Tibia, Orthopedics FAQ

Recovery Timeline and Long-Term Effects of Open Tibia and Fibula Fractures

Open fractures of the tibia and fibula, and when one can resume walking, as well as the potential for long-term complications? I would like to ask the doctor about my condition. I suffered an open fracture of the left tibia and fibula due to a car accident, and I also underwent a...

Dr. Xie Hongjia Reply:
Mr. Abo: Hello, regarding the issue you raised, it is difficult to determine the severity of the injury based solely on your description, and it is also not possible to predict the healing process accurately. It is recommended that you consult the hospital where the surgery was p...

Understanding Post-Surgery Complications: Titanium Rod Deformation in Pediatric Fractures

Postoperative heterotopic ossification after fracture surgery? I would like to inquire about an incident on February 16, where my child fell off a bicycle and suffered a fracture of the left tibia (specifically in the middle of the tibia). The surgery involved the use of titanium...

Dr. Shi Guozheng Reply:
1. The healing of the bone after tibial fracture surgery occurs at a certain rate. 2. Typically, it takes one to two months for callus formation to begin. 3. It is necessary to wait until the bone becomes very hard, which usually takes about three to six months. 4. If the i...

Fibula Fracture and Ligament Injury: Understanding Your Treatment Options

Fibular fracture with ligament damage? Hello Doctor: On February 9th, after work, I had a motorcycle accident. My left leg was very painful, and after an X-ray, it was found that I had a fracture on the lateral side of my left fibula. The doctor who examined me at that time sugge...

Dr. Zhan Xian Reply:
Hello, if X-rays confirm a distal tibiofibular joint separation, it may increase the risk of ankle joint arthritis, and surgical treatment is recommended.

Understanding Tibial Fractures: Misdiagnosis and Patient Concerns

Tibial fracture Hello, doctor. I was involved in a car accident on October 26, where my right calf was struck by a motorcycle while I was a pedestrian. The police accompanied me to the hospital for an X-ray, and the doctor said I only had a sprain with no fractures. However, due ...

Dr. Li Yongheng Reply:
Hello, it is indeed possible that an X-ray taken at the time of injury may not show a fracture, but after a period of time (usually 7-10 days), a follow-up X-ray may reveal the fracture. Therefore, you can communicate with the insurance company and advocate for your case.

Recovery Timeline for Tibial Plateau Fracture and ACL Tear

Left tibial plateau fracture and anterior cruciate ligament tear? Hello, Doctor. I was in a car accident at the beginning of August, which resulted in a fracture of the left tibial plateau and a torn anterior cruciate ligament (ACL). In mid-August, I underwent surgery where they ...

Dr. Shi Guozheng Reply:
1. Tibial plateau fractures typically take about 3 months to heal; walking or putting weight on crutches too early can be painful. 2. After three months, it is appropriate to reconstruct the ligaments; the bone should be allowed to heal first before undergoing reconstruction su...

Understanding the Decision Not to Remove Bone Pins After 3 Years

Self-funded bone screws for open fracture recovery after a car accident; follow-up visit three years later without hardware removal? Hello Dr. Lee, I would like to ask you a question. I am a 31-year-old male with a bone screw located about 2-3 cm above the tibia in my lower leg. ...

Dr. Li Yongheng Reply:
1. Generally, the materials for self-funded bone screws are mostly titanium alloy or stainless steel alloy. 2. If the surgeon recommends not to remove them, it is advisable not to remove them.

Understanding Open Tibial Fractures: Recovery and Treatment Insights

Open fracture of the tibia due to a car accident? Hello, Doctor. I have a few questions for you: 1. Chief complaint: A 57-year-old male, in August 2019, was struck by a car, resulting in an open fracture of the tibia, multi-fragmentary fracture of the tibia, and a diaphyseal fr...

Dr. Zhan Xian Reply:
The postoperative X-ray shows an acceptable fracture location; however, there are many factors that can affect fracture healing, such as soft tissue damage and blood circulation at the fracture site, which cannot be assessed by X-ray. Generally, more severe fractures in the lower...

Post-Exercise Lateral Knee Pain: Causes and Solutions for Relief

Lateral knee pain after exercise? Hello, Doctor. Recently, I've been experiencing pain on the outer side of my knees after exercising, especially when bending them. Both legs have had this issue. The pain subsides after resting for a day or two, but it recurs whenever I exer...

Dr. Zhan Xian Reply:
There are many factors that can cause lateral knee pain, such as inflammation, discoid meniscus, and iliotibial band syndrome. If the pain does not significantly affect daily life, medical attention may not be necessary. However, if the pain does not improve, it is important to s...

Understanding Screw Displacement in Orthopedic Surgery After Fractures

Screw displacement Hello Dr. Lee, I would like to ask about a situation following a car accident where I fractured my tibia and fibula. I underwent surgery and had an intramedullary nail implanted. However, after more than two months, an X-ray showed that one of the screws near t...

Dr. Li Yongheng Reply:
Hello, as long as the bone screws are not displaced significantly due to activities like walking, there should be no major issues, so please don't worry too much.

Understanding Screw Migration After Intramedullary Nail Surgery

Dr. Li Yongheng Reply:
Hello, as long as there is not much displacement of the bone screws due to activities like walking, there should be no major issues, so please don't worry too much.

Post-Fracture Recovery: Managing Pain and Uneven Legs After Injury

After using crutches for about three months due to a fracture, I experience pain when walking for extended periods? Dear Vice Dean, I sustained a comminuted fracture of the femur and tibia (and plateau) due to a car accident on March 10, 2018. After two surgeries, I have finally...

Dr. Li Yongheng Reply:
Hello, a 34-year-old female with a comminuted fracture of the femur and tibia (and plateau) has undergone two surgeries and it has been 5 months since. Currently, after walking for a while, there is significant discomfort at the fracture site, especially with severe pain in the k...

Understanding Tibial Fractures: Complications and Treatment Options

Tibial fracture Hello Doctor: My brother is a patient with a closed fracture of the upper end of the right tibia and has undergone internal fixation surgery with bone screws. One and a half months after discharge, he was diagnosed with acute hematogenous osteomyelitis of the tibi...

Dr. Chen Yongxue Reply:
1. Is it more suitable for the original surgeon who initially placed the artificial plates and screws to perform the removal and debridement surgery, or is it acceptable for a surgeon from another hospital to do it? What are the pros and cons of each? Having the original surgeon ...

Understanding Post-Surgery Swelling and Pain After Tibia-Fibula Fracture

Tibiofibular fracture I have a mid-shaft fracture of the left fibula, and it has been three months since the surgery. My affected limb still experiences some swelling and pain; is this normal? Additionally, I would like to know how to alleviate this swelling and pain.

Dr. Chen Yongxue Reply:
Hello, pain after a fracture is quite common. Please consult your attending physician to determine if the fracture has healed. If it has healed, you can start with light weight-bearing exercises, along with heat therapy. If the pain is severe, you may consider using pain reliever...

Managing Pain After Tibia and Fibula Fracture: Tips for Recovery

Tibia and fibula fractures I have a mid-distal fibula fracture in my left leg, and it's been eight weeks since the surgery. I can now use crutches to walk, but my injured leg feels more sore than my healthy leg when I walk. I would like to know how to alleviate the soreness ...

Dr. Li Yongheng Reply:
Hello, it is normal to experience soreness in the affected leg compared to the healthy leg eight weeks post-surgery. Avoid prolonged standing and walking, and elevating the affected leg can help alleviate the soreness.

Understanding Ankle Fracture Recovery: Managing Numbness and Discomfort

Tibia and fibula fracture I would like to ask if it is normal to feel a tingling or uncomfortable sensation in the sole of my foot six weeks after my tibia and fibula fracture. Additionally, how can I improve this tingling discomfort?

Dr. You Dianqi Reply:
Hello: You have a tibia and fibula fracture, and you are experiencing numbness in the sole of your foot. Are there any other associated conditions? Additionally, does the numbness occur only when you get out of bed, or does it also happen while lying flat? Is the fracture located...

Managing Knee Pain and Stiffness After Tibia-Fibula Fracture Surgery

Knee issues About a month after my left lower leg tibia and fibula fracture surgery, I experience tightness and pain when bending my knee. What can I do to alleviate this sensation?

Dr. Ye Qingnian Reply:
After a fracture, the knee may feel tight when bending. If bending the knee is allowed after the fracture surgery, I recommend frequently performing knee flexion exercises. This will help increase the range of motion in the knee joint and reduce tightness. If you avoid movement d...

Knee Pain and Inability to Straighten: Understanding Lateral Ligament Injuries

Inability to fully extend the knee with lateral pain? Hello Doctor, I injured my knee while playing basketball. The specific symptoms are that I cannot fully extend my knee, and if I force it to extend, there is significant pain on the outer side of the knee. I also feel discomfo...

Dr. Wang Jiacheng Reply:
It is advisable to seek multiple opinions, such as consulting other orthopedic surgeons for treatment. I hope this helps you. Wishing you good health.

Understanding Fibula Fractures: Symptoms and When to Seek Treatment

Fibula fracture In October 2017, I suffered an open comminuted fracture of the mid-shaft of the tibia and fibula in a car accident. The orthopedic surgeon only performed intramedullary nailing on the tibia, while the fibula was left untreated. Last October, I underwent surgery to...

Dr. Shi Guozheng Reply:
The support of the lower leg primarily relies on the tibia, which accounts for over 80% of the load. Therefore, fractures of the fibula typically do not require intervention unless they occur near the ankle joint, as this could affect joint stability. Pain in the calf is not nece...

Understanding Fracture Severity and Healing Time After Injury

How to assess the severity of a fracture and the healing time for fractures? Hello Dr. Chen: I was involved in a car accident on January 17, 2019, resulting in a comminuted fracture of my thigh, a comminuted and open fracture of my lower leg, and a torn posterior cruciate ligamen...

Dr. Chen Yongxue Reply:
Hello, it seems that you have sustained a severe injury with a comminuted fracture of the femur and an open fracture of the tibia, along with a torn posterior cruciate ligament. Comminuted fractures are generally worse than simple linear fractures, and open fractures are more ser...

Understanding Revision Surgery for Tibial Plateau Fractures: What to Expect

Secondary surgery for tibial fractures? Hello, Doctor. Thank you for your careful response last time. I have some concerns to discuss during today's follow-up visit. I was involved in a car accident on February 11, resulting in a comminuted fracture of the left tibial platea...

Dr. Shi Guozheng Reply:
1. It is uncommon but can sometimes be encountered. 2. It is not that the fracture may have already existed and then gradually collapsed. 3. The healing of bone grafts in this location occurs quickly because it primarily consists of cancellous bone (which heals much faster th...

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