Understanding Complications After Hip Surgery: Pins, Plates, and Recovery
Issues with femoral joint steel nails and plates? Dear Doctor, I underwent surgery on May 7th for a "right pelvic fracture with associated right hip dislocation." However, the doctor informed me that my pelvis is fragmented, and instead of a hip replacement, I opted for...
Dr. Ye Qingnian Reply:
In the case of a comminuted right hip fracture, it is crucial to strictly follow the attending physician's instructions and avoid putting weight on the affected leg; otherwise, displacement may occur, leading to lifelong regrets. If there is significant pain, an X-ray should...[Read More] Understanding Complications After Hip Surgery: Pins, Plates, and Recovery
Understanding Tendon Surgery Recovery: Key Insights and Concerns
Post-Tendon Surgery My brother suffered a tendon injury on the back of his wrist from a glass cut two days ago, causing his right middle and ring fingers to bend involuntarily and be unable to extend. He underwent surgery under local anesthesia in the plastic surgery department a...
Dr. Shi Guozheng Reply:
Typically, injuries to the extensor tendons of the fingers on the dorsal side of the hand heal well after suturing. The tendons on the back of the hand are less likely to develop adhesions. Treatment for hand injuries can be effectively managed by either a hand surgeon or an orth...[Read More] Understanding Tendon Surgery Recovery: Key Insights and Concerns
Understanding PVNS: Treatment Options and Risks for Knee Recurrence
Pigmented Villonodular Syn Hello Doctor: I have undergone MRI scans at China Medical University in Taichung and Taipei Veterans General Hospital, both confirming a diagnosis of pigmented villonodular synovitis (PVNS). Previously, I had an arthroscopy performed at China Medical Un...
Dr. Shi Guozheng Reply:
1. PVNS often recurs; it has been over six months since the surgery in October, and it should still be manageable unless the symptoms are severe and affect function. 2. If the articular cartilage is ultimately damaged, there is a higher likelihood of needing knee arthroplasty co...[Read More] Understanding PVNS: Treatment Options and Risks for Knee Recurrence
Cost and Recovery of Triangular Fibrocartilage Repair Surgery
Triangular fibrocartilage complex (TFCC) injury wrist arthroscopy? Hello doctor, may I ask how much the cost of arthroscopic surgery for repairing a triangular fibrocartilage complex (TFCC) tear typically is? What are the potential postoperative complications? Is it possible to a...
Dr. Shi Guozheng Reply:
For issues in this area, you may need to consult a hand surgeon or an orthopedic specialist at a medical center. As for the costs, it would be best to discuss them with the attending physician, as they may vary depending on the potential for recovery.[Read More] Cost and Recovery of Triangular Fibrocartilage Repair Surgery
Post-Surgery Stretching Techniques for Relieving Pain and Weakness
Stretching and Relaxation 2 I apologize, but could you clarify your question regarding the small incision made near the eagle's beak for stretching? How is the procedure performed, and will there be weakness or soreness postoperatively?
Dr. Hong Ximing Reply:
The small hole near the beak of the eagle may be related to your condition. I cannot provide a detailed answer, so please consult your attending physician for more information.[Read More] Post-Surgery Stretching Techniques for Relieving Pain and Weakness
Post-ACL Reconstruction and Meniscus Repair: Understanding Complications and Recovery
ACL reconstruction + meniscus repair suturing Hello Dr. Shih, good evening. I apologize for disturbing you. I am Professor Lai's nephew, and my surname is Lu. Due to my work in the Philippines this year, I am temporarily unable to return to Taiwan for medical consultation. I...
Dr. Shi Guozheng Reply:
The sequelae you mentioned can occur, but it's essential to have a physician evaluate the situation to determine the cause of the knee joint swelling. Applying ice and resting may help improve the condition. If there is no further injury, recovery typically progresses gradua...[Read More] Post-ACL Reconstruction and Meniscus Repair: Understanding Complications and Recovery
Understanding Knee Surgery Recovery: Pain, Rehab, and Swelling Explained
Knee Surgery Techniques Hello, doctor. I had a car accident in December 2015, which resulted in a fracture of my right knee cap. I underwent surgery where two screws were inserted. The doctor mentioned it would take three months to heal, and now that almost three months have pass...
Dr. Ye Qingnian Reply:
After a patellar (kneecap) fracture surgery, there is swelling and pain in the ankle, which may be due to poor circulation in the lower limb and inadequate postoperative rehabilitation. The first step is to reduce the swelling. Lying flat with the injured leg elevated and perform...[Read More] Understanding Knee Surgery Recovery: Pain, Rehab, and Swelling Explained
Understanding Tibial Plateau Fractures: Treatment, Recovery, and Complications
Regarding comminuted fractures? I came across an article written by Dr. Shi regarding tibial plateau fractures and would like to ask some questions about comminuted tibial plateau fractures: Regarding comminuted fractures, in general orthopedic management, is a CT scan always per...
Dr. Shi Guozheng Reply:
If the X-ray images can clearly diagnose the condition, it may not be necessary to perform a CT scan. Bone grafting may be subject to absorption, and the knee joint could be affected by a possible injury to the lateral tibial plateau, leading to a varus deformity. As a result, th...[Read More] Understanding Tibial Plateau Fractures: Treatment, Recovery, and Complications
Shoulder Ligament Repair: Surgery Duration, Hospital Stay, and Recovery Tips
Shoulder strap repair Hello, my mother has a torn shoulder ligament and needs repair. How long does she need to stay in the hospital for this surgery? What post-operative care is required? Will arthroscopy be necessary? How long does the surgery take? Thank you!
Dr. Xie Hongjia Reply:
A rotator cuff tear typically requires a hospital stay of about 2-3 days. Postoperatively, protection and rehabilitation are necessary for 6-8 weeks (using a sling or arm support for stabilization). Arthroscopy may be considered due to its smaller incisions and quicker recovery. ...[Read More] Shoulder Ligament Repair: Surgery Duration, Hospital Stay, and Recovery Tips
Understanding Nerve Injury Risks and Rehabilitation After Orthopedic Surgery
Nerve injury and rehabilitation issues? Hello, I fractured my left humerus around October of the year before last and had a steel plate inserted. The doctor suggested that after about a year of stability, I could undergo surgery to remove it. I read that there is a risk of nerve ...
Dr. Hong Ximing Reply:
Hello: A distal humeral fracture should have stabilized and healed after one year. The removal of the plates and screws should be relatively straightforward, but care must be taken to avoid nerve injury. It is recommended to protect the area for 4-6 weeks postoperatively, but thi...[Read More] Understanding Nerve Injury Risks and Rehabilitation After Orthopedic Surgery
Distinguishing Between Cobalt and Titanium in Hip Implants: A Patient's Journey
Artificial hip joints made of cobalt-chromium and titanium metals? I am a patient with systemic lupus erythematosus (SLE) and have been on long-term corticosteroid therapy, which led to avascular necrosis of the femoral head. I underwent total hip arthroplasty on both my left and...
Dr. Shi Guozheng Reply:
It is usually clearest to refer to the medical records, as they typically contain a record of the materials used.[Read More] Distinguishing Between Cobalt and Titanium in Hip Implants: A Patient's Journey
Managing Post-Surgery Pain After Metal Plate Removal in Orthopedics
Postoperative soreness? Hello Doctor: I fractured my left fibula while skateboarding in June of the year before last. At that time, I had a steel rod inserted. Although I was told that I could have it removed after a year, I delayed the removal due to my busy work schedule, and I...
Dr. Hong Ximing Reply:
Removal of the steel pins after a fibula fracture indicates that the fracture has healed. However, it is safer to protect the area for an additional four weeks after the removal. As for postoperative pain, it should resolve quickly once the wound has healed.[Read More] Managing Post-Surgery Pain After Metal Plate Removal in Orthopedics
Post-Arthroscopy Symptoms: Understanding Knee Noises and Concerns
Symptoms After Arthroscopy Hello, I just had arthroscopy on January 15th, but currently, when I press on both sides of my kneecap, I hear a popping sound. Is this a normal postoperative phenomenon?
Dr. Hong Ximing Reply:
After undergoing arthroscopy, there may be air present within the joint, with some trapped subcutaneously, which will gradually be absorbed over time.[Read More] Post-Arthroscopy Symptoms: Understanding Knee Noises and Concerns
Post-Surgery Care Tips for Radial Fracture Plate Removal
Post-operative care following a fracture fixation surgery of the radius? Hello! I had surgery on January 4th to remove the plate that was placed for my radius fracture. Could you please provide me with some postoperative care instructions, including any dietary restrictions? Than...
Dr. Shi Guozheng Reply:
The type of food consumed does not have a significant impact, but it is important to avoid strenuous activities for six months after surgery, as the screw holes from the bone screws have not fully healed. Engaging in excessive force could increase the risk of re-fractures of the ...[Read More] Post-Surgery Care Tips for Radial Fracture Plate Removal
Post-Surgery Pain: Is It a Re-injury or Just a Strain?
Post-fracture injury? Hello, doctor. Allow me to explain my issue directly. I underwent surgery for a closed fracture of the ulnar olecranon in my left arm and had a self-paid fixation plate installed. After a month, I felt that I was gradually recovering, and the pain was not pa...
Dr. Chen Yongxue Reply:
It is recommended that you get an X-ray, thank you.[Read More] Post-Surgery Pain: Is It a Re-injury or Just a Strain?
Why Do My Ring and Pinky Fingers Feel Numb After Anesthesia?
Numbness in the hands? After undergoing general anesthesia and manual relaxation, experiencing numbness in the ring and little fingers three days later could be due to several reasons. One possibility is compression or irritation of the ulnar nerve, which can occur during surgery...
Dr. Chen Yongxue Reply:
The letter is unclear regarding what is meant by "manual general anesthesia." However, the numbness in the fourth and fifth fingers you described corresponds to the distribution of the ulnar nerve. This symptom is commonly seen when the ulnar nerve is compressed at the ...[Read More] Why Do My Ring and Pinky Fingers Feel Numb After Anesthesia?
Understanding Hip Bone Issues in Children: Surgery, Care, and Recovery
Hip bone issues? I would like to ask about a child whose left hip bone is close to the bone, and the right hip bone is not dislocated. I only know that the surgical incision is less than two centimeters and that screws were inserted. I am unsure about the different materials of t...
Dr. Li Wenhong Reply:
Hello NANA: Your question is not very clear, making it difficult to provide a specific answer. Typically, surgical incisions for hip joint procedures are usually greater than 2 centimeters. Please discuss the choice of implant material, surgical duration, and care methods with yo...[Read More] Understanding Hip Bone Issues in Children: Surgery, Care, and Recovery
When to Use Ice or Heat After Jaw Surgery: A Guide for Patients
Ice pack and heat pack application times? Hello Doctor, the patient underwent jaw surgery and experienced facial swelling postoperatively. Initially, following the instructions from the physician and nursing staff, ice packs were applied. However, upon returning home, the patient...
Dr. Shi Guozheng Reply:
Typically, swelling in the tissues after surgery is managed with ice packs to prevent further bleeding. Usually, after one or two days, heat therapy can be applied. However, if there is significant localized swelling accompanied by fever, cold packs or ice should be used until th...[Read More] When to Use Ice or Heat After Jaw Surgery: A Guide for Patients
Post-Surgery Concerns: Understanding Wrist Surgery Recovery Symptoms
Postoperative issues Hello, doctor. I had surgery to remove wrist screws a week ago, and I feel stiffness and a tingling sensation in the area of my palm near the wrist when I touch it. Is this a normal postoperative phenomenon?
Dr. Shi Guozheng Reply:
It is normal for the wound to heal, and gradually engaging in activities that allow the joint to move in every direction can help improve the feeling of stiffness.[Read More] Post-Surgery Concerns: Understanding Wrist Surgery Recovery Symptoms
Understanding Post-Operative Hip Pain After Total Hip Replacement
Persistent pain one month after hip replacement surgery? Hello Doctor, I have systemic lupus erythematosus (SLE) and underwent a left hip total hip arthroplasty in August of this year. It has been one month post-surgery, and I am still experiencing pain, which differs from the &q...
Dr. Shi Guozheng Reply:
It is normal to still experience pain one month after surgery; the pain typically subsides around three months. One month post-surgery is still within the recovery period. The condition after surgery can be assessed through X-rays; pain does not necessarily indicate failure. Musc...[Read More] Understanding Post-Operative Hip Pain After Total Hip Replacement