Tibia, Orthopedics FAQ

Post-Fracture Recovery: Addressing Common Concerns and Complications

Issues Related to Fractures Hello Dr. Shih, On the evening of October 13th of this year, I was involved in a car accident that resulted in an open fracture of my right tibia and fibula. Subsequently, the doctor performed surgery to install bone screws and plates, and applied a l...

Dr. Shi Guozheng Reply:
The healing of a bone fracture typically requires a period of time, and follow-up X-rays are necessary to assess the healing process. It is unlikely for the fracture to heal in just two months; usually, it takes three to six months or even longer. If there is poor flexion in the ...

Can My Brother Recover Normal Walking After Severe Leg Injury?

Are there methods to restore normal walking? Hello Doctor, my brother, who is 21 years old, injured his right leg near the knee while working at a construction site last August. He was operating a bulldozer and accidentally crushed a section of his tibia, which resulted in a frac...

Dr. Shi Guozheng Reply:
If the bone infection has resolved, then corrective surgery on the bone can be performed. The treatment from the original hospital is considered quite good, as open fractures of the lower leg are challenging to treat. Sometimes, amputation is necessary during the initial treatmen...

Recovery Timeline for Right Tibial Plateau Fracture After Surgery

Closed fracture of the distal right tibia with an elevated bony prominence? Two weeks ago, I was coming down from Yangmingshan with a friend when it started to rain, making the road slippery. During the descent, my tires slipped while braking, and I accidentally fell off my bike....

Dr. Shi Guozheng Reply:
A tibial fracture typically takes about three months to heal completely, and it generally takes a similar amount of time to transition from using crutches to walking independently. If the surgical fixation is done well, you may be able to start putting light weight on the leg wit...

Can Joint Replacement Surgery Help My Father's Osteomyelitis Condition?

Osteomyelitis in artificial joints Hello, Doctor! My father (56 years old) suffered a fracture of the left tibial plateau and proximal fibula due to a car accident in April 2016. After surgery, there was a collapse of the left tibial plateau, and the wound took a long time to hea...

Dr. Shi Guozheng Reply:
When there is osteomyelitis, it is not advisable to perform joint replacement surgery until the osteomyelitis has been completely resolved. During joint replacement surgery, bone grafting can be performed simultaneously; however, it is crucial that there is no ongoing infection p...

How Soon Can I Return to Work After Tibial Fracture Surgery?

How long after surgery for a tibial fracture from a car accident can one return to work? Hello Dr. Hong: I was involved in a car accident last month that resulted in a comminuted open fracture of the distal tibia in my left ankle. Due to the wound on my ankle, the doctor first pe...

Dr. Hong Ximing Reply:
After a comminuted fracture of the ankle joint, follow-up X-rays are necessary to monitor the healing process of the fracture. Rehabilitation exercises can be initiated to prevent muscle atrophy. For detailed information, please consult your attending physician.

Understanding Open Fractures of the Tibia and Fibula: Recovery Insights

Tibial and fibular open fracture with internal fixation? On April 7, I was involved in a car accident resulting in an open fracture of the tibia and fibula in my lower leg. I underwent surgery the same day for wound closure and external fixation. On May 7, one month later, the ex...

Dr. Shi Guozheng Reply:
After a fracture has completely healed, the crutches can be discontinued. If the fracture has not fully healed, there is a possibility that the bone plate may deform.

Recovery Timeline for MCL Sprain and Tibial Avulsion Fracture

Ligament injury Hello, doctor. I injured my right knee while playing basketball last week, suffering a sprain of the medial collateral ligament and an avulsion fracture of the tibia. I would like to know how long it will take to heal and when I can walk normally again (I am curre...

Dr. Wang Shouji Reply:
Hello: The recovery time must be assessed based on the severity of the ligament tear and fracture. For such injuries, if surgical fixation is not required, it will take at least two months before rehabilitation can begin, depending on the healing status of the fracture. Only then...

Post-Car Accident: Managing Left Tibial Plateau Fracture Recovery Issues

The car accident resulted in a left tibial plateau fracture. After the cast was removed, there is swelling when bending the knee? I was in a car accident, and the doctor diagnosed me with a closed fracture of the left tibial plateau. They applied a cast for immobilization, statin...

Dr. Ye Qingnian Reply:
A closed fracture of the left tibial plateau can lead to an increased risk of knee joint degeneration in the future. It is important to avoid activities such as hiking and lifting heavy objects. After casting, there is a high risk of muscle atrophy and limited range of motion. Pl...

Understanding Ankle Bone Screws: Concerns and Recovery Tips

Ankle bone screw Hello Doctor, I had ankle surgery at the beginning of July due to a bone misalignment, and I have a transverse bone screw inserted. I am currently in rehabilitation and practicing walking with a brace (without using crutches), although I still use crutches most o...

Dr. Shi Guozheng Reply:
The transverse bone screw should stabilize the distal tibiofibular joint (syndesmosis) between the tibia and fibula. Reducing weight-bearing activities can help prevent the screw from breaking. Whether the screw has fractured can only be determined through X-ray imaging, so it is...

Rehabilitation Insights for Post-Tibia-Fibula Fracture Recovery

Rehabilitation status after tibiofibular fracture-dislocation? Hello Doctor, it has been over five months since I fractured my left ankle fibula (with a plate on the outer side and screws on the inner side). At the four-month mark, an X-ray confirmed that the bone had fully heale...

Dr. Shi Guozheng Reply:
It is normal to experience soreness after the healing of a fibula fracture. Typically, fractures near the ankle take about six months to gradually recover, and it is also normal for joint mobility not to return to pre-injury levels. Rehabilitation should be done gradually to impr...

Post-Operative Challenges After Knee Replacement Surgery: A Patient's Journey

Postoperative care for total knee arthroplasty? My mother is 65 years old and underwent total knee arthroplasty in July 2015, with the artificial joint being covered by health insurance. She opted to pay out of pocket for high-strength bone cement and a minimally invasive tibial ...

Dr. Shi Guozheng Reply:
After total knee arthroplasty, poor joint mobility may lead to some functional decline, but it should not result in an inability to walk. If the knee flexion is less than 90 degrees for more than three months, it becomes more challenging to achieve further bending. If there is pe...

Understanding O-Shaped Legs: Is Your Condition Correctable?

Knee issues: bowlegs (genu varum) Hello Doctor: I have always thought that I have bow legs, but I noticed that my knees are straight and touch each other, which is different from those with bow legs whose knees do not touch. In my case, the curvature starts from the tibia. Is thi...

Dr. Shi Guozheng Reply:
Is it true that X-rays can clearly show if someone has bow legs (O-shaped legs)? If the condition is severe, correction is necessary, primarily through a surgical procedure known as osteotomy.

Understanding Recovery and Long-Term Effects of Sports Injuries

I sustained an injury while playing basketball last week? Hello, doctor. I injured myself during a basketball game at school last week, resulting in a sprain of the medial collateral ligament in my right foot and an avulsion fracture of the tibial tuberosity. I'm very concer...

Dr. Hong Ximing Reply:
In the case of an ankle medial collateral ligament sprain accompanied by an avulsion fracture, the principle is to first immobilize the area to allow for healing, and then gradually restore joint function to prevent any long-term complications.

Recovery Timeline for Medial Collateral Ligament Injury in Athletes

Ligament injury Hello doctor, last week I sustained an injury while playing basketball, resulting in a sprain of the medial collateral ligament and an avulsion fracture of the tibial spine. I would like to know when I can expect to recover the fastest. When can I remove the knee ...

Dr. Hong Ximing Reply:
Injury to the medial collateral ligament, along with a tibial spine fracture, requires at least three months of rest. Exercise can only be resumed once the fracture has healed. During this period, it is advisable to consult with a rehabilitation specialist to prevent muscle atrop...

Can a Child Stand After 5 Weeks of Tibial Fracture Healing?

Can I stand if my bone fracture has not completely healed after five weeks? A three-year-old child sustained a tibial stress fracture on August 31 while playing soccer. It has been five weeks since the injury, and during a follow-up visit on October 6, X-rays showed that the frac...

Dr. Li Yongheng Reply:
Fracture healing in three-year-old children generally occurs quickly. If the physician indicates that the child can stand and walk, and the child is not experiencing any pain, parents can feel reassured. However, it is important to avoid falls and running or jumping.

Understanding Why Your Tibial Lump Is Growing Larger

Tibial mass But why is my lump getting bigger?

Dr. Shi Guozheng Reply:
If the lump on the tibia is increasing in size, it is important to first assess how long it has been growing, whether it is hard or soft, its exact location, and whether there is any associated pain. It is advisable to consult a physician for an examination, as the tumor could po...

Understanding Painful Movable Tibial Mass: Possible Causes and Concerns

Tibial mass I have an unexplained small lump on my right calf tibia. I'm not sure if it's a tumor, and it can be moved to other areas when I push it with my hand. There is also a sensation of pain. Please help me understand this.

Dr. Shi Guozheng Reply:
It may be a soft tissue tumor, and you should consult an orthopedic surgeon to determine if further evaluation is necessary.

Do You Need Bone Cement for Foot Fractures? Key Insights Explained

Bone pinning for foot fractures? Do I need to get a bone cement injection for a foot fracture? Under what circumstances is a bone cement injection necessary? Why did the doctor recommend that I get a bone cement injection?

Dr. Shi Guozheng Reply:
Your question is unclear regarding which specific bone fracture you are referring to. Foot or ankle fractures typically heal more easily and rarely require bone grafting. In the case of tibial fractures, sometimes there can be poor healing that necessitates bone grafting. What do...

Post-Surgery Knee Pain: What to Expect After High Tibial Osteotomy

Hello, Doctor Shi, I would like to ask..? Hello, Doctor. I would like to ask you a question. I underwent high tibial osteotomy at Kaohsiung Chang Gung Memorial Hospital in June this year, and it has been almost two months. Based on your experience, is it normal for my knee to sti...

Dr. Shi Guozheng Reply:
This type of surgery requires at least three procedures for proper healing. Your doubts may make it difficult for the physician to respond. Continuing with rehabilitation is what you should focus on right now; typically, the range of motion will return to normal.

Recovery Tips for Tibial Fracture and Lateral Ligament Injury

Closed fracture of the proximal tibia with lateral collateral ligament tear? Hello Dr. Tsai: I was in a car accident on May 16th and underwent open reduction and internal fixation of a right tibial fracture and lateral collateral ligament repair on May 17th. It has been about 47 ...

Dr. Cai Shanglin Reply:
Six weeks after surgery, an initial X-ray will typically be taken to assess whether the plate has shifted or if there is any further displacement of the fracture. Your attending physician should explain these findings to you and inform you whether you can put weight on your right...

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