fracture of the left ankle due to a car accident on August 11. After surgery, I had a plate and screws placed for fixation. I am unsure if my recovery is progressing well...
Dr. Shi Guozheng Reply:
After the swelling from a fracture subsides, it is sometimes normal to feel the metal plate beneath the skin. If the plate has shifted, it is likely to cause pain. During your follow-up appointment, please ask your doctor to perform an X-ray to assess the condition of the fractur...[Read More] Post-Surgery Pain Levels and Recovery After Ankle Fracture Fixation
Understanding Clavicle Fractures: Treatment Options and Recovery Concerns
Clavicle fracture Dear Doctor, I would like to ask a question regarding my condition. I was in a car accident on the afternoon of August 22, and I experienced significant pain in my left clavicle. I was taken to the Chi Mei Medical Center emergency room in Tainan, where an X-ray...
Dr. Shi Guozheng Reply:
Clavicle fractures are usually treated conservatively, typically with a triangular sling or figure-of-eight bandage for about three months, unless it is an open fracture or there is a risk of the fracture site penetrating the skin. Additionally, if there are associated vascular o...[Read More] Understanding Clavicle Fractures: Treatment Options and Recovery Concerns
Understanding Pin Removal After Open Radius Fracture Surgery
Removal of bone screws Doctor, I had an open fracture of the right radius today and had a bone graft, so I went to have the screws removed. A total of three screws were removed, and there are two wounds about 1 to 2 centimeters in size. How long until I can have the stitches remo...
Dr. Shi Guozheng Reply:
The dressing can be removed in about seven to ten days. You can use a damp towel to wipe the skin, but avoid touching the wound. After that, you can reapply the medication without any issues.[Read More] Understanding Pin Removal After Open Radius Fracture Surgery
Does Late Sleep Affect Bone Growth and Healing Time?
Bone growth Does staying up late affect bone growth or healing time? Also, sometimes I experience sharp pain at the site of my open fracture of the radius where the two bones are fixed with a plate; is this normal? Additionally, I occasionally feel sharp pain below my thumb where...
Dr. Shi Guozheng Reply:
Staying up late should not affect bone growth, and occasional growing pains are also normal.[Read More] Does Late Sleep Affect Bone Growth and Healing Time?
Understanding X-Ray Diagnosis for Orthopedic Injuries: Key Insights
Issuance of a medical certificate? If an X-ray shows a small issue that later disappears in a subsequent X-ray, it may indicate that the initial finding was transient or related to a minor condition that resolved itself. It is important to follow up with your healthcare provider ...
Dr. Shi Guozheng Reply:
Is there a slight indication of a fracture in the wrist X-ray? If it is a fracture, the crack may heal over time, and subsequent X-rays may not show the fracture anymore. A fracture can break into several pieces; if there is no external injury or the skin is not penetrated by the...[Read More] Understanding X-Ray Diagnosis for Orthopedic Injuries: Key Insights
Understanding Healing After an Open Radius Fracture: What to Expect
Fracture healing Doctor, may I ask if it's possible that my right radius, which had an open fracture nearly three months ago, has healed? I can lift light objects without discomfort.
Dr. Shi Guozheng Reply:
It is possible that after bone healing, strength will gradually return.[Read More] Understanding Healing After an Open Radius Fracture: What to Expect
Understanding Open Fracture Recovery: Timeline and Concerns
Fracture healing So, the doctor said that an open fracture takes at least three months to heal bone? Also, I have an open fracture of the right radius, and my thumb feels slightly sore when I rotate it. Is this normal? Will this affect the healing process?
Dr. Shi Guozheng Reply:
Fracture healing typically takes about three months, although some cases may extend to around six months. For long bones, if there is no continued bone growth after six months or if healing has not occurred after one year, it can be classified as nonunion. A slight soreness when ...[Read More] Understanding Open Fracture Recovery: Timeline and Concerns