Tibia, Orthopedics FAQ - Page 14

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Managing Tibial Plateau Fractures: Rehabilitation and Recovery Concerns

Fracture of the left tibial plateau and rehabilitation issues? Hello Doctor, I was in a car accident on February 9th. At that time, I was unaware that I had a fracture in the tibial plateau of my left knee. I continued to stand for long hours at work until March 2nd, when I disco...


Dr. Shi Guozheng Reply:
If there is no significant swelling near the joint, it is advisable to start moving the knee joint early, as there is a possibility that it may not bend well in the future. After the bone screws are fixed, movement should be possible.

[Read More] Managing Tibial Plateau Fractures: Rehabilitation and Recovery Concerns


Understanding Recovery from a Closed Tibial Fracture in the Lower Leg

Closed fracture of the left tibia? Hello Doctor: I was in a car accident on April 2nd, and the doctor diagnosed me with a closed tibial fracture in the upper third of my left calf. The doctor assessed that I do not need to be hospitalized, nor do I require a cast or surgery. Howe...


Dr. Shi Guozheng Reply:
If the fracture is non-displaced, it will typically heal in about three months.

[Read More] Understanding Recovery from a Closed Tibial Fracture in the Lower Leg


Understanding Sensory Loss After Tibial Plateau Fracture Surgery

There is no sensation at all in the skin over the surgical site of the tibial plateau fracture? Hello, Doctor. I returned to the outpatient clinic yesterday and had my cast removed. Regarding the black spots and the broken lines that I was confused about, I asked the doctor, and ...


Dr. Shi Guozheng Reply:
Near the surgical wound where there is a distribution of nerves in the skin, the epidermal nerves may be cut by the scalpel, leading to a period of numbness. Over time, the nerves can gradually regenerate, and there is a possibility of slow recovery.

[Read More] Understanding Sensory Loss After Tibial Plateau Fracture Surgery


Understanding Post-Surgery X-Ray Changes After Tibial Plateau Fracture

The X-ray taken on the day of the surgery shows a dark area that differs from the X-ray taken before the injury? Hello Dr. Shi, this is A-Cai, who consulted you about the tibial plateau fracture a while ago. I have been discharged for nearly a month, and I will be going for my se...


Dr. Shi Guozheng Reply:
The description of the X-ray findings is insufficient to determine any conditions; if there are doubts, it is advisable to seek clarification. Typically, X-rays are taken immediately after surgery, and it is reasonable to have another X-ray approximately one month post-operativel...

[Read More] Understanding Post-Surgery X-Ray Changes After Tibial Plateau Fracture


Understanding Stress Fractures: Symptoms, Diagnosis, and Treatment for Athletes

Fatigue fracture Hello Doctor: I am an athlete. I had a bone scan in early February that revealed a stress fracture in my right tibia, but there were no abnormalities on the X-ray. I continued training and competing. However, during competitions, I repeatedly hit my right tibia a...


Dr. Shi Guozheng Reply:
Fatigue fractures sometimes do not present any symptoms and are only discovered during X-ray examinations or bone scans. Numbness in the foot is unrelated to the fracture, and it is advisable to consult a physician for evaluation.

[Read More] Understanding Stress Fractures: Symptoms, Diagnosis, and Treatment for Athletes


Understanding and Managing Tibial Pain: Insights for Young Athletes

Tibial pain in the knee? Hello Doctor, a while ago I had to go for a physical examination for military service, and I took the opportunity to check on my long-standing issue with right knee pain. The symptoms include a protrusion just below the knee on my right calf, and I experi...


Dr. Shi Guozheng Reply:
Osgood-Schlatter disease may be related to tibial tuberosity inflammation. It typically occurs in youth and usually alleviates pain in adulthood without causing long-term complications. If the pain is severe, it is essential to stop exercising, rest, apply heat, and consider medi...

[Read More] Understanding and Managing Tibial Pain: Insights for Young Athletes


Should You Tighten Your Bandage After Swelling Reduces Post-Fracture?

After the swelling from a fracture has subsided, should the bandage be tightened again by oneself? Hello Doctor, a few days ago I asked you about the potential risks to bone healing after a tibial plateau fracture combined with knee depression, and whether stepping on the ground ...


Dr. Shi Guozheng Reply:
The bandage should be wrapped at an appropriate tightness that allows for self-adjustment; if it is too tight, it may cause swelling, while if it is too loose, it will not be effective. The appropriate tightness is one that maintains normal circulation in the foot without excessi...

[Read More] Should You Tighten Your Bandage After Swelling Reduces Post-Fracture?


Understanding Tibial Plateau Fractures and Knee Pain After Surgery

Tibial plateau fracture with knee depression? Hello, doctor. I was involved in a car accident on March 18, 2017, which resulted in a fracture of the left tibial plateau along with a depression in the knee area. I underwent surgery on March 19 at 7 PM, which lasted until 2 AM the ...


Dr. Shi Guozheng Reply:
After fracture surgery, fixation with steel nails is usually not that fragile, and you can wait until your follow-up appointment for the doctor to examine it. If there is sudden displacement, it can cause severe pain, or pain due to joint deformity is inevitable and will take som...

[Read More] Understanding Tibial Plateau Fractures and Knee Pain After Surgery


Understanding Pain Below the Knee: Tibial Tuberosity Issues and Recovery

Pain upon palpation of the tibial tuberosity and discomfort after squatting and standing up? Previously, when I was kneeling on a stone bench with one leg, I pressed on the bony prominence below my knee (I found online that this area is called the tibial tuberosity). A day or two...


Dr. Hong Ximing Reply:
Excessive pressure on the tibial tuberosity can cause pain, which is normal. However, if there is insufficient rest or frequent stair climbing, it can lead to overuse of the hip ligaments and hip cartilage, resulting in persistent pain. It is recommended to reduce stair climbing ...

[Read More] Understanding Pain Below the Knee: Tibial Tuberosity Issues and Recovery


Understanding Nonunion in Fibula Fractures: Treatment Options and Recovery

Fibular nonunion? Hello Doctor, I had a car accident at the end of December last year that resulted in a fibula fracture. The mid-section of the fibula is displaced, and the upper and lower segments are only in contact with each other. One hospital initially recommended surgery, ...


Dr. Shi Guozheng Reply:
Fibula fractures typically heal within about three months without the need for surgical intervention, and afterward, there should be no impact on mobility or walking. If three months have passed, the use of crutches can be discontinued. In cases of tibial fractures where intramed...

[Read More] Understanding Nonunion in Fibula Fractures: Treatment Options and Recovery


Recovery Tips for Tibia and Fibula Fractures: What to Expect

Tibiofibular fracture Hello Doctor, I had a car accident a month ago that resulted in a closed tibial fracture and a fibular hairline fracture. I underwent surgery to insert a steel rod, and the fibula was not treated and was not put in a cast. I asked my attending physician if I...


Dr. Shi Guozheng Reply:
Rehabilitation involves moving your knee and ankle joints. The ankle should move up and down to engage the muscles, preventing muscle atrophy. After completing the exercises, if your foot or calf is swollen, you can elevate it. Additionally, it's important to have regular fo...

[Read More] Recovery Tips for Tibia and Fibula Fractures: What to Expect


ACL Reconstruction vs. High Tibial Osteotomy: Which Surgery is Better?

Questions about Anterior Cruciate Ligament Reconstruction and High Tibial Osteotomy? Hello Doctor, I injured my knee 8 years ago and underwent anterior cruciate ligament (ACL) reconstruction surgery. After a sports-related sprain last year, I have been experiencing discomfort in ...


Dr. Shi Guozheng Reply:
Ligament reconstruction surgery should be performed first, as high tibial osteotomy (HTO) cannot improve the condition of ligament instability.

[Read More] ACL Reconstruction vs. High Tibial Osteotomy: Which Surgery is Better?


Understanding Knee Injuries: Recovery and Impact on Sports Performance

Knee issues Hello doctor, I injured myself while playing basketball last September, resulting in a tibial avulsion fracture and an injury to the medial collateral ligament. Recently, I have noticed a bulge on the inner side of my knee, and I feel unstable when standing for 37 ste...


Dr. Shi Guozheng Reply:
If a laceration does not displace the bone, it will improve in three months, and after six months, it should heal normally without any long-term effects.

[Read More] Understanding Knee Injuries: Recovery and Impact on Sports Performance


Understanding Tibial Tumors: Key Questions and Concerns for Patients

Issues related to tibial tumors? Continuing from the question in <a href="https://adoctor.tw/article/118586">#118586</a>: Dear Dr. Shi, thank you for your response! Due to work commitments, I won’t be able to return to the country for a check-up until June, ...


Dr. Shi Guozheng Reply:
1. There should be no problem flying. 2. The likelihood is relatively low. 3. It will not have an impact. 4. No, it won't. 5. The area with the bone tumor will appear different from normal bone. 6. There's nothing particularly unusual, but it's still advi...

[Read More] Understanding Tibial Tumors: Key Questions and Concerns for Patients


Understanding Tibia and Fibula Fracture Healing Challenges

Issues with healing of tibial and fibular fractures? Hello Doctor, I sustained a closed fracture of the tibia and fibula in the lower third of my right leg on December 18, 2016. I underwent surgery and had an intramedullary nail inserted. During my follow-up appointment on Februa...


Dr. Hong Ximing Reply:
A fracture of the distal one-third of the tibia and fibula may have a slower blood supply and circulation; however, since surgical reduction and fixation have been performed, it should heal properly. As for the ankle being darker red, this is a normal phenomenon associated with w...

[Read More] Understanding Tibia and Fibula Fracture Healing Challenges


Understanding Ankle Pain: Ligament Injury Recovery and Symptoms Explained

Is your right ankle feeling uncomfortable? Hello Doctor: I sprained my ankle while playing basketball at the end of October last year. I went to Clinic A for an ultrasound diagnosis, and the doctor said the ligament was torn. However, when I later visited doctors at Clinics B and...


Dr. Shi Guozheng Reply:
Ligament injuries typically heal in about three months; however, if there is laxity, it may lead to instability, resulting in inflammation and pain. The X-ray shows slight separation between the tibia and fibula, which could indicate a distal tibiofibular joint separation. It is ...

[Read More] Understanding Ankle Pain: Ligament Injury Recovery and Symptoms Explained


Understanding Bone Tumors: Symptoms, Concerns, and Next Steps

Osteoma issues? Hello Doctor: Thank you for taking the time to patiently answer my questions. Thirty years ago, I suffered an open fracture of the tibia in my right leg, which required four surgeries over four years, including the insertion and removal of a metal plate. During re...


Dr. Shi Guozheng Reply:
1. Go to the hospital for a check-up when you have time. 2. It may be unrelated. 3. If the tumor is growing, there is usually a phenomenon of pain. 4. Temporarily avoid vigorous exercise.

[Read More] Understanding Bone Tumors: Symptoms, Concerns, and Next Steps


Understanding Post-Fracture Symptoms in Children: Is Numbness Normal?

After bone fracture healing Hello, Dr. Lee: I would like to ask you about my child's tibial fracture healing. During the follow-up appointment on November 8, the X-ray showed complete healing. Recently, he has been sitting in a fixed position for too long, such as on the sof...


Dr. Li Yongheng Reply:
The X-ray taken during the follow-up visit for the tibial fracture shows complete healing. It is normal for the previously injured leg to occasionally feel numb after sitting in a fixed position for too long, so there is no need to worry.

[Read More] Understanding Post-Fracture Symptoms in Children: Is Numbness Normal?


Recovery Tips for Closed Fractures of the Distal Tibia

Some recovery concerns regarding closed comminuted fractures of the distal right tibia? I had a car accident on December 2nd, and I went into surgery the next afternoon. I am currently in recovery. I would like to know if I can ride a scooter (the type that accelerates with a thr...


Dr. Chen Yongxue Reply:
Hello, a fracture is what is medically referred to as a broken bone. Generally, fractures require stabilization, which can be achieved through internal fixation, external fixation, or casting, depending on the type of fracture. After stabilization, a fracture does not always guar...

[Read More] Recovery Tips for Closed Fractures of the Distal Tibia


Impact of Jumping on Recovery After Leg Fracture Surgery

Issues with fracture plate fixation? Two weeks ago, I fractured my tibia and underwent surgery four days later to have a plate inserted. I returned home to rest, but due to limited space, I haven't used crutches and have been hopping on one foot instead, keeping the injured ...


Dr. Shi Guozheng Reply:
If the injured foot is not bearing weight, there should be no impact; however, excessive jumping may potentially cause issues with the uninjured foot. Therefore, it is advisable to follow medical advice and use crutches.

[Read More] Impact of Jumping on Recovery After Leg Fracture Surgery


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