Understanding Recovery from Open Femur Fractures: A Patient's Guide
Femoral fracture Doctor, I have a question. I suffered an open fracture in my leg due to a car accident. From today, July 25 to November 19, it has been over three months. During my first follow-up appointment, the doctor said my metal plate was misaligned and advised me not to p...
Dr. Li Wenhong Reply:
Hello, the femur is a bone that bears significant weight during walking, and the degree of fracture comminution varies among individuals. The integrity of the surrounding soft tissues also differs, leading to various fixation methods. If, during follow-up, there is some displacem...[Read More] Understanding Recovery from Open Femur Fractures: A Patient's Guide
Understanding L5 Spondylolysis: Causes, Symptoms, and Treatment Options
Lumbosacral spondylolysis of the fifth lumbar vertebra? Lumbosacral dissociation of the fifth lumbar vertebra, with no slippage of the sacrum. The diagnosis states (1. lumbar contusion, 2. dissociation of the fifth lumbar vertebra, requiring assistance for daily activities for 2 ...
Dr. Chen Bochen Reply:
Hello: 1. Spondylolysis is a congenital developmental issue, occurring in about 1 in 10 to 20 males, making it a common problem rather than a serious disease. 2. Regardless of whether there is slippage, core muscle training should be emphasized (initially consult a rehabilitation...[Read More] Understanding L5 Spondylolysis: Causes, Symptoms, and Treatment Options
Understanding Disability Qualifications for Knee Valgus Conditions
Regarding the disability qualifications for knee valgus? I have congenital genu valgum in both knees, and there is a certain degree of cartilage wear. Years ago, due to knee pain, I sought medical attention and was referred to a teaching hospital, where an orthopedic physician is...
Dr. Cai Shanglin Reply:
Generally, patellar valgus or degenerative arthritis may qualify for disability assessment only if there is severe impairment in knee joint mobility. It is recommended that you visit a medical facility for a re-evaluation and assessment; this will provide a clearer understanding ...[Read More] Understanding Disability Qualifications for Knee Valgus Conditions
Can ACL Reconstruction Improve Patellar Maltracking?
Knee ligaments A grade III tear of the anterior cruciate ligament (ACL) that is not completely torn, along with patellar malalignment, raises the question of whether ACL reconstruction can improve the patellar malalignment.
Dr. Chen Bochen Reply:
Hello, most sports medicine physicians would recommend that you first strengthen the quadriceps and hamstrings to correct patellar maltracking and provide support for the cruciate ligaments. Reconstruction of the cruciate ligaments does not have a therapeutic effect on patellar m...[Read More] Can ACL Reconstruction Improve Patellar Maltracking?
Post-Knee Surgery Concerns: Recovery Timeline and Expectations
Post-operative issues after knee surgery? I underwent an open reduction and internal fixation of my knee, and four titanium screws were added during the surgery. It has been two months since the operation, but there is still some swelling in my knee that has not completely resolv...
Dr. Shi Guozheng Reply:
Typically, it takes about three months for a fracture to heal. To determine if it has fully healed, an X-ray is necessary. Currently, being able to bend the joint to 90 degrees is reasonable, and you can continue with rehabilitation.[Read More] Post-Knee Surgery Concerns: Recovery Timeline and Expectations
Understanding Right Clavicle Pain: Causes and Treatment Options
Right clavicular pain? A few days ago, I woke up with sudden pain in my right clavicle. Activities such as expanding my chest or moving my right shoulder trigger the pain, which is primarily located at the clavicle and the junction between the clavicle and the sternum. It feels l...
Dr. Zhan Xian Reply:
Hello, it is recommended to first visit the orthopedic outpatient clinic.[Read More] Understanding Right Clavicle Pain: Causes and Treatment Options
Recovery Tips for Lateral Collateral Ligament Tear and Patellar Dislocation
Lateral collateral ligament tear of the right knee, patellar dislocation? Hello, I underwent surgery for a torn lateral collateral ligament and patellar dislocation on September 3rd, and it has been over two months since then. My knee can still only bend to less than 90 degrees, ...
Dr. Chen Bochen Reply:
Hello, 1. Rehabilitation includes strength training, range of motion training (both active and passive), balance and sensory integration training, physical therapy, and more. Simply performing strength training is not sufficient; please consult a rehabilitation physician for gu...[Read More] Recovery Tips for Lateral Collateral Ligament Tear and Patellar Dislocation
Post-Operative Care and Rehabilitation After UK Partial Knee Surgery
Postoperative Issues Following UKA (Unicompartmental Knee Arthroplasty) Hello Dr. Chen, my mother underwent a British-style partial knee surgery on October 12 due to arthritis caused by a car accident. After returning home for recovery, her leg has become very sore. Can she use r...
Dr. Chen Yongxue Reply:
Hello, 1. If the pain is severe, it is recommended to use oral pain relievers as they are more effective; topical treatments have poor analgesic effects. 2. Uterine fibroids will not recur due to food intake, so please rest assured. 3. Muscle atrophy should not be too severe;...[Read More] Post-Operative Care and Rehabilitation After UK Partial Knee Surgery
Post-Operative Care and Rehabilitation After UK Partial Knee Surgery
Postoperative Issues Following UKA (Unicompartmental Knee Arthroplasty) Hello Dr. Chen, my mother underwent a UK-style partial knee surgery on October 12 due to arthritis caused by a car accident. After returning home to rest, her leg has become very sore. Can she use regular pai...
Dr. Chen Yongxue Reply:
Hello, 1. If the pain is severe, it is recommended to use oral pain relievers, as topical treatments are generally less effective for pain relief. 2. Uterine fibroids will not recur due to food intake, so there is no need for concern. 3. Muscle atrophy should not be too sever...[Read More] Post-Operative Care and Rehabilitation After UK Partial Knee Surgery
Should You Remove Plates and Screws After a Humerus Fracture?
After a mid-shaft humeral fracture, is it necessary to remove the screws and plates in the future? Hello Dr. Zhan, A month ago, I had an accident that resulted in a mid-shaft humeral fracture. I had an 11-hole plate and 7 screws implanted. Currently, my shoulder range of motion...
Dr. Zhan Xian Reply:
Hello Ray, as you mentioned, we need to consider the factors regarding whether to extract it. We can discuss this with the attending physician once the fracture has healed.[Read More] Should You Remove Plates and Screws After a Humerus Fracture?
Knee Pain After Car Accident: Seeking Effective Treatment Options
After the car accident, the pain in the back and inner side of the knee has been increasing and becoming more severe? Hello, my mother is 69 years old. At the end of August this year, she was involved in a car accident and was hospitalized. At that time, she immediately reported ...
Dr. Chen Yongxue Reply:
Hello, if there are significant changes in the patient's condition before and after the injury, it is likely that some trauma exists. X-rays can only reveal bone-related issues, and their ability to assess soft tissue is quite limited. It is recommended to return to the orig...[Read More] Knee Pain After Car Accident: Seeking Effective Treatment Options
ACL Tear: To Operate or Not When Walking Pain-Free?
You have a torn anterior cruciate ligament (ACL) in your right knee, but you do not experience pain while walking normally. You would like to know if surgery is necessary? Hello, doctor. I started experiencing significant leg fatigue after hiking in March, which lasted about a we...
Dr. Zhan Xian Reply:
Hello, Miss Emma Luo. It is recommended that you bring your MRI disc to the orthopedic outpatient clinic for a physical examination and consultation.[Read More] ACL Tear: To Operate or Not When Walking Pain-Free?
Post-Operative Care and Rehabilitation After Knee Replacement Surgery
Postoperative care for total knee arthroplasty? Hello, Doctor! My mother underwent a total knee replacement surgery two months ago. She hasn't taken any pain or anti-inflammatory medication for over two weeks, approaching three months post-surgery. However, her knee is still...
Dr. Shi Guozheng Reply:
You can return to the hospital for the physician to reassess, as regular follow-up after surgery is necessary.[Read More] Post-Operative Care and Rehabilitation After Knee Replacement Surgery
Understanding Muscle Adhesions: Causes and Treatment Options After Injury
Muscle adhesion A family member suffered a crush injury to their hand in a car accident. They have been undergoing rehabilitation, but recently the hospital's massage therapist mentioned that there is muscle adhesion. I would like to know what might cause this condition and ...
Dr. Shen Boquan Reply:
Family members should undergo surgery for a comminuted fracture of the hand. Postoperatively, issues such as joint stiffness, articular surface damage, soft tissue injury, or complications from the surgery itself may arise. Following the physician's instructions and continui...[Read More] Understanding Muscle Adhesions: Causes and Treatment Options After Injury
Managing Post-Surgical Discomfort After Tibial Plateau Fracture Repair
Postoperative pain after comminuted fracture of the tibial plateau? Hello Dr. Wang, I apologize for the interruption. I sustained a comminuted fracture of the left tibial plateau in a car accident on July 10 and underwent emergency surgery. Six weeks post-surgery, the cast was re...
Dr. Wang Jiacheng Reply:
Pain typically does not persist permanently; it usually diminishes gradually after the healing of wounds or fractures. Currently, you can apply heat or take some pain relievers to alleviate the discomfort. Additionally, undergoing rehabilitation therapy may provide some benefit.[Read More] Managing Post-Surgical Discomfort After Tibial Plateau Fracture Repair
Managing Post-Surgery Discomfort After Tibial Plateau Fracture Repair
Postoperative pain after comminuted fracture of the tibial plateau? Hello, doctor. I apologize for the interruption. I suffered a comminuted fracture of the left tibial plateau in a car accident on July 10 and underwent emergency surgery. Six weeks post-surgery, my cast was remov...
Dr. Shi Guozheng Reply:
Pain typically does not persist permanently; it usually diminishes gradually after the healing of wounds or fractures. Currently, you can apply heat or take some pain relievers to alleviate the discomfort. Additionally, undergoing rehabilitation therapy may provide some benefit.[Read More] Managing Post-Surgery Discomfort After Tibial Plateau Fracture Repair
Post-ACL Surgery: Understanding the Popping Sound in Your Knee
A popping sound may occur when straightening the knee after anterior cruciate ligament (ACL) surgery? On March 11 of this year, I underwent surgery for a torn anterior cruciate ligament (ACL) in my left knee, using an autograft. In July, I discovered that the surgery had failed, ...
Dr. You Dianqi Reply:
Hello, I would like to fully understand your questions before responding, as I find the two sections of your article a bit unclear: 1) Did you use the same autologous ligament again after the first surgery failed? 2) The knee is not very swollen, but there is a slight stiffness—I...[Read More] Post-ACL Surgery: Understanding the Popping Sound in Your Knee
Understanding Knee Pain After Exercise: Is It Just Inflammation?
Sports injuries Last week, after exercising and stretching, I felt a sudden pain in my left knee joint while pushing down on my leg too hard. In the following days, the knee hurt more when I stood up after sitting for a long time. The area with more pain is on the back side where...
Dr. Chen Bochen Reply:
Hello, the symptoms you described are consistent with joint inflammation. I recommend resting for two weeks and avoiding vigorous exercise. Light activities are acceptable, but try to avoid movements that cause pain. If you do not feel progressively better after two weeks, you sh...[Read More] Understanding Knee Pain After Exercise: Is It Just Inflammation?
Understanding Lateral Ankle Ligament Displacement After Injury
Lateral ankle ligament displacement Since I injured my ankle after playing basketball, I have noticed a prominent bump on the outer side of my ankle where the ligaments seem to be protruding over the ankle bone.
Dr. Chen Bochen Reply:
Hello, Huang. I recommend that you apply ice to the injury for one week and wear an ankle brace for three weeks. If the symptoms you described do not improve, you should see an orthopedic or rehabilitation physician for an evaluation. Wishing you a speedy recovery.[Read More] Understanding Lateral Ankle Ligament Displacement After Injury
Assessing the Need for Knee Arthroscopy: Unidentified Lesion Below Patella
MRI imaging shows an unidentified mass beneath the patella, raising concerns regarding potential issues for arthroscopic surgery? Hello Doctor, In mid to late August, I experienced swelling in my right knee and tight pain when squatting completely, although I had no issues with...
Dr. Chen Bochen Reply:
Hello: Your MRI findings are more indicative of OCD (osteochondral defect). It is generally recommended to surgically remove it. Typically, arthroscopy can be used for removal, but since your OCD is relatively large, it may pose some challenges during arthroscopic removal, though...[Read More] Assessing the Need for Knee Arthroscopy: Unidentified Lesion Below Patella