Recovery Timeline and Considerations for Patellar Fractures
Patellar comminuted fracture I have a large open wound on my knee due to a car accident, and I have a comminuted fracture of the patella with one-third removed and two-thirds preserved without the use of steel pins. How long will it take for the bone to heal? How long will rehabi...
Dr. Shi Guozheng Reply:
The approximate healing time is three months, with rehabilitation lasting three to six months. There is a possibility of degenerative joint changes between the patella and femur in the future. Before complete healing, the knee joint should not be flexed excessively.[Read More] Recovery Timeline and Considerations for Patellar Fractures
Returning to Work After Patellar Fracture: Is Two Months Enough?
Can I return to work 2 months after a comminuted fracture of the patella? I was in a car accident on December 2nd of last year, resulting in a comminuted fracture of my left patella and a fractured right clavicle. I underwent surgery on December 3rd (the left patella was shattere...
Dr. Chen Yongxue Reply:
Generally, the initial healing of a fracture takes about six weeks to return to normal daily activities, and most individuals can resume exercise after three months. The letter mentions that the patella is fractured into four pieces (which is actually not too severe and not consi...[Read More] Returning to Work After Patellar Fracture: Is Two Months Enough?
Recovering from Patellar Fracture: Tips for Muscle Regeneration and Emotional Well-being
Comminuted fracture of the patella, with remaining iron wire fixation after screw placement? Hello Doctor, I was in a car accident on September 21, 2017, and my left patella was severely shattered. It has been over four months since then, and I have been using crutches to walk wi...
Dr. Chen Yongxue Reply:
Hello, 1. In principle, patellar fractures can bear weight. Initially, you should avoid bending and actively straightening (including straightening while suspended) both movements. 2. This condition often leads to a decline in thigh muscle strength and muscle atrophy, which i...[Read More] Recovering from Patellar Fracture: Tips for Muscle Regeneration and Emotional Well-being
Understanding Left Knee Dislocation with Patellar Fracture: Treatment Options
Dislocation of the left knee joint with associated patellar fracture? Hello, Doctor. On December 13, 2015, I injured my knee while jumping to play basketball. After an MRI, the doctor diagnosed me with "left knee dislocation with associated patellar fracture." During th...
Dr. Shi Guozheng Reply:
Patellar fractures that are non-displaced can be treated conservatively. However, if there is displacement, surgical intervention is necessary. If the articular surface is intact and undamaged, healing will result in a condition similar to normal. Therefore, the choice of treatme...[Read More] Understanding Left Knee Dislocation with Patellar Fracture: Treatment Options
Can a Cracked Bone Heal on Its Own After a Fall?
Fractured bone? When the knee hits the ground during a fall, it can cause a fracture at the junction of the lower leg bones. Can the fractured bone heal on its own, or is surgery recommended?
Dr. Chen Yongxue Reply:
Hello, are you referring to the "connection point of the calf" as the patella? Typically, when the knee is on the ground, it is prone to patellar fractures, which can easily become displaced. Once a patellar fracture is displaced, surgical intervention is required for t...[Read More] Can a Cracked Bone Heal on Its Own After a Fall?
Understanding Patellar Fractures: Treatment Options and Recovery Insights
There is a suspected fracture at the one-third point of the left knee patella? Hello Dr. Shi, I apologize for bothering you. In July 2014, I hit my left knee against the handle of a plastic waist-high table. The impact was quite forceful (similar to suddenly standing up from a c...
Dr. Shi Guozheng Reply:
Without seeing the actual X-ray, it is difficult to determine whether the surgery has been beneficial for you. However, based on your description, it seems that your patella may be congenitally bipartite, meaning that the kneecap is composed of two separate pieces. This condition...[Read More] Understanding Patellar Fractures: Treatment Options and Recovery Insights
Impact of Retained Steel Pins on Knee Health After Patella Fracture
Steel nails for patellar fractures associated with posterior cruciate ligament injuries? Hello Doctor: Two years ago, I had a car accident and suffered a patellar fracture, for which I underwent surgery and had two steel pins inserted for fixation. During my last follow-up appoin...
Dr. Shi Guozheng Reply:
If the steel pin does not protrude or affect the joint, it can be left in place. The pin is made of stainless steel, which is less prone to oxidation. However, if it has already protruded and is piercing the skin or subcutaneous tissue, it is advisable to have it removed.[Read More] Impact of Retained Steel Pins on Knee Health After Patella Fracture
Managing Patellar Fracture Aftermath: Exercises and Recovery Tips
Complications of Patellar Fractures Hello, doctor. About six months ago, I fractured my right patella. Two months later, I had the cast removed, and now I can bend my knee normally. However, when sitting and performing a forward kick with my calf, it feels a bit difficult and not...
Dr. Shi Guozheng Reply:
The physician's statement is correct; performing quadriceps strength training will lead to improvements. However, the same exercise should not be done excessively in one day. If soreness occurs, it is advisable to reduce the intensity or volume.[Read More] Managing Patellar Fracture Aftermath: Exercises and Recovery Tips
Understanding Patellar Fractures: Recovery, Rehabilitation, and Concerns
Patellar fracture Hello, Doctor. My mother accidentally fell on September 5, resulting in a fracture of the right patella. The doctor said it was just a crack without displacement, so surgery was not necessary. After about two weeks in a cast, it was removed, and the doctor advis...
Dr. Li Wenlin Reply:
Hello, in response to your question, based on your description, your mother's condition should gradually improve. I personally suggest: 1. These questions should be directed to your mother's attending physician (as I cannot see her X-rays or examine her in person). 2. I...[Read More] Understanding Patellar Fractures: Recovery, Rehabilitation, and Concerns
Understanding Patellar Fractures: Recovery Time and Treatment Options
Patellar fracture Hello, I fractured my right patella on May 20, with two lines and a small chip. Initially, I was able to fully extend and flex my knee, and the pain was not significant. I did not undergo surgery and only had a cast applied. How long does a typical patellar frac...
Dr. Shi Guozheng Reply:
If the crack runs longitudinally, it is not in the direction of the applied force, which means it is less likely to displace. However, if the crack runs transversely, one should be cautious as excessive bending of the knee may lead to displacement of the fracture. The duration of...[Read More] Understanding Patellar Fractures: Recovery Time and Treatment Options
Patellar Fractures: Cast vs. Pins - Which Treatment is Best?
Patellar fracture? The treatment for a patellar fracture may involve either casting or the use of bone screws. The choice between these options depends on the type and severity of the fracture. Generally, surgical fixation with bone screws is preferred for displaced fractures, as...
Dr. Li Wenlin Reply:
Hello: The treatment for a patellar fracture is determined by the size of the gap at the fracture site and its location, which will dictate whether casting or surgical internal fixation is necessary. Regardless of whether a cast or surgical treatment is used, a recovery period of...[Read More] Patellar Fractures: Cast vs. Pins - Which Treatment is Best?
Understanding Patellar Fractures: Healing Time, Recovery Tips, and Muscle Rehab
Patellar fracture Hello Doctor, Subject: 1. Five months ago, I fractured my left patella (in three major pieces) due to a fall. I underwent surgery where screws and wires were used for fixation, and the cast has now been removed. Questions: 1. An X-ray shows that the bone h...
Dr. Chen Xingyuan Reply:
Dear Readers: After a patellar comminuted fracture surgery, it is crucial to pay special attention to protection and rehabilitation. Firstly, 1.5 months post-surgery, X-rays generally do not show bone growth, unless it is a child. The primary purpose of X-ray follow-ups is to che...[Read More] Understanding Patellar Fractures: Healing Time, Recovery Tips, and Muscle Rehab
Overcoming Knee Injuries: A Basketball Player's Journey to Recovery
I hope to get back on the basketball court! Hello, Doctor. I am a basketball player living in Taichung. My height is 178 cm and my weight is 78 kg. I have had surgery on both knees: my left knee underwent anterior cruciate ligament reconstruction a year ago, and my right knee had...
Dr. Shi Qiming Reply:
Hello: It is recommended that you continue with rehabilitation and avoid any vigorous activities for the time being to prevent re-injury. Some benefits of rehabilitation may not be immediately apparent and require a prolonged treatment period. If you have any questions, please vi...[Read More] Overcoming Knee Injuries: A Basketball Player's Journey to Recovery
Should You See a Doctor for a Month-Long Knee Injury?
I have had knee pain for a month. Should I see a doctor? Hello Doctor: At the end of June, I slipped and my knee hit the floor hard. I felt at that moment that it was serious. Indeed, it has been over a month since the injury, and I have been using topical analgesics for joint pa...
Dr. Chu Baijun Reply:
Hello Miss QQ: When falling, a direct impact of the knee against the floor can lead to serious injuries, including fractures of the patella. Some types of patellar fractures may allow for basic knee function despite swelling and pain, which can cause patients to overlook the impo...[Read More] Should You See a Doctor for a Month-Long Knee Injury?
Knee and Calf Pain After Fracture: Military Service Implications
Knee and calf pain? Hello, doctor. I fractured my knee last year, specifically a patellar fracture. I have had O-shaped legs since childhood, and after walking for long periods, my knee and calf often feel sore. Since the fracture, the area around my patella has been particularly...
Dr. Shi Qiming Reply:
Hello: Due to the insufficient information provided regarding your actual condition (the term "calf angle" at 0 degrees is not a professional orthopedic medical term), we recommend that you visit our orthopedic outpatient clinic for a lower limb X-ray examination and a ...[Read More] Knee and Calf Pain After Fracture: Military Service Implications
Managing Chronic Knee and Spine Pain After Surgery: Expert Insights
Spinal knee pain I had an accident a year and a half ago that resulted in fractures of my right knee and the twelfth vertebra, requiring surgery and fixation devices. The steel pins in my right knee were removed a year ago, and the spinal fixation device was removed before the Lu...
Dr. Shi Qiming Reply:
Hello: Due to your multiple severe fractures, particularly the fracture of the twelfth thoracic vertebra, there are many potential sequelae. Regarding the displaced patellar fracture (which I believe is a 0.2 cm discrepancy), the risk of developing osteoarthritis significantly in...[Read More] Managing Chronic Knee and Spine Pain After Surgery: Expert Insights
Rehabilitation After Knee Fracture Surgery: When to Start?
After a patellar fracture that requires surgical repair with pins, is rehabilitation necessary? Hello Dr. Chou, My mother slipped and fell at home in early April, resulting in a fracture of the upper part of her knee bone. She received immediate medical attention, underwent surg...
Dr. Zhou Lizhi Reply:
Patellar fractures depend on the degree of comminution and displacement. If properly stabilized, casting may not be necessary; however, in cases of comminuted fractures or in patients with osteoporosis, casting is required. Based on the information from online sources, this appea...[Read More] Rehabilitation After Knee Fracture Surgery: When to Start?
Can I Walk and Drive After My Patella Fracture Recovery?
Can I resume normal activities? Dear Dr. Yang, I apologize for bothering you again! I would like to ask about my patellar fracture, which is classified as a second-degree fracture. After a month of being in a cast, it is about to be removed, but the X-ray shows that the fracture...
Dr. Yang Zhengfan Reply:
Dear Xiaozhu, I have reviewed my previous response to you, and I still believe I was correct. A previously fractured patella does not have any warranty period. The X-ray shows that the bone has not healed, which means it remains unhealed. Of course, bending could potentially incr...[Read More] Can I Walk and Drive After My Patella Fracture Recovery?
Understanding Recurrent Patellar Fractures: Recovery and Concerns
Right knee patella re-fracture? Dear Dr. Yang, I would like to ask you a question: Three months ago, I suffered a patellar fracture due to an accident. After surgery, the fracture was stabilized with bone screws. Three weeks ago, I experienced severe pain due to the displacement...
Dr. Yang Zhengfan Reply:
Dear Xiaozhu, the typical healing time for fractures is about three months. However, we wait until a year to remove the metal pins primarily because we want to avoid severe complications, such as re-fracture, which can depend on the degree of displacement of the fragments after t...[Read More] Understanding Recurrent Patellar Fractures: Recovery and Concerns
Post-Surgery Recovery Time for Knee and Pelvis Injuries Explained
I have a question I would like to ask the doctor? I was involved in a car accident where I hit a woman who is approximately 53 years old. When she was taken to the hospital, the doctor said she has a dislocated patella and pelvis, and she needs surgery. She has had surgery before...
Dr. Yang Zhengfan Reply:
Dear Xiao Jia, in medical terms, there is no such thing as "patellar dislocation." What you are likely referring to is a patellar fracture. The healing time for a fracture typically ranges from three months to six months. However, the time it takes to be able to walk ag...[Read More] Post-Surgery Recovery Time for Knee and Pelvis Injuries Explained