Understanding the Risks of Leaving Bone Screws in After Surgery
Bone screw issues On March 13 of this year, I sustained an open fracture of the humerus. The doctor advised against removing the plates and screws due to concerns about nerve damage. If I still wish to have them removed, it can be done, but there are risks involved. Could you ple...
Dr. Shi Guozheng Reply:
Not removing it will not have a significant impact. In the case of a humeral fracture with plate fixation, there is a risk of injuring the radial nerve, which could result in an inability to extend the wrist.[Read More] Understanding the Risks of Leaving Bone Screws in After Surgery
Understanding Pain and Healing After Open Fracture Surgery
The injured area experiences a tingling sensation upon palpation? Hello, Doctor. My situation is as follows: I have an open fracture in the sole of my right foot, resulting in three broken bones. It has been two months since the injury, and I had external fixation with steel pins...
Dr. Shi Qiming Reply:
Hello: Tenderness at the fracture site may persist for several months. After the removal of the metal pins, you can gradually practice using crutches for ambulation. The tenderness from the fracture will gradually improve over time, but it is essential to return to the outpatient...[Read More] Understanding Pain and Healing After Open Fracture Surgery
Understanding Open Ankle Fractures: Recovery, Pain Management, and Rehabilitation
Open ankle fracture Hello, Doctor! I was in a car accident at the end of February this year and later discovered that I had an open fracture in my ankle with bone displacement and a crack in the ankle bone. I underwent surgery three days after the accident, where they inserted si...
Dr. Li Wenlin Reply:
Hello, handsome: 1. An ankle fracture can sometimes cause injury to the interosseous membrane between the tibia and fibula, leading to separation. If this is the case, a long steel nail may be placed at an appropriate position to span the fibula, interosseous membrane, and tibi...[Read More] Understanding Open Ankle Fractures: Recovery, Pain Management, and Rehabilitation
Understanding Tibia and Fibula Fractures: Recovery and Concerns
Fracture of the tibia and fibula in the left lower leg? Hello Dr. Lee, Last December, I was involved in a car accident that resulted in fractures of my left tibia (broken in two places) and fibula. It was an open fracture, and I underwent surgery on the same day using an externa...
Dr. Li Wenlin Reply:
Hello: In response to your questions, first of all, congratulations. Although the car accident resulted in a severe open fracture, based on your description, the physician handling your case has done an excellent job, and I believe there will be a good outcome. Question 1: Prol...[Read More] Understanding Tibia and Fibula Fractures: Recovery and Concerns
Understanding Open Fractures and Ligament Tears: Treatment and Recovery
Fractures and ligament tears? Dear Doctor: I have an open fracture in my lower leg with ligament rupture. The bone has been stabilized with steel pins, but the position of the pins affects the suturing of the ligaments. Is it really necessary to wait two years to remove the pins ...
Dr. Chen Xingyuan Reply:
Dear Mr. Hsieh, Different injury conditions and locations may require different management approaches. Your description is not very clear, making it difficult to assess whether the treatment method is appropriate. I have encountered cases of proximal tibial fractures combined wi...[Read More] Understanding Open Fractures and Ligament Tears: Treatment and Recovery
Recovery After Right Leg Fracture: Can I Dance and Play Basketball Again?
Right calf fracture? Hello doctor, I had a car accident on September 4th of this year, resulting in a comminuted fracture of my right calf. After surgery, the doctor informed me that both the fibula and tibia in my calf were fractured. I would like to know if I will be able to re...
Dr. Huang Longde Reply:
Hello, this student: Generally, comminuted fractures can be classified into those caused by sprains or those resulting from direct impact. Sprains typically result in less severe injuries to muscles and other soft tissues, while comminuted fractures from direct impact tend to cau...[Read More] Recovery After Right Leg Fracture: Can I Dance and Play Basketball Again?
Managing Chronic Swelling After Open Fracture: A Patient's Journey
Hello, doctor? Hello, Doctor: I am a patient who suffered an open fracture of the left metatarsal accompanied by chronic osteomyelitis six months ago. However, I have been able to move around since March of this year, but the swelling issue has not improved much. I have been foll...
Dr. Shi Guozheng Reply:
Foot fractures are common cases, and typically, swelling gradually subsides after the fracture heals. However, to expedite the reduction of swelling, it is essential to actively engage in rehabilitation exercises for the foot. In other words, the toes, dorsum of the foot, and ank...[Read More] Managing Chronic Swelling After Open Fracture: A Patient's Journey
Understanding Fibula Fractures: Healing Concerns After a Leg Injury
Both bones of the lower leg are fractured? I had a car accident in mid-February this year, resulting in a complete fracture of the tibia and fibula in my left lower leg (non-open fracture). I underwent surgery to insert a steel rod for stabilization of the tibia, but the fibula w...
Dr. Shi Guozheng Reply:
In the case of simultaneous diaphyseal fractures of the tibia and fibula, it is sufficient to treat only the tibia, as the fibula will heal on its own. This is unlikely to have any significant long-term effects.[Read More] Understanding Fibula Fractures: Healing Concerns After a Leg Injury
Understanding Clavicle Fractures: Treatment Options and Recovery Insights
Clavicle fracture Hello Doctor: I am a patient from a car accident, currently suffering from an open fracture of the right clavicle along with brachial plexus injury, resulting in temporary loss of function in my right shoulder. I would like to ask you about my condition. My clav...
Dr. Ye Qingnian Reply:
Most clavicle fractures do not require surgery unless there is significant displacement at the fracture site. Since the bone needs to heal, the fracture ends must be aligned together; once stabilized, the bone will heal on its own. I believe the following conditions may warrant s...[Read More] Understanding Clavicle Fractures: Treatment Options and Recovery Insights
Recovery Insights for Open Fractures: Healing Time and Supplements
Could you please provide the content you would like me to translate? Hello, doctor. I had an accident while riding my motorcycle and injured my left ankle joint, resulting in an open fracture of the fibula and ligament tears. I have already undergone surgery and my ankle is curre...
Dr. Li Wenlin Reply:
Miss Lan: 1. The effectiveness of calcium and collagen supplements in aiding recovery after a fracture is still inconclusive. Orthopedic surgeons neither recommend nor oppose their use; you may decide for yourself. 2. If the fracture requires a cast for 3 months, a rehabilitation...[Read More] Recovery Insights for Open Fractures: Healing Time and Supplements
Understanding Clavicle Fractures: Recovery Challenges and Disability Benefits
Clavicle fracture Hello, Dr. Chang. I was in a car accident on September 25th, resulting in an open fracture of my left clavicle, a comminuted fracture, and ligament tears. I underwent surgery on the same day. It has been almost three months now, and I have been undergoing rehabi...
Dr. Zhang Shengben Reply:
1. Bone healing is necessary before engaging in aggressive rehabilitation; until healing is complete, gentle rehabilitation is appropriate. This should be discussed with a rehabilitation physician. 2. The cause of shoulder pain may be due to stiffness from limited mobility or fro...[Read More] Understanding Clavicle Fractures: Recovery Challenges and Disability Benefits
Understanding Ankle Pain After Two Months of Fracture Recovery
Ankle fracture I have had an ankle fracture for over two months, but I still feel pain in the ankle joint area when walking. What could be the reason? Both the inner and outer ankle bones are fractured, but I can walk now. However, the joint hurts only when I walk; it doesn'...
Dr. Shi Guozheng Reply:
After two months of an ankle fracture, there should be callus formation; however, complete healing may still take another month or two. Therefore, experiencing pain while walking is a normal phenomenon. If both the medial and lateral malleoli are fractured and it is not an open f...[Read More] Understanding Ankle Pain After Two Months of Fracture Recovery
Should I Choose Traditional Chinese Medicine or Western Orthopedics for Recovery?
May I ask the doctor? Doctor, I have an open fracture, but the wound has healed and the external fixator has been removed. Now I am left with rehabilitation. Someone suggested that I switch to traditional Chinese medicine orthopedics. Is traditional Chinese medicine orthopedics b...
Dr. Shi Guozheng Reply:
After a fracture, as long as it is properly immobilized and there is sufficient nutrition, healing of the fracture is predictable. However, the recovery of joint mobility and muscle strength relies on rehabilitation. Traditionally, Western medicine rehabilitation has a theoretica...[Read More] Should I Choose Traditional Chinese Medicine or Western Orthopedics for Recovery?
Understanding Open Fractures: Recovery and Long-Term Effects
Open fracture Doctor, I have an open fracture and have undergone external fixation surgery. Is it serious if the metatarsal bone is injured? Will there be any long-term complications? My wound is almost healed, but the bone is still recovering. How long will it take for the bone ...
Dr. Shi Guozheng Reply:
Open and comminuted fractures take longer to heal compared to regular fractures, typically requiring six months or more for healing. Once the wound has healed and there is no bacterial infection, the chances of successful healing are significantly increased. If a fracture is surg...[Read More] Understanding Open Fractures: Recovery and Long-Term Effects
Understanding Open Fractures: Challenges and Recovery Insights
Regarding open fractures? Hello, doctor: This year, I suffered an open fracture of my foot due to a work accident. The wound was very deep and large. Initially, I was taken to a military hospital where they said amputation was necessary. However, I later received external fixatio...
Dr. Shi Guozheng Reply:
An open fracture is defined as a fracture where the broken bone is exposed to the external environment through the skin. Depending on the condition of the soft tissue and the degree of bone fragmentation, open fractures can be classified into several grades, with higher grades in...[Read More] Understanding Open Fractures: Challenges and Recovery Insights
Recovery and Rehabilitation After Open Fracture of Radius and Ulna
Open fracture of the radius and ulna? Hello Dr. Chen, I had a car accident on October 19, which resulted in an open fracture of the radius and ulna. I underwent surgery, and a plate and screws were inserted, followed by immobilization with a cast. I had the cast removed yesterd...
Dr. Shi Guozheng Reply:
You have been one month post-surgery, and you should be able to perform some wrist activities now that the cast has been removed. The joint may be a bit stiff, and rehabilitation is necessary to address this. Typically, it takes three to six months to fully recover after surgery....[Read More] Recovery and Rehabilitation After Open Fracture of Radius and Ulna
Post-Fracture Recovery: Managing Pain and Mobility After Surgery
Post-fracture surgery Dear Dr. Lee, I was involved in a car accident four months ago, resulting in a fracture of the mandible, a fracture of the right ankle, and an open fracture of the right tibia. Currently, the healing of the fractures has reached 95%. However, I experience p...
Dr. Li Wenlin Reply:
Hello: In response to your question, recovery after the removal of the metal plate is generally quick. Typically, during the first week, you will need to rely on crutches, but you can still walk normally. By the second week, you should be able to walk without crutches, although y...[Read More] Post-Fracture Recovery: Managing Pain and Mobility After Surgery
Managing Open Fractures: Risks, Treatments, and Infection Prevention
Open fracture Hello Dr. Lee, My sister was in a car accident on April 18, resulting in a severe open (comminuted) fracture of her left lower leg. She is currently receiving treatment at Kaohsiung Chang Gung Memorial Hospital. Due to the loss of both skin and bone tissue in her l...
Dr. Li Wenlin Reply:
Hello: In response to your question, your sister's condition indeed requires an experienced orthopedic surgeon with expertise in osteomyelitis treatment and soft tissue reconstruction. Generally, orthopedic surgery has various subspecialties, and each attending physician has...[Read More] Managing Open Fractures: Risks, Treatments, and Infection Prevention
Understanding Complications and Recovery After Femur Fracture Surgery
I would like to inquire about issues related to the steel plate used for femoral fractures? I apologize for the inconvenience. I suffered an open fracture of the left femur due to a car accident and currently have a steel plate implanted for treatment. I would like to ask if ther...
Dr. Yang Zhengfan Reply:
I'm sorry[Read More] Understanding Complications and Recovery After Femur Fracture Surgery
Recommended Books on Rehabilitation for Nerve Injury and Fractures
Could you recommend books available on the market regarding rehabilitation and precautions after fractures and nerve injuries? Hello Doctor, I would like to inquire if there are any good books available on the topics of fractures, rehabilitation after nerve injuries, and import...
Dr. Li Wenlin Reply:
Hello: In response to your question... Your family member has sustained an open fracture of the right humerus resulting in radial nerve injury. The general management recommendations are as follows: 1. If it is a. an open fracture b. associated with a penetrating injury c. origin...[Read More] Recommended Books on Rehabilitation for Nerve Injury and Fractures