Understanding Flatfoot Surgery: Implant Concerns and Recovery for Kids
Flatfoot, valgus foot, subtalar joint fusion implant? At Kaohsiung Chang Gung Memorial Hospital, prior to surgery, it was mentioned that if there were no issues, the implant would not need to be removed. Three months post-operation, the wound healed normally, but the doctor state...
Dr. Chen Yongxue Reply:
Hello, regarding your situation, it would be best to ask your attending physician in person rather than relying on another doctor for answers. They may not fully understand the surgical process, the method used, or the postoperative condition, and their comments may not be entire...[Read More] Understanding Flatfoot Surgery: Implant Concerns and Recovery for Kids
Understanding Shoulder Arthroscopy: Recovery Tips and Concerns
Shoulder arthroscopy issues? Due to ligament laxity, the preoperative explanation for the endoscopic surgery indicated that a backpack-like brace should be used for stabilization on the side. However, I have been using a regular arm sling hanging in front of my chest during the s...
Dr. Li Yongheng Reply:
Using a standard arm sling provides less stabilization than a brace; however, since you have been using the sling for six weeks, there is no need for a brace at this point. Postoperative rehabilitation is equally important as the surgery itself, so you may ask your attending phys...[Read More] Understanding Shoulder Arthroscopy: Recovery Tips and Concerns
Understanding External Rotation After Tibia and Fibula Fractures
Tibial and fibular fractures resulting in external rotation? Hello doctor, I was in a car accident on August 14th, resulting in two fractures each in my tibia and fibula. The tibia was stabilized with a metal rod and two screws, and I did not have a cast. After the surgery, I not...
Dr. Ye Qingnian Reply:
Originally, there was no outward angulation of the toes, but after surgery, it has changed to an outward position. We need to examine the postoperative X-rays to determine the situation. Moving the foot up and down can promote blood circulation and prevent stiffness and immobilit...[Read More] Understanding External Rotation After Tibia and Fibula Fractures
Is Tibial Plateau Fracture Considered a Closed Fracture Without Blood?
Is a tibial plateau fracture considered a closed, non-displaced fracture? Hello Dr. Yeh, is the surgical procedure for tibial plateau fracture reduction considered a closed fracture surgery without visible blood? A steel plate was installed on the right leg. How can we distinguis...
Dr. Chen Yongxue Reply:
Hello, first, surgery for tibial plateau fractures typically requires an open reduction, as it cannot be treated with closed reduction. Second, during the surgical procedure, a tourniquet is used, so there will be minimal bleeding during the operation; however, it is normal to ha...[Read More] Is Tibial Plateau Fracture Considered a Closed Fracture Without Blood?
Understanding Ligament Healing After Shoulder Surgery: Key Concerns
Shoulder arthroscopy issues 2 Hello, I am the questioner of #127600. Is it possible for a sutured ligament to heal back, so it doesn't guarantee 100% recovery? Is the repaired ligament more susceptible to injury compared to the original one? After waiting for rehabilitation ...
Dr. Li Yongheng Reply:
Hello, there are various types of diseases, and even within endoscopic surgery, there are many different procedures, so it cannot be generalized. Postoperatively, there is no guarantee of 100% success, as rehabilitation after shoulder surgery is just as important as the surgery i...[Read More] Understanding Ligament Healing After Shoulder Surgery: Key Concerns
Post-Knee Surgery: Understanding Pain and Potential Long-Term Effects
It seems that there are some residual effects after knee surgery? Hello Doctor: I consulted last year due to knee issues and was diagnosed with left knee plica syndrome and partial tear of the anterior cruciate ligament. Surgery was performed to address the bone wear and to repai...
Dr. Shi Guozheng Reply:
You didn't specify what type of surgery it was, and it's not necessarily a postoperative complication. Rehabilitation after knee surgery can sometimes take as long as six months to a year.[Read More] Post-Knee Surgery: Understanding Pain and Potential Long-Term Effects
Understanding Artificial Knee Loosening: Causes, Solutions, and Recovery
What are the subsequent actions after a knee prosthesis loosens? 1) The postoperative X-rays initially showed normal alignment, but the loosening after one year could be attributed to inadequate bonding agents or suboptimal material quality between the artificial knee and the tib...
Dr. Shi Guozheng Reply:
1. There are many reasons for loosening within a year, and poor bone quality is one of them. It is usually unrelated to the material. 2. It is not related to posture. 3. It can only be reopened. 4. There is a possibility that it may occur.[Read More] Understanding Artificial Knee Loosening: Causes, Solutions, and Recovery
Understanding Hip Joint Pain After Partial and Total Replacement Surgery
Artificial joint Dear Dr. Shi, Thank you for taking the time to read my question amidst your busy schedule. I underwent a hemiarthroplasty for avascular necrosis of the right hip in 1997 due to a fracture, and in 2008, I had a total hip arthroplasty (THA) at Chang Gung Memorial ...
Dr. Shi Guozheng Reply:
1. Postoperative thigh pain after total hip arthroplasty is commonly observed clinically and is usually due to stress shielding caused by the femoral stem of the prosthesis, which can lead to a portion of the femur becoming less dense, resulting in pain. However, this is typicall...[Read More] Understanding Hip Joint Pain After Partial and Total Replacement Surgery
Understanding Post-Surgery Complications of Flatfoot Surgery in Teens
Post-operative complications of flatfoot surgery? Hello, I would like to ask about my child (18 years old, female) who has had flat feet and hallux valgus for three years, experiencing pain. After examinations at Taipei Medical University Hospital and Shin Kong Wu Ho-Su Memorial ...
Dr. Chen Yongxue Reply:
Postoperative pain should be treated by the surgeon who performed the procedure, as they are the one who truly understands the circumstances during the surgery.[Read More] Understanding Post-Surgery Complications of Flatfoot Surgery in Teens
Understanding Post-Rotator Cuff Repair: Bone Movement and X-Ray Findings
Rotator cuff repair After a rotator cuff repair, if you feel that the bone is shifting but X-rays do not show any abnormalities, it could be due to the muscles not having fully healed yet. However, it is also possible that there may be a re-tear. It is important to follow up with...
Dr. Shen Boquan Reply:
Hello, I’m not sure how long it has been since your surgery. How is your pain and range of motion? If your range of motion is still normal, the rotator cuff should not have re-ruptured. Have you returned for a follow-up appointment? You should discuss these postoperative recovery...[Read More] Understanding Post-Rotator Cuff Repair: Bone Movement and X-Ray Findings
Understanding Post-Meniscus Surgery Knee Issues: Causes and Solutions
Meniscus surgery postoperative care Hello, doctor! I underwent arthroscopic meniscus repair surgery on my knee 10 months ago, but nearly a year later, I still feel a catching sensation in my patella. When I stand upright and try to bend my knee, it feels like it gets stuck. I wou...
Dr. Shi Guozheng Reply:
If the meniscus is repaired quickly, the patellar crepitus may indicate an issue with the patella.[Read More] Understanding Post-Meniscus Surgery Knee Issues: Causes and Solutions
Post-Surgery Pain After Ganglion Cyst Removal: What to Expect
Persistent discomfort after surgery for a ganglion cyst? Hello, doctor. Four years ago, I had surgery for a ganglion cyst on the dorsum of my foot due to pain. However, after all these years, I still feel pain at the surgical site. Even light pressure causes pain that radiates to...
Dr. Shi Guozheng Reply:
Post-surgery pain near the incision site after a ganglion cyst removal may not be related to the surgery itself but rather associated with tendon sheath inflammation. This inflammation can also be related to foot movement or friction. Initially, symptomatic relief can be achieved...[Read More] Post-Surgery Pain After Ganglion Cyst Removal: What to Expect
Post-Operative Hip Pain: Understanding Recovery Variability in Elderly Patients
Postoperative Pain Issues After Hip Joint Surgery The patient is 86 years old, with a height of 165 cm and a weight of 67 kg. On September 23, they underwent a right total hip replacement. To date, transitioning from sitting to standing still causes groin pain, and after standing...
Dr. Hong Ximing Reply:
Total hip replacement surgery was performed less than two months ago, and the patient is 86 years old. A period of rehabilitation is needed before they can move around easily.[Read More] Post-Operative Hip Pain: Understanding Recovery Variability in Elderly Patients
Do You Need Rehab After Lateral Meniscus Repair? Expert Insights
Is rehabilitation necessary after lateral meniscus repair? Hello, Doctor. I was injured in a car accident, resulting in a lateral meniscus tear and a torn cruciate ligament. I have already undergone arthroscopic meniscus repair, and the ligament does not require reconstruction. H...
Dr. Shi Guozheng Reply:
The purpose of rehabilitation is to restore muscle strength as quickly as possible, and it is not necessary to supplement with special nutritional products. Diabetes will not affect recovery as long as blood sugar levels are well-controlled.[Read More] Do You Need Rehab After Lateral Meniscus Repair? Expert Insights
Is It Time to Remove Your Ulnar Nail After Fracture Healing?
Removal of steel pins from ulnar fracture? Hello Dr. Hong, I would like to ask about a case of an ulnar olecranon closed comminuted fracture that underwent surgical fixation with a steel pin. It has now been four months, and the X-ray shows good postoperative healing. Is it possi...
Dr. Hong Ximing Reply:
The ulnar olecranon comminuted fracture has healed well, but it is still recommended to wait until the surgical scar matures and stabilizes before removal, in order to minimize tissue damage.[Read More] Is It Time to Remove Your Ulnar Nail After Fracture Healing?
Post-Operative Care for Knee Replacement: Ice vs. Heat and Wound Management
Total Knee Replacement Hello, my mother just had a total knee replacement surgery. She has been discharged and is scheduled for a follow-up appointment in two weeks. Currently, her entire right leg is very swollen. Should she use ice or heat for the swelling? Additionally, there ...
Dr. Li Yongheng Reply:
Two weeks after discharge, if postoperative infection or lower limb venous thrombosis has been ruled out, swelling should be considered a normal phenomenon. Generally, it should subside within four to six weeks. Patients are advised to elevate the affected limb, apply ice, and re...[Read More] Post-Operative Care for Knee Replacement: Ice vs. Heat and Wound Management
Understanding Clavicle End Fractures: Treatment Options and Concerns
Fracture of the distal clavicle and distal clavicle ligament injury? A few days ago, I was in a car accident, and the hospital examined me and found that I have a fracture and ligament tear at the distal end of my clavicle. The distal end of the clavicle shows a vertical fracture...
Dr. Chen Yongxue Reply:
Hello, distal clavicle fractures can sometimes be associated with acromioclavicular joint dislocation, causing the clavicle to elevate and move away from its original position. This type of displacement cannot be realigned through conservative treatment and requires surgical inte...[Read More] Understanding Clavicle End Fractures: Treatment Options and Concerns
Is PRP Injection Beneficial for ACL Surgery Recovery?
Is PRP injection effective after anterior cruciate ligament surgery? I suffered a torn anterior cruciate ligament (ACL) due to a car accident and playing basketball. Since I am only 20 years old and enjoy sports, I have decided to undergo reconstruction surgery next Monday. The d...
Dr. Hong Ximing Reply:
After anterior cruciate ligament reconstruction, it is best to avoid engaging in the same intense sports activities. PRP injection, due to its high concentration of growth factors, can aid in the healing and repair of ligaments. However, I cannot comment on the cost.[Read More] Is PRP Injection Beneficial for ACL Surgery Recovery?
Should You Remove Your Wrist Plate? Risks and Alternatives Explained
Removal of radial steel plate and screws? Three years ago, I suffered a fracture of the left radius due to a car accident. Now, when lifting heavy objects, I experience discomfort in my wrist, as if the tendons are being compressed and causing pain. Is it advisable to remove the ...
Dr. Shi Guozheng Reply:
If the bone screw is already encased by bone, it may be difficult to remove. If removal is necessary, the bone may need to be drilled away, which could potentially cause a fracture during the procedure. If the removal is successful, there shouldn't be significant issues. If ...[Read More] Should You Remove Your Wrist Plate? Risks and Alternatives Explained
Understanding Numbness After Distal Radius Fracture Surgery: What to Expect
Distal radius fracture of the right hand? Hello, doctor. I had surgery on April 5th for a fracture of the right radius due to a car accident. However, since the surgery, my right fingers have been persistently numb. I consulted with my doctor, who said this is normal. I would lik...
Dr. Ye Qingnian Reply:
Surgical treatment for a distal radius fracture may result in postoperative finger numbness, which could be due to traction on the median nerve during the procedure. If it is solely due to traction on the median nerve, it should gradually improve over time.[Read More] Understanding Numbness After Distal Radius Fracture Surgery: What to Expect