Conflicting Medical Advice on Tibia Fracture Recovery: What to Do?
Questions about tibial fractures? Hello Doctor: I was in a car accident on the evening of October 13, 2016, which resulted in an open fracture of my right tibia and fibula. I was taken to the hospital for treatment and had bone screws and plates installed. Since then, I have been...
Dr. Shi Guozheng Reply:
A tibial fracture that has not healed after a year is considered to be healing slowly. However, in the case of an open fracture, it may take a year and a half to two years to heal. If there is significant bone loss, bone grafting may be necessary. The physician recommends weight-...[Read More] Conflicting Medical Advice on Tibia Fracture Recovery: What to Do?
Understanding Recovery Time for Right Tibial Plateau Fractures: A Care Guide
Right tibial plateau fracture (right knee joint can only move from 0 to 60 degrees) Hello, last year I was hit by a lady on a motorcycle while out with my boyfriend. The lady suffered a fracture of the right tibial plateau. I would like to ask if the diagnosis certificate she rec...
Dr. Xie Hongjia Reply:
Hello, Miss Jie-Ru: A normal bone fracture typically takes 2-3 months to heal, but this can vary from person to person. Rehabilitation is necessary for subsequent joint mobility. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Understanding Recovery Time for Right Tibial Plateau Fractures: A Care Guide
Is Tibial Plateau Fracture Considered a Closed Fracture Without Blood?
Is a tibial plateau fracture considered a closed, non-displaced fracture? Hello Dr. Yeh, is the surgical procedure for tibial plateau fracture reduction considered a closed fracture surgery without visible blood? A steel plate was installed on the right leg. How can we distinguis...
Dr. Chen Yongxue Reply:
Hello, first, surgery for tibial plateau fractures typically requires an open reduction, as it cannot be treated with closed reduction. Second, during the surgical procedure, a tourniquet is used, so there will be minimal bleeding during the operation; however, it is normal to ha...[Read More] Is Tibial Plateau Fracture Considered a Closed Fracture Without Blood?
Understanding Post-Surgery Bumps: Is It Bone Growth or a Knob?
The protrusion remains after the removal of the metal screw? Hello, doctor. Five years ago, I underwent a repair for a torn posterior cruciate ligament, and a steel screw was placed in the anterior part of my tibia. This July, the screw was removed, but I noticed that the area wh...
Dr. Li Yongheng Reply:
Hello, based on the symptoms you described, you underwent a repair for a torn posterior cruciate ligament and had a screw placed in the anterior aspect of the tibia. In July of this year, the screw was removed, and it was noted that there is still a prominence at the site where t...[Read More] Understanding Post-Surgery Bumps: Is It Bone Growth or a Knob?
Managing Ankle Fractures: Addressing Numbness, Blisters, and Muscle Atrophy
Closed fracture of the right ankle - numbness in the sole of the foot - formation of blisters? Hello, Dr. Shi: On June 17, 2017, I suffered a fibula fracture and tibial displacement in my right ankle. I underwent surgery to install a plate and six screws, and I have a splint (whi...
Dr. Shi Guozheng Reply:
Elevating the foot and performing up-and-down movements of the ankle can help improve slight muscle atrophy. After rehabilitation, this condition will improve. Once the fracture has healed, weight-bearing activities can be resumed, and gradual recovery will occur.[Read More] Managing Ankle Fractures: Addressing Numbness, Blisters, and Muscle Atrophy
Understanding Skin Indentation After Tibial Fracture Healing
Depression of the skin over the fracture site? Two months ago, I underwent surgery for a closed mid-shaft tibial fracture, with a bone plate implanted for fixation. The callus formation has begun, but there is a noticeable indentation in the skin over the fracture site. I read in...
Dr. Li Wenhong Reply:
Hello: The raised area at the fracture site will improve after the bone healing process. However, the depressed area typically does not show significant improvement. For more details, please consult your original treating physician during your follow-up visit. Wishing you good he...[Read More] Understanding Skin Indentation After Tibial Fracture Healing
Understanding and Treating Tibial Bumps: Causes and Solutions
Tibial contusion About a year ago, my tibia hit the footpeg of a motorcycle, and since then, there has been a small soft lump on the front of my tibia. A few months ago, it was somewhat visible in the shape of a blood vessel, but it has since turned into a lump that is approximat...
Dr. Li Yongheng Reply:
Based on your condition, it is possible that you have fasciitis of the tendon sheath caused by trauma, which is usually not serious. If you are concerned, you may visit an orthopedic clinic for an X-ray examination. If necessary, a needle aspiration can be performed to remove the...[Read More] Understanding and Treating Tibial Bumps: Causes and Solutions
Recovery Time for Tibial Fractures: What to Expect After Surgery
The recovery time for a tibial fracture in the left lower leg typically ranges from 6 to 12 weeks, depending on the severity of the fracture and the individual's overall health? Hello Doctor, I had a tibial fracture in my left lower leg on July 4th and underwent surgery with...
Dr. Li Yongheng Reply:
After a fracture, circulation in the lower extremities may worsen, leading to swelling when the foot is placed down. This is a common phenomenon. The term "rest for three months" means that it will take approximately three months before the foot can bear weight without ...[Read More] Recovery Time for Tibial Fractures: What to Expect After Surgery
Understanding Bone Spurs After Tibia and Fibula Fractures
Fracture of the right calf? Hello Doctor: I had a surgery for a fracture of the tibia and fibula in my right lower leg due to a car accident, and it has been almost two months since then. Two weeks ago, I noticed pain when touching the back of my right heel. After consulting my o...
Dr. Shi Guozheng Reply:
Heel pain may occur due to prolonged pressure on the heel while lying down or resting the foot on a flat surface, leading to localized tissue inflammation. Typically, heel spurs on the calcaneus cause pain during walking or running. Elevating the calf with a pillow can help preve...[Read More] Understanding Bone Spurs After Tibia and Fibula Fractures
Do I Need Surgery for My Old Ankle Injury? Understanding Your Options
Do I need surgery for an old ankle injury? Hello doctor, I fractured my ankle when I was about 19 years old. At that time, the doctor at Mennonite Hospital told me that my right ankle was slightly displaced and that there was a small crack in my tibia, recommending surgery. Howev...
Dr. Shi Guozheng Reply:
Plantar fasciitis requires wearing shoes with softer soles to reduce pressure on the plantar fascia. Additionally, being overweight can increase stress on the plantar surface. It is advisable to consult an orthopedic specialist.[Read More] Do I Need Surgery for My Old Ankle Injury? Understanding Your Options
Sharp Pain in Right Calf: Is It a Strain or a New Fracture?
Sharp pain on the right side of the calf? Hello doctor, I had a car accident in early March this year, resulting in a fracture in my tibia. Last month, I returned to the hospital for a follow-up and had the cast removed. My attending physician indicated that I could walk normally...
Dr. Shi Guozheng Reply:
Typically, a bone that has healed will only re-fracture due to significant trauma. Therefore, the current pain may be caused by overexertion, and it is advisable to observe the situation for now.[Read More] Sharp Pain in Right Calf: Is It a Strain or a New Fracture?
Understanding Open Fractures: Healing, Allergies, and Recovery Insights
Open fracture Hello Doctor, my husband had a car accident on April 29 and sustained a fracture of the left lower leg, specifically the tibia and fibula. The doctor mentioned it was an open fracture, and he underwent surgery to have a self-funded implant placed. The wound is still...
Dr. Shi Guozheng Reply:
Treatment is needed to assess potential wound issues such as infection or skin problems. A fracture of the lower leg typically takes about three months to heal, and continued outpatient follow-up is necessary.[Read More] Understanding Open Fractures: Healing, Allergies, and Recovery Insights
Managing Post-Tibial Plateau Fracture Complications: Treatment Options and Insights
Post-traumatic sequelae of lateral tibial plateau fracture collapse? Dear Dr. Shi, I previously inquired about the issue of knee stiffness and tightness following a tibial plateau fracture (case #124076), and I appreciate your response. You mentioned that intra-articular fractur...
Dr. Shi Guozheng Reply:
Joint adhesion after a fracture is common, and rehabilitation may help. Post-traumatic arthritis can lead to cartilage wear, eventually resulting in arthritis. You might consider trying PRP (platelet-rich plasma) therapy to see if it has any effect. If it remains ineffective and ...[Read More] Managing Post-Tibial Plateau Fracture Complications: Treatment Options and Insights
Post-Surgery Rehabilitation for Ankle Tibia Fractures: A Patient's Journey
Postoperative Rehabilitation Program for Tibial Injury in the Ankle Joint Hello Dr. Hong, I fell from a height of 2.5 meters, and upon landing, I heavily impacted my left foot, resulting in a fracture on the lateral side of the distal tibia. I underwent surgery where two steel sc...
Dr. Hong Ximing Reply:
After an ankle joint fracture, it is recommended to avoid weight-bearing for 6-8 weeks to maintain joint stability. It is advised to use assistive devices for partial weight-bearing to prevent affecting fracture healing and joint stability.[Read More] Post-Surgery Rehabilitation for Ankle Tibia Fractures: A Patient's Journey
Knee Pain After Tibia and Fibula Fracture Surgery: What to Do?
After undergoing intramedullary nailing surgery for tibia and fibula fractures, there is a tearing sensation when applying force to the knee? Hello Doctor: I suffered a tibia and fibula fracture in my right lower leg due to a car accident. On May 9, 2016, I underwent intramedulla...
Dr. Hong Ximing Reply:
The intramedullary nail fixation has been in place for over a year, and the fracture should have healed. If there is any pain or discomfort, you may return for a follow-up appointment to discuss the removal of the nail with your attending physician.[Read More] Knee Pain After Tibia and Fibula Fracture Surgery: What to Do?
Understanding Artificial Knee Loosening: Causes, Solutions, and Recovery
What are the subsequent actions after a knee prosthesis loosens? 1) The postoperative X-rays initially showed normal alignment, but the loosening after one year could be attributed to inadequate bonding agents or suboptimal material quality between the artificial knee and the tib...
Dr. Shi Guozheng Reply:
1. There are many reasons for loosening within a year, and poor bone quality is one of them. It is usually unrelated to the material. 2. It is not related to posture. 3. It can only be reopened. 4. There is a possibility that it may occur.[Read More] Understanding Artificial Knee Loosening: Causes, Solutions, and Recovery
Understanding Malunion and Misalignment in Tibial Plateau Fractures
Questions related to tibial plateau fractures? Dear Doctor: I have some questions regarding medical terminology that I don't understand. What does "malunion" mean? Is "malunion" referring to a deformity in healing or improper bone alignment? When I stand,...
Dr. Shi Guozheng Reply:
Malunion refers to improper healing of a fracture. Your description is insufficient for a definitive assessment; it is advisable to consult a physician for an accurate diagnosis.[Read More] Understanding Malunion and Misalignment in Tibial Plateau Fractures
Post-Surgery Knee Stiffness After Tibial Plateau Fracture: Causes and Solutions
Post-operative knee stiffness and tightness after tibial plateau fracture? Hello: At the end of last year, I suffered a car accident that resulted in fractures of the right lower leg, specifically the tibia and fibula, with a collapse of the lateral tibial plateau. The cartilage ...
Dr. Shi Guozheng Reply:
Joint stiffness is usually due to injury or surgery, and it is essential to continue rehabilitation therapy to potentially regain function. There is no need for special examinations, as intra-articular fractures can already lead to tissue adhesion or fibrosis.[Read More] Post-Surgery Knee Stiffness After Tibial Plateau Fracture: Causes and Solutions
Managing Long-Term Swelling After Tibia and Fibula Fracture Surgery
Recovery after tibia and fibula fracture surgery? Hello Doctor: Several years ago, I accidentally fell from a height due to work, resulting in fractures of the tibia and fibula in my left calf. I received treatment at a nearby hospital, where a steel rod was inserted at the injur...
Dr. Li Yongheng Reply:
If the fracture has healed and the bone screws have been removed, it usually indicates that the fracture has fully healed, and there is no need for excessive concern. However, if the ankle has been persistently swollen for over ten years, it is advisable to visit an orthopedic cl...[Read More] Managing Long-Term Swelling After Tibia and Fibula Fracture Surgery
Why Are Toes Left Exposed in a Cast for Foot Fractures?
Foot cast Hello, doctor. Recently, I fell and fractured my left foot while walking down the stairs, and I had to have it immobilized with a cast. I would like to ask why the toes are left exposed when the foot is casted, instead of covering the entire foot?
Dr. Shi Guozheng Reply:
The area of plaster immobilization should encompass the joints above and below the fracture. Therefore, for a tibial fracture, the immobilization should extend to the knee joint and the ankle joint. In the case of an ankle fracture, it is sufficient to immobilize just above and b...[Read More] Why Are Toes Left Exposed in a Cast for Foot Fractures?