Comprehensive Recovery Strategies for Severe Lower Limb Fractures
Open fracture of the tibia, fibula, and closed fractures of the left femoral neck, femoral shaft, and supracondylar region of the left femur. Closed fracture of the left patella? On February 27, 2018, a car accident resulted in: 1. Open fracture of the left tibia and fibula; 2. C...
Dr. Chen Yongxue Reply:
Hello, given the severity of the injury, a full recovery may be challenging. Active rehabilitation therapy should ideally wait until the bones have healed for safety; otherwise, there is a risk of re-fracture. Thank you.[Read More] Comprehensive Recovery Strategies for Severe Lower Limb Fractures
Post-Surgery Care for Tibial Plateau Fractures: Risks and Recovery Tips
Closed fracture of the left tibial plateau with displacement? Hello Doctor, I would like to ask about my situation. I had a car accident on April 23 and underwent surgery on April 27. The doctor mentioned that my meniscus and other structures were damaged due to the arthroscopy, ...
Dr. Hong Ximing Reply:
After surgery for a tibial plateau fracture, if you accidentally put weight on your leg while standing and have no symptoms, it should be fine. As for sleeping on your side, as long as you feel comfortable, it should not be an issue, but it is still recommended to avoid heavy pre...[Read More] Post-Surgery Care for Tibial Plateau Fractures: Risks and Recovery Tips
Understanding Shin Pain: Causes, Treatment, and Recovery Tips
Pain in the tibia? If you experience significant pain in your tibia during exercise, which sometimes improves with rest but at other times worsens, it may indicate a condition such as shin splints or a stress fracture. You mentioned that you had an X-ray and the doctor diagnosed ...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, you are experiencing significant pain in the tibia during exercise. You have had an X-ray, and the doctor mentioned that there is damage to the periosteum. However, I recommend that you return to the orthopedic clinic for further evaluation and to r...[Read More] Understanding Shin Pain: Causes, Treatment, and Recovery Tips
Understanding Shin Pain: Causes, Treatment, and Recovery Tips
Pain in the tibia? If you experience significant pain in your tibia during exercise, which sometimes improves with rest but at other times worsens, it may indicate a condition such as shin splints or a stress fracture. You mentioned that you had an X-ray and the doctor diagnosed ...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, you are experiencing significant pain in your tibia during exercise. You have had an X-ray, and the doctor mentioned that there is damage to the periosteum. However, I recommend that you return to the orthopedic clinic for further evaluation and to ...[Read More] Understanding Shin Pain: Causes, Treatment, and Recovery Tips
Understanding Knee Stiffness After Leg Fracture Surgery: A Month Later
One month after the car accident? Hello Doctor: I was in a car accident on the 14th of last month, resulting in fractures in my right thigh and calf. I underwent surgery to place plates and screws in my right leg. So far, I haven't experienced any discomfort in my right leg,...
Dr. Li Yongheng Reply:
Hello, based on your condition, you have sustained fractures of the right femur and right tibia, and it has been six weeks since the internal fixation with bone nails was performed. Currently, limited range of motion in the right knee and discomfort in the right hip are normal ph...[Read More] Understanding Knee Stiffness After Leg Fracture Surgery: A Month Later
Understanding the Difference Between Shin Splints and Stress Fractures
Sports injuries What is the difference between tibial periosteal injury and tibial stress fracture? If a tibial periosteal injury is not properly managed, what could happen?
Dr. Shi Guozheng Reply:
Periosteal damage is a term used by laypeople because the periosteum is a layer of tissue that adheres to the surface of the bone, containing nerves and blood vessels, and is crucial for fracture healing. If there is a crack in the bone, the periosteum is usually also ruptured. T...[Read More] Understanding the Difference Between Shin Splints and Stress Fractures
Can Manual Manipulation Surgery Be Done After Leg Fracture with Metal Implants?
Manual therapy for lower extremities surgery Hello, I was in a car accident at the end of December last year, which resulted in an open fracture of the tibia and fibula, along with comminuted cartilage damage in my knee. I had a steel plate and screws inserted. Initially, my knee...
Dr. Li Yongheng Reply:
Hello, it has been 3-4 months since your surgery, and you should be able to undergo manipulation surgery with anesthesia. You can discuss this with your surgeon and ask them to arrange it. However, I want to remind you that if you do not actively participate in rehabilitation aft...[Read More] Can Manual Manipulation Surgery Be Done After Leg Fracture with Metal Implants?
Managing Post-Fracture Care in Elderly Patients with Polio and Diabetes
The patient has sustained a fracture due to a fall and also has a history of poliomyelitis and diabetes mellitus? Hello, Doctor: The patient is 65 years old and suffered a right tibial fracture from a fall in mid-January, requiring surgery and hospitalization. During the process,...
Dr. Ye Qingnian Reply:
The fixed metal plate will not damage the nerves or muscles. The timing for rehabilitation depends on the severity of the fracture and the stability of the plate fixation after surgery. Therefore, the most appropriate time for rehabilitation should be determined by the attending ...[Read More] Managing Post-Fracture Care in Elderly Patients with Polio and Diabetes
Do You Need to See a Doctor for Tibial Stress Fractures?
Tibial stress fracture Is it necessary to see a doctor for a tibial stress fracture? What could happen if I don't seek medical attention?
Dr. Hong Ximing Reply:
A tibial stress fracture definitely requires a visit to a doctor. Otherwise, how can a diagnosis be established and appropriate treatment be provided?[Read More] Do You Need to See a Doctor for Tibial Stress Fractures?
Effective Physical Therapy Techniques to Improve O-Shaped Legs
Please advise on methods to improve bow legs (genu varum) through physical therapy or stretching? Hello, doctor. I have bow legs with a normal knee distance of about 4 cm. Although it's not severe, it appears relatively noticeable due to my height (162 cm). After researching...
Dr. Shi Guozheng Reply:
Bow legs are due to an inward bending of the knee joint (tibia vara). If there are no symptoms, it is not necessary to take any action. Currently, there are no other non-invasive treatment options. If you are concerned, you can consult an orthopedic physician to obtain X-rays to ...[Read More] Effective Physical Therapy Techniques to Improve O-Shaped Legs
Understanding Anterior Knee Pain: Patellar Tendonitis vs. Osgood-Schlatter Disease
Anterior knee pain During high school, while coaching the basketball team, I encountered a player with anterior knee pain (diagnosed as inflammation at the distal patellar tendon insertion on the tibial tuberosity). This is likely patellar tendinitis, right? Or could it also be O...
Dr. Shi Guozheng Reply:
X-rays can reveal changes in the bones associated with Osgood-Schlatter disease, whereas simple patellar tendinitis does not show any bone changes. In high school-aged individuals, pain may also be due to changes in the bones, so it is advisable to consult a physician for an exam...[Read More] Understanding Anterior Knee Pain: Patellar Tendonitis vs. Osgood-Schlatter Disease
Understanding Pain While Walking After a Fracture: Causes and Solutions
Experiencing pain while practicing walking after a fracture is common? Hello, I suffered a comminuted fracture of the tibia and fibula on November 10, 2017, due to an accidental fall. I underwent surgery the same day to have plates and screws inserted. During my follow-up appoint...
Dr. Chen Yongxue Reply:
Hello, if there has been no undue external force after the surgery, there should not be any "fracture along the plate." Please try not to worry too much and make sure to attend your follow-up appointments. Thank you.[Read More] Understanding Pain While Walking After a Fracture: Causes and Solutions
Should You Remove Screws After Ankle Fracture Surgery? Expert Insights
Is it necessary to remove the steel pins for a closed fracture of the right lateral malleolus and fibula? Hello Dr. Lee, About two months ago, I sustained an injury to my right foot, resulting in a closed fracture of the right fibula near the lateral malleolus with displacement,...
Dr. Li Yongheng Reply:
Hello, due to the thin soft tissue around the lateral malleolus of the fibula, it is possible to palpate the bone screw through the skin. Wearing shoes that are too tight can easily cause discomfort. Therefore, I recommend removal after one year.[Read More] Should You Remove Screws After Ankle Fracture Surgery? Expert Insights
Challenging Recovery from Distal Tibia-Fibula Fracture: Healing Strategies
Distal tibiofibular comminuted fracture with poor healing? On July 20, 2016, I was involved in a car accident that resulted in a comminuted fracture of the distal tibia and fibula. Traction was performed on the same day, and on July 29, I underwent external fixation surgery (due ...
Dr. Li Yongheng Reply:
Hello, you have sustained a distal tibiofibular comminuted fracture with poor healing, and you have undergone an autologous bone grafting procedure. If the fracture continues to heal poorly, you may require another autologous bone grafting surgery in the future. In addition to au...[Read More] Challenging Recovery from Distal Tibia-Fibula Fracture: Healing Strategies
Understanding Shin Pain: Causes, Diagnosis, and Treatment Options
Tibial pain I'm sorry to hear about your pain. It sounds like you are experiencing discomfort on the medial side of your right tibia, which worsens during physical activity and improves with rest, although it doesn't completely resolve. The swelling you mentioned could ...
Dr. Shi Guozheng Reply:
Tibial pain may be due to localized inflammation or a stress fracture, which is a type of fatigue fracture caused by overuse of the calf muscles, leading to cracks in the bone. This is commonly seen in athletes who engage in high levels of training involving running and jumping. ...[Read More] Understanding Shin Pain: Causes, Diagnosis, and Treatment Options
Can Knee Movement Affect Healing After a Leg Fracture?
Tibia fracture I fell and fractured both bones in my lower leg. After surgery, my cast extended above the knee. However, after half a month, it was changed to a cast below the knee. Will I be able to move my knee? Will moving my knee frequently cause the bones to heal improperly?
Dr. Ye Qingnian Reply:
If the fracture is located at the distal end of the tibia, a cast can be applied below the knee joint, allowing for knee joint mobility. Movement of the knee joint will not cause the fracture to misalign, but it is important to follow the attending physician's instructions. ...[Read More] Can Knee Movement Affect Healing After a Leg Fracture?
Knee Issues After Tibial Fracture: Recovery and Rehabilitation Tips
Knee issues following a tibial fracture? Hello, I had a car accident on October 1st, resulting in an open fracture of the tibia and fibula in my right lower leg. That night, I underwent surgery for intramedullary nailing of the tibia. I was able to get out of bed on October 3rd a...
Dr. Shi Guozheng Reply:
Surgical treatment for tibial fractures often involves the use of intramedullary nails, with the entry point located at the proximal tibia near the knee joint. This typically requires an incision through the patellar tendon to insert the nail. Occasionally, this may irritate the ...[Read More] Knee Issues After Tibial Fracture: Recovery and Rehabilitation Tips
Understanding Recovery from Right Leg Ankle and Tibia Fractures
Fracture of the right ankle and right tibia? Dear Doctor, Thank you for taking the time to respond to my questions despite your busy schedule. I underwent surgery on July 27, 2017, for a fracture of the right ankle and right tibia, where steel pins were inserted to stabilize the...
Dr. Chen Yongxue Reply:
Hello, 1. It is normal to experience soreness when bearing weight in the early stages of a fracture, but it is important to ensure that the metal pins are securely in place. 2. For initial swelling, elevate the affected limb or use an elastic bandage or ankle brace to reduce s...[Read More] Understanding Recovery from Right Leg Ankle and Tibia Fractures
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
Understanding Tibial Osteotomy: Recovery and Exercise After Surgery
Tibial osteotomy Hello Dr. Wang, for the past two months, my right knee joint has been very unstable. The X-ray results are quite severe, showing stage IV changes and some deformity. The doctor has suggested a tibial osteotomy with the insertion of screws. I am worried about the ...
Dr. Wang Shouji Reply:
Hello: If you are undergoing high tibial osteotomy for osteoarthritis, it is essential to confirm that your pain is solely due to the degeneration of the medial knee joint cartilage. After the osteotomy, the joint can move like after a fracture, but it cannot bear weight. The rec...[Read More] Understanding Tibial Osteotomy: Recovery and Exercise After Surgery