Can Absorbable Sutures Be Used for Steel Plate Removal Surgery?
Method for Removing Steel Pins Hello, doctor. I would like to ask if it is possible to use absorbable sutures for wound closure during the removal of metal screws. If this is feasible, would it shorten the wound healing time and allow the wound to be exposed to water sooner? If i...
Dr. Shi Guozheng Reply:
It is possible to use a non-removable suture technique, where the sutures remain inside the body and are gradually absorbed. If a removable suture technique is used, that is also acceptable, as the wound healing speed is similar. After surgery, if the wound is relatively painless...[Read More] Can Absorbable Sutures Be Used for Steel Plate Removal Surgery?
Understanding the Risk of Locking Plate Displacement After Clavicle Fracture
Possible displacement of interlocking plates in clavicle fractures? Hello, Doctor. I fractured my clavicle on September 1st and underwent surgery where an interlocking plate was used to stabilize it. I'm concerned about the possibility of the plate shifting postoperatively. ...
Dr. Shi Guozheng Reply:
The likelihood of displacement of the bone plate you are using is low, and it should not shift significantly. An X-ray is necessary to confirm this.[Read More] Understanding the Risk of Locking Plate Displacement After Clavicle Fracture
Comparing Artificial Radial Head Replacement and Resection: A Comprehensive Guide
Artificial radius 1. Regarding the artificial radial head replacement surgery: - Comparison of normal function, angles, strength, and risk of injury. Which type of artificial radial head is more appropriate? - Cost of the procedure, duration of use, and postoperative reco...
Dr. Shi Guozheng Reply:
Radial head fractures typically aim to preserve the artificial radial head whenever possible. These artificial heads are generally made of silicone and have a certain lifespan. Recovery after surgery usually takes about six to twelve weeks. The risks associated with the surgery a...[Read More] Comparing Artificial Radial Head Replacement and Resection: A Comprehensive Guide
Persistent Pain and Swelling After Tibia and Fibula Fracture: Is It Normal?
Persistent swelling and pain after a tibial fracture? Hello: I was involved in a car accident on June 25, resulting in closed fractures of the left tibia and fibula. I underwent surgery on the same day, where a steel plate (approximately 15 to 20 centimeters in length) was placed...
Dr. Wang Shouji Reply:
Hello: The fracture plate was removed after only 10 days, and the reason for this is unclear. Pain should be assessed on an individual basis, and it is uncommon for it to persist for such a long duration. Recommendations can only be provided after reviewing the postoperative X-ra...[Read More] Persistent Pain and Swelling After Tibia and Fibula Fracture: Is It Normal?
Can Patients with Low Bone Density Undergo Orthognathic Surgery?
Low bone density surgery Hello, Director... I have had low bone density for many years, and this year it was measured at -2.1. However, due to my medical condition, I need to undergo a bimaxillary advancement surgery (MMA). I would like to ask if patients with low bone density or...
Dr. Shi Guozheng Reply:
BMD, or bone mineral density, is commonly assessed using a dual-energy X-ray absorptiometry (DEXA) scanner, which provides a more accurate measurement. A T-score of -2.5 or lower indicates osteoporosis, which is associated with a higher risk of fractures. A T-score between -2.5 a...[Read More] Can Patients with Low Bone Density Undergo Orthognathic Surgery?
Understanding the Seriousness of Tendon Lengthening Surgery Complications
Complications of tendon lengthening surgery? Hello Doctor: Thank you for your previous response! I would like to ask about the potential complications of tendon lengthening surgery. My attending physician mentioned that a possible postoperative complication could be suddenly need...
Dr. Shi Guozheng Reply:
After tendon lengthening, muscle strength will inevitably decrease, although the extent of the decrease varies from person to person. Strength training can help enhance muscle strength. If training is not performed, the tendon will remain in a shortened state, and joint function ...[Read More] Understanding the Seriousness of Tendon Lengthening Surgery Complications
Post-ACL Reconstruction: Understanding Tightness and Pain During Recovery
Feeling tight after posterior cruciate ligament reconstruction surgery? I just had anterior cruciate ligament reconstruction surgery a week ago. During this week's rehabilitation, I haven't encountered any issues. However, starting yesterday, when I attempt to bend my k...
Dr. Chen Yongxue Reply:
After posterior cruciate ligament reconstruction, a brace should be used for protection and to assist mobility. In the early postoperative period, there may be discomfort during activities. If this discomfort is accompanied by new symptoms, please return for a follow-up appointme...[Read More] Post-ACL Reconstruction: Understanding Tightness and Pain During Recovery
Post-Surgery: How to Check for Bone Displacement After Fracture
Fracture of the rib? After surgery, how can I determine if the position has shifted?
Dr. Huang Minxu Reply:
Hello: To confirm the position of the bones, follow-up X-rays in the outpatient clinic are needed to compare with a series of postoperative X-rays to understand the current situation. Thank you.[Read More] Post-Surgery: How to Check for Bone Displacement After Fracture
Understanding Recovery from Radial Head and Femoral Neck Fractures
Closed fracture of the radial head. Right femoral neck fracture? 1. I sustained an injury on May 13 and had a steel plate inserted. Currently, when I perform wrist rotation and palm-up movements, there is a popping sound and pain. Is that normal? When both arms are extended, the ...
Dr. Huang Minxu Reply:
Hello: 1. The swelling and pain approximately six weeks post-surgery may be related to the severity of the injury. It is difficult to assess the postoperative condition based solely on appearance, so it is recommended to follow up with an outpatient X-ray to evaluate the situatio...[Read More] Understanding Recovery from Radial Head and Femoral Neck Fractures
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 PRP Injections for Osteoarthritis in Elderly Patients
Regarding the issue of injecting high-concentration platelet-rich plasma in patients with degenerative knee osteoarthritis? My mother is 78 years old and has a history of hypertension. The cartilage in both of her knee joints has worn down or is no longer present. She sometimes e...
Dr. Shi Guozheng Reply:
The effects can last approximately nine months to a year. After PRP injection, a follow-up appointment is required in about two weeks to assess the level of improvement. Medications can also be used as adjunctive therapy. Subsequently, follow-up visits should occur every one to t...[Read More] Understanding PRP Injections for Osteoarthritis in Elderly Patients
Challenges in Rehabilitation After Humeral Nail Removal: A Patient's Journey
Removal of distal humeral locking screws? It has been 10 months since my rehabilitation began. There has been some improvement in my ability to straighten and bend my arm, but I still cannot touch my shoulder or straighten my arm independently. I have tried at home to extend my a...
Dr. Shi Guozheng Reply:
Humeral fractures typically require a full year to heal completely before the removal of bone screws. Some physicians may advise patients not to remove the screws depending on the situation. If there are no other discomforts or complications, it is still important to discuss with...[Read More] Challenges in Rehabilitation After Humeral Nail Removal: A Patient's Journey
Understanding Bone Tumors in the Knee: Biopsy, Surgery, and Recurrence Risks
There is a tumor on the right patella? Can the biopsy determine whether a tumor is benign or malignant? How is a biopsy performed? Since the tumor is located in the bone, is surgery still necessary? I read online about articles related to bone tumors in the knee, and there seems ...
Dr. Chen Yongxue Reply:
Hello, because the surgical methods and extent differ between benign and malignant tumors, if a biopsy is not performed first, there is a risk of misidentifying a malignant tumor as benign. Insufficient surgical margins may lead to poorer healing outcomes. Conversely, misidentify...[Read More] Understanding Bone Tumors in the Knee: Biopsy, Surgery, and Recurrence Risks
Safe Anesthesia Options for Hip Replacement in Elderly Patients Over 90
Total hip replacement surgery For elderly patients aged 90 and above undergoing surgery, appropriate anesthesia methods should be considered, including regional anesthesia and general anesthesia. Common complications and risks associated with endotracheal intubation during genera...
Dr. Shi Guozheng Reply:
The method of anesthesia for surgery should be determined after evaluation by an anesthesiologist, as anesthesia carries inherent risks. Both regional anesthesia and general anesthesia have associated risks, with the most severe being respiratory or cardiac failure, which can be ...[Read More] Safe Anesthesia Options for Hip Replacement in Elderly Patients Over 90
Understanding Hallux Valgus Surgery: Risks, Recovery, and Long-term Care
Hallux Valgus Hello Doctor: Following up on your last response, I have a few more questions. If the bone screws are not protruding or inflamed, can they be left in place? Is it possible that they may not be protruding immediately after surgery, but could become prominent in the f...
Dr. Shi Guozheng Reply:
Over time, there is a possibility that the bone screws may protrude, indicating insufficient correction, as the alignment remains crooked and has not straightened. There are multiple factors contributing to pain; if pain persists for an extended period, joint degeneration may als...[Read More] Understanding Hallux Valgus Surgery: Risks, Recovery, and Long-term Care
Managing Severe Night Pain After Tibia and Fibula Fractures: A Guide
Fracture of the tibia and fibula in the lower leg, causing pain severe enough to prevent sleep at night? Hello Dr. Lee, my girlfriend was in a car accident on the morning of January 18th, resulting in fractures of her tibia and fibula. The fibula was broken into three pieces, and...
Dr. Li Wenlin Reply:
1. If postoperative stability is sufficient, casting may not be necessary. 2. Swelling in the lower extremities is quite common; it is recommended to elevate the affected limb to reduce swelling and alleviate pain. 3. The duration of pain varies from person to person and is relat...[Read More] Managing Severe Night Pain After Tibia and Fibula Fractures: A Guide
Should You Remove Screws After Finger Fracture Surgery? Risks and Concerns
Should the steel pin be removed after a fracture of the right index finger? Are there any potential complications? Hello Doctor: In May 2008, in New Hampshire, USA, I forcefully opened a stuck window, which resulted in a spiral fracture of my right index finger (specifically the ...
Dr. Li Wenlin Reply:
It is generally advisable for young individuals to have bone screws removed after one year, unless there are specific reasons to keep them. Removing screws from the phalanx is less likely to damage ligaments or tendons, whereas if the screws are in the carpal bones, the recovery ...[Read More] Should You Remove Screws After Finger Fracture Surgery? Risks and Concerns
Should I Get an X-Ray After Hip Osteotomy Surgery?
I have undergone hip osteotomy surgery? I apologize for the mistake last time. It's been three months and there's still a bit of pain. Should I return to the original hospital for an X-ray?
Dr. Li Wenhong Reply:
Hello! Your concern is pain in the affected limb after exercise, and you are worried about the displacement of the internal fixation device. It would be more appropriate to return to the original hospital for an X-ray. This will allow for a comparison with the postoperative X-ray...[Read More] Should I Get an X-Ray After Hip Osteotomy Surgery?
Understanding Swelling and Pain After Trigger Finger Surgery: Causes and Insights
Swelling after trigger finger surgery? I underwent trigger finger surgery (traditional minimally invasive surgery) over a month ago, but my finger is still slightly swollen, painful, and I am unable to fully extend it. Could you please explain the possible reasons for this? Thank...
Dr. Tan Zhuowen Reply:
Hello Ms. Cheng, trigger finger surgery generally poses no significant risks. As long as the surgeon relaxes the tendon during the procedure, the patient should be able to actively flex and extend the finger without experiencing a "catching" sensation, indicating that t...[Read More] Understanding Swelling and Pain After Trigger Finger Surgery: Causes and Insights
Post-Operative Care for Knee Arthroscopy: Is Rehab Necessary?
Knee arthroscopic debridement surgery Hello Dr. Chang, My mother underwent a left knee arthroscopy at the end of July this year and has recently received hyaluronic acid treatment. However, she has not been feeling well since the surgery (there is no redness, swelling, heat, or...
Dr. Zhang Jiahao Reply:
Hello: The findings during knee arthroscopy are very important. Possible intraoperative findings include cartilage softening or damage, meniscal tears, or soft tissue proliferation, among others. Different intraoperative findings determine the surgical approach and outcomes. The ...[Read More] Post-Operative Care for Knee Arthroscopy: Is Rehab Necessary?