Post-Fracture Care: Addressing Complications and Recovery Strategies
Post-operative care for fractures? My mother (69 years old) was injured in a car accident two and a half months ago, with the most severe injury being an open fracture of the lower leg that was shattered into three pieces, with about 90% of the skin and tissue torn away. The firs...
Dr. Li Wenlin Reply:
Congratulations on your mother's leg being saved. However, it is important to understand that successfully treating a severe open fracture will take a considerable amount of time and will require the expertise of many specialists, as well as multiple surgeries. You may have ...[Read More] Post-Fracture Care: Addressing Complications and Recovery Strategies
Understanding Open Knee Fractures: Causes of Fever and Post-Surgery Care
Open fracture of the knee, including tendon rupture? After a car accident, I sustained an open fracture of the knee and underwent surgery on June 3rd, which went well. However, a week later, I developed a high fever with increasing frequency. What could be the reason for this? Al...
Dr. Hong Ximing Reply:
One week after open fracture surgery of the knee, an increase in fever frequency is most likely due to a bacterial infection, and close monitoring is necessary. It is important to observe the fracture wound for signs of infection such as redness, swelling, heat, and pain. Promptl...[Read More] Understanding Open Knee Fractures: Causes of Fever and Post-Surgery Care
Understanding Toe Fractures: Risks and Recovery After an Accident
Fracture of the right toe? Hello Dr. Lee, I am still a student. On July 28th, around noon, I was involved in a car accident in Hsinchu that resulted in a fracture of the fourth toe and an open fracture of the fifth toe (I could see the white bone). I was immediately taken to Hsin...
Dr. Li Wenlin Reply:
Hello, in response to your question: 1. Don't worry about the possibility of amputation for now. Focus on cooperating fully with your attending physician; there will definitely be a positive turning point. 2. There are several things you can do at this time: First, mainta...[Read More] Understanding Toe Fractures: Risks and Recovery After an Accident
Understanding Open Fractures: Recovery Challenges and Surgical Options
Open fracture Hello Dr. Lee, I had an accident on August 21, 2009, where I fell from a height and landed on my right elbow, resulting in an open fracture of the ulnar and olecranon. After undergoing reduction surgery and being in a cast for four weeks, I did not start rehabilitat...
Dr. Li Wenlin Reply:
Hello: In terms of elbow function, flexion is more important than extension; while extension affects appearance, insufficient flexion can lead to difficulties in daily activities such as brushing hair and washing the face. Therefore, the primary goal of joint manipulation is to i...[Read More] Understanding Open Fractures: Recovery Challenges and Surgical Options
Understanding Clavicle Fractures: Recovery Challenges and Surgical Options
Fracture I had a car accident at the end of March, resulting in a fracture of my left clavicle near the shoulder. I did not undergo surgery and used a figure-eight shoulder strap for one month. After that, I went to a military hospital for an X-ray, which showed some bone growth....
Dr. Chen Xingyuan Reply:
Dear Reader, The treatment for clavicle fractures can be divided into conservative treatment and surgical treatment. Surgical intervention is necessary in cases of open fractures, associated neurovascular injuries, mid-shaft clavicle fractures with significant displacement, frac...[Read More] Understanding Clavicle Fractures: Recovery Challenges and Surgical Options
Unexplained Swelling at Surgical Site: Which Specialist to Consult?
Unknown swelling at the surgical site on the foot? Hello~ My family member had an open fracture from a car accident ten years ago and underwent surgery. Recently, without any falls or impacts, the area where the incision was made has swollen. After an X-ray, the doctor said there...
Dr. Li Wenlin Reply:
Hello: If you have any issues, you can consult the original surgeon for a follow-up. Wishing you a speedy recovery![Read More] Unexplained Swelling at Surgical Site: Which Specialist to Consult?
How Long Should We Monitor Recovery After Open Finger Fracture Surgery?
How long should we observe? Hello Doctor: I previously asked about my boyfriend who suffered a work-related injury resulting in an open fracture of his left pinky finger. After surgery and the insertion of a pin, he has been experiencing a tingling sensation when touching his lef...
Dr. Chen Xingyuan Reply:
Dear User: It is recommended that you observe for 2 to 3 months, at least until the condition of the locally injured tissue stabilizes. If, at that time, the left little finger still has no sensation, it may indicate a rupture of the digital nerve or a severe crush injury, which ...[Read More] How Long Should We Monitor Recovery After Open Finger Fracture Surgery?
Understanding Numbness in the Pinky Finger After Open Fracture Surgery
Pinky finger numbness? Hello Doctor: My boyfriend sustained an open fracture of the left little finger due to a work-related injury. After surgery to insert a pin and close the wound, he noticed numbness in the left little finger. When he consulted the doctor, he was informed tha...
Dr. Chen Xingyuan Reply:
Dear Netizen, Is it necessary to perform surgery for nerve ruptures? In principle, it is best to reconnect the nerves whenever possible. However, some superficial nerve injuries that only result in localized sensory loss and do not affect overall function may not require surgica...[Read More] Understanding Numbness in the Pinky Finger After Open Fracture Surgery
Do I Need Bone Grafting After a Severe Leg Injury?
Is there a need for bone grafting? Hello, doctor. I had a car accident in January 2006, resulting in a comminuted open fracture of my right calf, with both the tibia and fibula fractured. As of now, the bones have not healed. In March 2008, based on the doctor's recommendati...
Dr. Shi Qiming Reply:
According to what you mentioned, it may be a tibiofibular fracture. If the tibial fracture has not healed for over a year, a bone graft surgery using your own bone is preferable; if there is not enough, then artificial bone can be used. The duration of rehabilitation needs to be ...[Read More] Do I Need Bone Grafting After a Severe Leg Injury?
Ankle Injury: Is Surgery the Right Solution for Chronic Pain?
Ankle joint injury About 18 years ago, I suffered an open fracture of the ankle due to a car accident. The injured area has been frequently painful, and I have previously sought treatment and taken pain medication. I have not sought treatment or taken pain medication for the past...
Dr. Li Wenlin Reply:
Hello: In response to your question, it is best for you to seek an evaluation from an orthopedic physician as soon as possible. During the consultation, the physician will perform an X-ray examination and a physical examination. Considering your age and occupational needs, the or...[Read More] Ankle Injury: Is Surgery the Right Solution for Chronic Pain?
Can I Resume Martial Arts Training After a Severe Open Fracture?
Comminuted and open fractures? I would like to ask about my calf, which suffered a comminuted open fracture due to a car accident last year. I currently have a metal rod implanted. I practice martial arts; can I continue training during this recovery period? I am already able to ...
Dr. Huang Longde Reply:
Hello Mr. Zheng: Open comminuted fractures of the tibia and fibula can be classified into three grades based on the severity of the wound, muscle, and vascular damage, as well as the degree of comminution. The third grade is further divided into A, B, and C categories, with highe...[Read More] Can I Resume Martial Arts Training After a Severe Open Fracture?
Understanding Complications After Open Fracture Surgery: What to Expect
I have a fracture. Boohoo? Director, I have a question. I suffered an open fracture of my lower leg in a car accident in March this year. The doctor said that the bone was severely shattered, so I received external fixation with a steel rod and plaster cast. After a long wait of ...
Dr. Shi Guozheng Reply:
Open fractures are inherently difficult to treat, and I believe the physicians are doing their utmost. If the bones are misaligned, a corrective surgery can be performed. To determine if the legs are of equal length, an X-ray examination can be conducted (scanogram). Limited rang...[Read More] Understanding Complications After Open Fracture Surgery: What to Expect
Post-Surgery Recovery: Insights on Plate and Screw Removal in Orthopedics
Post-Removal of Hardware Surgery Dear Deputy Director Shih, I have a situation where I fractured my tibia in two places, resulting in an open fracture. After the injury, I had two plates and nine screws inserted for stabilization. I used crutches for eight months, and it has now...
Dr. Shi Qiming Reply:
Hello: 1. The decision to remove screws and plates after fracture surgery is still based on the healing status of the fracture. If 5-6 doctors agree that the surgery and healing are satisfactory, you can feel reassured. 2. Generally speaking, as long as there is not too much pain...[Read More] Post-Surgery Recovery: Insights on Plate and Screw Removal in Orthopedics
Post-Surgery Recovery: What to Expect After Removing Metal Plates and Screws
After the removal of the metal screws? Hello Director Li: My condition is that I have two fractures in my tibia in the lower leg, which are open fractures. After the injury, I had two metal plates and nine screws placed for stabilization. I used crutches for 8 months, and it has ...
Dr. Li Wenlin Reply:
Hello: In response to your questions. First, if you experience pain after the removal of the plates and screws, you should use crutches; if there is no pain, then you do not need to. Second, eight months and a year and a half are quite similar; it won't be too fast! Third, i...[Read More] Post-Surgery Recovery: What to Expect After Removing Metal Plates and Screws
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 Elbow Deformity Surgery: Risks, Recovery, and Recommendations
Could you please provide more details about the elbow flexion surgery? Hello, Doctor. I had an open fracture of my right elbow during childhood, which resulted in a misalignment and a noticeable curvature of over twenty degrees. Although the grip function of my right arm is intac...
Dr. Ye Qingnian Reply:
A pediatric elbow fracture can lead to either valgus or varus deformity, but joint mobility is generally normal. If considering surgery for re-internal fixation, there are several risks to be aware of: 1. Wound infection 2. Nonunion at the fracture site 3. Limited range of motion...[Read More] Understanding Elbow Deformity Surgery: Risks, Recovery, and Recommendations
Understanding Recovery Time and Concerns for Open Fractures of the Ankle
Questions related to the recovery time for open fractures of the tibia and fibula? Hello Doctor: On August 15, I had a car accident resulting in an open fracture of the distal tibia and fibula in my left leg (near the ankle). I underwent fixation with bone screws and plates, and ...
Dr. Li Wenlin Reply:
Hello, In response to your question, the old saying goes, "It takes a hundred days to heal muscles and bones." If you were injured on August 15, a complete recovery will take at least until the end of November, or even longer. Therefore, it is reasonable that the rang...[Read More] Understanding Recovery Time and Concerns for Open Fractures of the Ankle
Left Humerus Fracture: Recovery Tips and Avoiding Complications
I have a fracture and separation of my left humerus? On July 17, I was mugged, and my left arm was held down, resulting in a forceful fracture of my humerus with an open fracture. The injury is quite severe, but my shoulder is not dislocated, although there is a depression. Is th...
Dr. Zhou Lizhi Reply:
1. For a humeral fracture, appropriate management should be provided based on the X-ray findings and the size of the open wound (which may include surgical fixation or casting treatment). 2. If the bone has not shown signs of healing after three months, close monitoring is requ...[Read More] Left Humerus Fracture: Recovery Tips and Avoiding Complications
Understanding Slow Healing in Fractures: Causes and Concerns
Fracture issues? Hello Doctor: I had a car accident at the beginning of the year that resulted in one of my lower leg bones suffering a comminuted fracture and the other an open fracture. It has been nine months, and I am still using two crutches. The doctor mentioned that the bo...
Dr. Zhang Shengben Reply:
1. Bone nonunion should not be directly related to body weight. 2. If the bone has not fully healed after one year, bone grafting treatment should be considered.[Read More] Understanding Slow Healing in Fractures: Causes and Concerns
Concerns About Long-Term Effects of Bone Plates and Screws After Fracture
What are the issues related to a left humeral fracture with intramedullary nailing? On March 13 of this year, I was involved in a car accident that resulted in an open fracture of my left humerus. Last week, I consulted with my doctor regarding the need to remove the metal screws...
Dr. Chen Xingyuan Reply:
Dear Readers, In principle, temporary fixation devices such as steel plates and screws implanted in the body should be removed as soon as possible after the fracture has healed. While it is possible to leave these fixation devices in place, there are several considerations: 1. ...[Read More] Concerns About Long-Term Effects of Bone Plates and Screws After Fracture