Recovery Time and Considerations for Osteotomy and Bone Fusion Surgery
Osteotomy and bone fusion surgery? Doctor, I'm here to ask you again because I'm a student. If I undergo this surgery, osteotomy and bone fusion, how long will I need to stay in the hospital? After that, will I need to rest? Can I return to work and school normally?
Dr. Shi Guozheng Reply:
The correction treatment for bow legs requires osteotomy and bone fusion. After the surgery, a hospital stay of about one week is necessary, and it may also require the use of a cast or brace for approximately three months. During this period, rest is essential, making it difficu...[Read More] Recovery Time and Considerations for Osteotomy and Bone Fusion Surgery
Do I Need Treatment for Pectus Carinatum? Risks and Options Explained
Does chickenpox require treatment? I have pectus carinatum. Although it doesn't affect my daily life, it makes me feel very self-conscious. Can it be treated? Is the surgical risk high? How much does it cost? What are the treatment options? How long is the recovery? Thank yo...
Dr. Chen Xingyuan Reply:
Dear Ms. Nikki, The treatment for pectus carinatum (commonly referred to as "chicken breast") falls under the scope of thoracic surgery, and it would be best to consult a specialist in this field for satisfactory answers. Attached is some online information for your re...[Read More] Do I Need Treatment for Pectus Carinatum? Risks and Options Explained
Understanding Joint Replacement Surgery: Success Rates and Longevity
Inquire about surgical-related questions? If the joint replacement surgery is successful, it typically needs to be replaced approximately every 15 to 20 years. The success rate of the surgery is generally high, often reported to be around 90-95%. However, potential complications ...
Dr. Shi Guozheng Reply:
The success rate of joint replacement surgery is very high, generally exceeding 95%. However, the longevity of the artificial joint depends on factors such as the method of use, the patient's age, activity level, and the specific joint involved. Typically, the best outcomes ...[Read More] Understanding Joint Replacement Surgery: Success Rates and Longevity
Can Dental Implants Be Safely Placed After Hip Replacement Surgery?
Is it possible to have dental implants after hip replacement surgery? Hello, Doctor: I underwent two total hip arthroplasties last year (in May due to a femoral neck fracture, I received a partial prosthesis, which was later removed in September due to postoperative infection and...
Dr. Shi Guozheng Reply:
If a patient has artificial joints, it is necessary to use prophylactic antibiotics before undergoing dental treatment or surgery. Medication may need to be administered prior to the procedure, and strict postoperative monitoring is required. There is a risk of infection, but wit...[Read More] Can Dental Implants Be Safely Placed After Hip Replacement Surgery?
Minimally Invasive Percutaneous Surgery Options in Yunlin County
Trigger finger issues? Could you please let me know if your hospital performs percutaneous dilatational tracheostomy? If so, could you recommend a physician in Yunlin County? My family is afraid of traditional open surgery, so I am inquiring about this. Thank you!
Dr. Lin Gengxiao Reply:
Hello, this is actually a wound of about 0.2 cm. The difference compared to a wound of 1.0-1.5 cm may seem significant in the short term, but after two to three months, there is no significant difference. Additionally, percutaneous incision and drainage may occasionally be incomp...[Read More] Minimally Invasive Percutaneous Surgery Options in Yunlin County
Understanding Thumb Deformity: Non-Surgical Correction Options
Thumb abduction orthosis Hello, doctor: Although hallux valgus can be corrected through orthopedic surgery, I am concerned because not only is my big toe deviated, but my big toe and second toe are also deformed. I am worried about the risk of postoperative walking difficulties. ...
Dr. Ye Qingnian Reply:
Hallux valgus, commonly known as bunions, is currently treated primarily through surgical intervention, as there are no braces available that can effectively correct the condition. Additionally, the second toe has also become deformed, which may be due to prolonged wearing of poi...[Read More] Understanding Thumb Deformity: Non-Surgical Correction Options
Post-Ankle Surgery Rehabilitation: Managing Swelling and Footwear Tips
How to rehabilitate after ankle surgery swelling? I underwent surgery on my left ankle on September 13, 2004, where an AO plate was used for fixation on the left side and a screw was placed on the right side. I started walking three months post-surgery, and now, six months later,...
Dr. Li Wenlin Reply:
Hello: In response to your question... Ankle fractures generally require about three months for recovery. The condition after three months varies depending on the individual's fracture situation, surgical method, and postoperative care (such as the duration of cast immobiliz...[Read More] Post-Ankle Surgery Rehabilitation: Managing Swelling and Footwear Tips
Understanding Ankle Fractures: Risks of Leaving Hardware In and Recovery Tips
Fracture Hello Dr. Lee: I fractured my ankle three months ago and had surgery to place a fixation plate. If I choose not to have the plate removed, will there be any long-term complications? Can I engage in more intense physical activities? Will the plate loosen if it remains in ...
Dr. Li Wenlin Reply:
Hello: In response to your questions... 1. Since the metal plate is a foreign object, if there are no absolute contraindications for further surgery, it is best to remove the plate if the postoperative fracture has healed well. Current literature does not indicate that prolonged ...[Read More] Understanding Ankle Fractures: Risks of Leaving Hardware In and Recovery Tips
Understanding the Risks and Complications of Bone Cement Surgery
What are the complications of bone cement? Dear Doctor, my grandmother recently underwent a vertebroplasty procedure. Here is a detailed account of the events: On January 14, 2005, an X-ray was taken during an outpatient visit, and the doctor indicated that the ninth vertebra was...
Dr. Yang Zhengfan Reply:
Dear Mr. Chen, Regarding your question, I have thought about it for a long time and I am not sure how to respond. 1. The risk of cement leakage during vertebroplasty is not low, with foreign statistics indicating a range of approximately 2-10%. Most cases of leakage do not pre...[Read More] Understanding the Risks and Complications of Bone Cement Surgery
Understanding Elbow Surgery: Complications and Recovery After Hardware Removal
Removal of metal screws Hello Director Li, I was injured in a car accident last year, resulting in a comminuted fracture of the ulnar olecranon in my right elbow. After an emergency surgery where steel pins were used for internal fixation, the pins were removed three months later...
Dr. Li Wenlin Reply:
Hello: In response to your question... Postoperative stiffness of the elbow joint is indeed challenging to manage. The treatment methods are as follows: 1. Active rehabilitation 2. Arthrolysis 3. Gradual use of splints or casting 4. Capsular release and adhesiolysis. Generally sp...[Read More] Understanding Elbow Surgery: Complications and Recovery After Hardware Removal
Understanding the Cure for Pigmented Villonodular Synovitis in the Knee
Cure of Pigmented Villonodular Synovitis of the Knee Joint Hello Dr. Li, I would like to ask a question. After undergoing surgery four times, I was diagnosed by a physician with pigmented villonodular synovitis of the knee joint. The doctor at Hospital A, where I had my surgeries...
Dr. Li Wenlin Reply:
Hello: In response to your question... pigmented villonodular synovitis can be categorized into two types. The first type is localized and nodular. Clinically, it presents as a single mass or multiple masses that are distinctly separated from the adjacent synovium. The second typ...[Read More] Understanding the Cure for Pigmented Villonodular Synovitis in the Knee
Evaluating Recovery After Knee Replacement Surgery: Fitness Assessment Tools
Knee arthroplasty How can we assess the healing status after knee replacement surgery? If we use physical fitness as a measure, is there a specific assessment scale to evaluate the condition after knee replacement surgery? Thank you!
Dr. Lin Yijun Reply:
The recovery after knee joint replacement surgery involves a wide range of factors. In addition to the range of motion of the knee joint and the strength of the surrounding muscles, it also includes the range of motion of other joints and the muscles around the hip and calf. This...[Read More] Evaluating Recovery After Knee Replacement Surgery: Fitness Assessment Tools
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
Understanding Synovial Tumors: Symptoms, Treatment, and Prognosis
Synovial tumor Hello, I would like to ask about my condition. I started experiencing severe pain in my knee in 1999 due to something getting stuck inside. X-rays showed normal results. By 2000, I began to have swelling, and the fluid extracted was bloody. After undergoing arthros...
Dr. Li Wenlin Reply:
Hello: In response to your question... based on your description, you are most likely suffering from pigmented villonodular synovitis (PVNS), which is a benign tumor characterized by a tendency to recur. Pathologically, it may be derived from fibroblasts or macrophages, and the l...[Read More] Understanding Synovial Tumors: Symptoms, Treatment, and Prognosis
How to Address Mild Hallux Valgus: Tips for Managing Bunions
Hallux Valgus If there is a slight valgus deformity of the big toe, what should be done?
Dr. Huang Longde Reply:
Hallux valgus, commonly known as a bunion, refers to the lateral deviation of the big toe away from the midline, often resulting in the formation of a bursa on the inner side of the first metatarsophalangeal joint, which can cause redness, swelling, and pain. While hallux valgus ...[Read More] How to Address Mild Hallux Valgus: Tips for Managing Bunions
Understanding Hallux Valgus: Causes and Treatment Options
Hallux valgus Protrusion of the first phalanx of the big toe.
Dr. Lai Qiren Reply:
Hallux valgus, commonly referred to as a bunion, is a condition characterized by the deviation of the big toe away from the midline, resulting in an outward bending. This condition often leads to the formation of a bursa on the medial aspect of the first metatarsophalangeal joint...[Read More] Understanding Hallux Valgus: Causes and Treatment Options
Post-Operative Care After Hip Replacement: Managing Infections and Antibiotics
Postoperative care after total hip arthroplasty? Dear Doctor, I suffered a left femoral neck fracture at the end of April and underwent a hemiarthroplasty. Unfortunately, due to a postoperative infection, my rehabilitation progress was poor. On September 17, I had surgery to rem...
Dr. Shi Guozheng Reply:
Prolonged use of antibiotics can have adverse effects on the body, particularly on the kidneys and liver. Currently, the best approach is to continue monitoring CRP levels until they drop below 1, at which point antibiotic use can be discontinued. In terms of rehabilitation, it i...[Read More] Post-Operative Care After Hip Replacement: Managing Infections and Antibiotics
Understanding Knee Surgery Options: Insights on Recovery and Rehabilitation
I'm sorry Dr. Li: Thank you for your detailed response to my questions. I have already gone for a consultation at the Veterans General Hospital with Dr. Ma. He used a patellar tendon graft and informed me that this method is stronger, but the recovery time is longer, and the...
Dr. Li Wenlin Reply:
Hello: In response to your questions... 1. During arthroscopic surgery, the condition of the meniscus can be clearly assessed, and if possible, it can be addressed simultaneously (for example, partial tears can be treated with partial meniscectomy). 2. You should currently be wea...[Read More] Understanding Knee Surgery Options: Insights on Recovery and Rehabilitation
Are There Risks of Antibiotic Overdose After Orthopedic Surgery?
Is there a problem with antibiotic overuse? Hello, doctor! Due to elbow surgery, I received an injection of the antibiotic Cefazolin Sodium postoperatively. However, the nurse mistakenly interpreted the dosage for three doses as three days. Will this have any side effects on my b...
Dr. Shi Qiming Reply:
Dear Sir/Madam: Administering antibiotics should certainly follow the principle of appropriate dosage. Taking three doses a day for three days is not harmful to the body, so there is no need for excessive concern. Orthopedic Department, Hsinchu Hospital, Department of Health, Exe...[Read More] Are There Risks of Antibiotic Overdose After Orthopedic Surgery?
Understanding Tibial Osteotomy: Risks and Recovery Time Explained
Regarding tibial osteotomy surgery? I have patellar chondromalacia and underwent arthroscopic debridement and lavage two years ago, but the results were unsatisfactory. Therefore, my doctor has recommended a tibial osteotomy. I would like to inquire about (1) the potential compli...
Dr. Shi Guozheng Reply:
The effectiveness of tibial osteotomy for chondromalacia needs to be thoroughly evaluated; if it proves ineffective after the procedure, it could be problematic. Additionally, there are potential postoperative complications: one is the change in bone alignment, which may complica...[Read More] Understanding Tibial Osteotomy: Risks and Recovery Time Explained