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...[Read More] Can My Brother Recover Normal Walking After Severe Leg Injury?
Can Joint Replacement Surgery Help My Father's Osteomyelitis Condition?
Osteomyelitis in artificial joints Hello, Doctor! My father (56 years old) suffered a fracture of the left tibial plateau and proximal fibula due to a car accident in April 2016. After surgery, there was a collapse of the left tibial plateau, and the wound took a long time to hea...
Dr. Shi Guozheng Reply:
When there is osteomyelitis, it is not advisable to perform joint replacement surgery until the osteomyelitis has been completely resolved. During joint replacement surgery, bone grafting can be performed simultaneously; however, it is crucial that there is no ongoing infection p...[Read More] Can Joint Replacement Surgery Help My Father's Osteomyelitis Condition?
Managing Osteomyelitis After Complex Fractures: A Patient's Journey
Comminuted fracture with nonunion and osteomyelitis? Hello, Doctor: I suffered a comminuted fracture of my left arm in a car accident on October 16 last year and underwent surgery on October 17, where they inserted steel nails and secured them with screws. Two months post-surgery...
Dr. Chen Yongxue Reply:
Hello, in principle, osteomyelitis can lead to delayed fracture healing or even nonunion. Generally, multiple debridements are required, along with the removal of internal fixation and antibiotic therapy. If the virulence of the bacteria is not strong, a portion of the fracture s...[Read More] Managing Osteomyelitis After Complex Fractures: A Patient's Journey
Understanding Osteomyelitis Treatment: Key Questions and Answers
Treatment of Osteomyelitis (1Y6M) Hello, Doctor: One night, my child was crying incessantly and we discovered that he was unable to walk or even stand (with a fever). After several days of hospitalization and a series of tests (the doctor mentioned a suspicion of osteomyelitis), ...
Dr. Chen Yongxue Reply:
Hello, osteomyelitis in young children is often hematogenous in origin and commonly occurs in preschool-aged children. Currently, nuclear medicine imaging is very sensitive and can clearly identify the sites of inflammation throughout the body. This type of examination is also le...[Read More] Understanding Osteomyelitis Treatment: Key Questions and Answers
Understanding Pain After Fracture: Insights on Bone Healing and Weather Sensitivity
Nail problems I would like to ask about my father, who fell and fractured a bone two months ago. The doctor treated him by inserting external metal pins because there was an open wound at the fracture site, and performing surgery could have led to osteomyelitis. Four metal pins w...
Dr. Li Wenhong Reply:
Hello! The injured limb may be more sensitive to changes in weather, so it's important to keep warm and avoid cold drafts. If the acute phase has passed (more than 3 weeks), heat therapy can also be applied. As long as a fracture is stably immobilized and there is no infecti...[Read More] Understanding Pain After Fracture: Insights on Bone Healing and Weather Sensitivity
Understanding Complications of Exposed Artificial Ligaments in Orthopedic Surgery
Exposed artificial ligament Hello Doctor, I would like to ask a few more questions: 1. When you mentioned that further evaluation might be needed after removal, does that mean there could be an impact on the function of my left shoulder and hand? For example, if the artificial ...
Dr. Shi Guozheng Reply:
A slight upward tilt of the clavicle does not actually affect its function. Since the clavicle has healed, it is not due to the influence of an infection. If an infection cannot be resolved, then it would be necessary to remove the implant.[Read More] Understanding Complications of Exposed Artificial Ligaments in Orthopedic Surgery
Managing Exposed Artificial Ligaments After Shoulder Surgery: Key Concerns
Exposed artificial ligament Hello Doctor: Last November, I suffered a distal clavicle fracture-dislocation of my left shoulder, along with ligament injuries. After undergoing surgery with self-funded artificial ligaments and two titanium screws for fixation, everything healed wel...
Dr. Shi Guozheng Reply:
If there is no discharge from the wound, it is unlikely to be infected. Blood tests can determine the presence of infection. Inflammation may occur before an infection develops, making healing more difficult. Debridement may improve healing, but after removal, further evaluation ...[Read More] Managing Exposed Artificial Ligaments After Shoulder Surgery: Key Concerns
Understanding Complications After Clavicle Fractures: Healing and Rehabilitation
Post-fracture complications of the clavicle? Hello Doctor: I would like to ask about my situation. I have had two fractures of my left clavicle. The first one was a distal fracture, for which I underwent surgery using screws and artificial ligaments for fixation, and the screws d...
Dr. Shi Guozheng Reply:
Once the bone has healed, you can start to engage in activities, but it is important not to exert too much force. Wound care can involve the use of artificial skin, and it is advisable to frequently change the dressings to keep the wound dry and clean, which will promote gradual ...[Read More] Understanding Complications After Clavicle Fractures: Healing and Rehabilitation
Post-Surgery Infection After Fracture: Risks and Treatment Options
Postoperative infection after fracture surgery? Hello, doctor! My father had a left leg fracture from a car accident. After surgery, he developed an infection at the wound site, and it took about a month and a half for the wound to heal. It has been four months since the accident...
Dr. Chen Yongxue Reply:
Hello: After a fracture surgery, the biggest concern is infection, which can lead to osteomyelitis, a serious complication. Both situations can result in nonunion at the fracture site. If a fracture does not heal, it is essential to first address the infection, and then assess th...[Read More] Post-Surgery Infection After Fracture: Risks and Treatment Options
Understanding Antibiotic Efficacy and Surgical Infections in Orthopedics
Antibiotic Efficacy and Surgical Infections I would like to consult a physician: 1. If normal flora enters the bloodstream and causes an infection, is this considered bacteremia? 2. Blood test results show Coagulase-negative Staphylococcus with inflammatory markers: WBC 13.5, ESR...
Dr. Chen Xingyuan Reply:
Dear Netizen: There are many types of bacteria that can cause chronic osteomyelitis, and the specific bacterial infection primarily depends on the results of bacterial cultures. Administering antibiotic treatment based on the cultured bacteria can achieve the best therapeutic out...[Read More] Understanding Antibiotic Efficacy and Surgical Infections in Orthopedics
Understanding Hospital-Acquired Infections in Orthopedic Patients
Hospital-acquired infection (HAI) A patient with a comminuted fracture from a car accident developed acute osteomyelitis due to a Staphylococcus aureus infection post-surgery, which progressed to chronic osteomyelitis. The patient later sought treatment at a medical center, recei...
Dr. Shi Guozheng Reply:
Infection control within healthcare facilities is essential for every hospital. The use of antibiotics follows specific clinical guidelines. If a patient has an implanted device and is undergoing dental surgery, it is advisable to administer prophylactic antibiotics.[Read More] Understanding Hospital-Acquired Infections in Orthopedic Patients
Preventing Osteomyelitis: Key Insights for Rheumatoid Arthritis Patients
Prevention of Osteomyelitis Hello, Doctor! I am a 42-year-old patient with rheumatoid arthritis. Since the onset of my condition, my inflammatory markers (ESR) have consistently been above 9, which is quite high. As a result, I have undergone total knee and hip replacements. Unfo...
Dr. Shi Guozheng Reply:
The transmission route is usually through the bloodstream and is related to immunosuppressive medications. There is a possibility of recurrence. If there are implants or artificial joints in the body, antibiotics may be less effective in reaching the site. Prevention involves mai...[Read More] Preventing Osteomyelitis: Key Insights for Rheumatoid Arthritis Patients
Spinal Issues Caused by Bacterial Infections: Understanding Treatment Options
Spinal issues caused by bacterial infections? Hello Doctor, My father recently developed a systemic bacterial infection (Klebsiella pneumoniae) due to diabetes, and the doctor diagnosed it as sepsis. He has been in the intensive care unit for over ten days and has since been tra...
Dr. Shi Guozheng Reply:
Surgical intervention for spinal bacterial infections is one method that may be effective, but its success largely depends on the ability to achieve complete debridement. Postoperatively, antibiotic therapy is also necessary. As for neurological deficits, recovery is not guarante...[Read More] Spinal Issues Caused by Bacterial Infections: Understanding Treatment Options
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 Ankle Sprains: Infection Risks and Recovery Tips
Ankle sprain Hello Dr. Lai, this is patient Hsu Min-hui. I would like to ask if my wound is infected with osteomyelitis. If I undergo debridement of the wound, will the recovery be faster? I believe that enduring short-term pain is better than long-term pain.
Dr. Lai Qiren Reply:
Hello Ms. Hsu, I apologize for the delay in my response due to issues with my email. The swelling and pain in your calf are likely due to soft tissue contusion and a wound complicated by cellulitis, rather than an issue with osteomyelitis. Currently, there is no need for debrid...[Read More] Understanding Ankle Sprains: Infection Risks and Recovery Tips
Understanding Osteomyelitis: Treatment Options and Specialist Resources in Taiwan
Questions about osteomyelitis? Hello Doctor: My sister had a fracture from a car accident and underwent a long period of rehabilitation. During her recovery, she experienced redness and swelling at the site of the leg fracture, but after follow-up visits and blood tests, the doct...
Dr. Wang Shouji Reply:
Xiaoming: In cases of acute osteomyelitis, debridement and antibiotic therapy are usually required, while hyperbaric oxygen therapy serves as an adjunct treatment. Necrotic bone and infected areas should be thoroughly removed. It is recommended to visit an orthopedic outpatient c...[Read More] Understanding Osteomyelitis: Treatment Options and Specialist Resources in Taiwan
Understanding Elbow Osteomyelitis: Recovery Chances After Multiple Surgeries
Periosteum of the elbow bone I have had an injury in my hand since I was 15 years old, and I am currently undergoing rehabilitation. My hand cannot bend or straighten. I have had three surgeries. Initially, I could straighten it, but I didn't prioritize rehabilitation in the...
Dr. Li Wenlin Reply:
Hello: In response to your question, fracture surgery and rehabilitation are part of a comprehensive treatment plan. The fact that you have undergone three surgeries indicates that you are receiving ongoing outpatient and surgical care. You should continue with your outpatient vi...[Read More] Understanding Elbow Osteomyelitis: Recovery Chances After Multiple Surgeries
Understanding Knee Surgery for Osteoarthritis: Risks, Recovery, and Care
Due to osteoarthritis, surgery is required on the knee? Hello, doctor. A friend of mine needs knee surgery due to osteomyelitis. Could you please explain the potential complications that may arise after the surgery? Additionally, what are the recommended post-operative care and d...
Dr. Shi Qiming Reply:
Hello: The term "osteochondritis" alone does not provide enough information about your condition or the potential postoperative complications. It is recommended that you visit an orthopedic outpatient clinic in person to better understand your situation. Please consult ...[Read More] Understanding Knee Surgery for Osteoarthritis: Risks, Recovery, and Care
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 Osteomyelitis and Recovery After Bone Grafting Surgery
Seek medical assistance? A patient has been suffering from an open femoral fracture for nine months and is still unable to walk. The infection index for osteomyelitis has recently decreased to normal levels. A bone grafting surgery is planned soon. I would like to ask: 1. Is ther...
Dr. Xu Zhaoren Reply:
1. Bone grafting is necessary to fill the void in areas of bone deficiency, allowing new bone to grow in. 2. The recurrence of osteomyelitis is not certain, but it must be monitored to determine. 3. Weight-bearing standing can only be determined by a physician after an X-ray ...[Read More] Understanding Osteomyelitis and Recovery After Bone Grafting Surgery