Understanding Ankle Ligament Injuries: Recovery and Treatment Insights
Ankle ligament tear with bone avulsion? Hello, Doctor. A month ago, I fell down the stairs and my ankle is swollen and painful. I had an X-ray which showed no fractures, and the doctor said that I had a ligament tear due to inversion and advised me to use a brace while waiting fo...
Dr. Shi Guozheng Reply:
Ligament injuries of the ankle joint typically recover with rest and immobilization. When you mention joint separation, are you referring to distal tibiofibular diastasis? If the separation is significant, surgical intervention with bone screws may be necessary. It would be advis...[Read More] Understanding Ankle Ligament Injuries: Recovery and Treatment Insights
Understanding Numbness After Intramedullary Nail Surgery for Leg Fractures
After two weeks of having steel pins inserted for a tibia and fibula fracture, the sole of the foot began to feel numb? Hello, I would like to ask about my condition. On March 15th, I was hit by a car, resulting in both legs being crushed and an open fracture. The next day, I had...
Dr. Hong Ximing Reply:
Open fractures of the tibia and fibula were stabilized with intramedullary nailing; however, the injury may have affected the nerves. It is advisable to consult the attending physician for a nerve conduction study to determine the location of nerve damage and facilitate early int...[Read More] Understanding Numbness After Intramedullary Nail Surgery for Leg Fractures
How to Decide Between Cast or Surgery for Fibula Fracture?
Treatment methods for fibula fractures? Five days ago, I fell and had an X-ray taken. The doctor informed me that I have a fibula fracture, specifically a displaced closed fracture. The doctor mentioned that treatment options include casting or surgery. How should I decide betwee...
Dr. Shi Guozheng Reply:
Typically, fibula fractures do not require surgery unless they are near the joint and displaced. Fractures adjacent to the upper end of the tibia also usually do not require surgical intervention. However, if the fracture occurs at the ankle joint and is displaced, surgery is pre...[Read More] How to Decide Between Cast or Surgery for Fibula Fracture?
Do You Need Pins for a Fractured Leg? Understanding Treatment Options
Is it necessary to place bone screws? Hello Doctor, this is the situation of my friend who suffered a fracture in her lower leg after a car accident yesterday. Does she need to have pins inserted, or can it be treated with a cast? Are there any better options for recovery? Thank ...
Dr. Shi Guozheng Reply:
The X-ray shows a fracture of the tibia in the lower third of the shaft, with no fracture of the fibula. There is slight displacement of the tibia, but it is acceptable. This condition can be treated with a cast for stabilization, and it will take approximately three months for r...[Read More] Do You Need Pins for a Fractured Leg? Understanding Treatment Options
Do You Need the Same Surgeon for Plate Removal After Injury?
Does the removal of steel plates and screws need to be performed by the same physician? Hello Doctor: I was involved in a car accident in Hualien on April 9th of this year and was hospitalized. I underwent surgery on April 10th, and my diagnoses were: 1. Medial proximal tibial fr...
Dr. Shi Guozheng Reply:
The removal of the steel plate does not necessarily have to be performed by the same physician; as long as a physician at the hospital you are visiting is willing to perform the surgery, it is acceptable. Injury to the common peroneal nerve causing foot drop may not recover, and ...[Read More] Do You Need the Same Surgeon for Plate Removal After Injury?
Rehabilitation After Right Tibial Plateau Fracture with ACL Tear
Right tibial plateau fracture with anterior cruciate ligament tear? Right tibial plateau fracture with anterior cruciate ligament tear (a piece of bone from the anterior cruciate ligament at the tibia was elevated, and two screws were used to fix the bone) post-operative 6 weeks....
Dr. Chen Yongxue Reply:
Hello, based on your description, it seems to be a tear of the anterior cruciate ligament (ACL) with an associated fracture. After stabilization of the fracture, it will take approximately six to eight weeks to achieve initial healing. During this time, rehabilitation exercises s...[Read More] Rehabilitation After Right Tibial Plateau Fracture with ACL Tear
Understanding Pediatric Tibial Tumors: Insights on Diagnosis and Symptoms
Pediatric tibial tumors Hello Dr. Chen, My son (4 years and 6 months) has had a lump above the anterior aspect of his right tibia since he was two years old. He feels hesitant to put weight on his right foot while walking, which makes his walking and running appear slightly limp...
Dr. Chen Yongxue Reply:
Hello, benign fibrous tumors are the most common benign tumors in children, with a higher prevalence in males, being twice as common as in females. Since they are benign tumors, there are no reports of malignant transformation. They typically occur in the distal femur or proximal...[Read More] Understanding Pediatric Tibial Tumors: Insights on Diagnosis and Symptoms
Recovery After Tibial Fracture: ACL Rehabilitation and Hardware Removal
Removal of intramedullary nail for tibial fracture and reconstruction of the posterior cruciate ligament? Hello, doctor: After a car accident, I had an intramedullary nail placed for a tibial fracture. Three months later, during a follow-up, it was discovered that I have a torn p...
Dr. Wang Shouji Reply:
Hello: The presence of intramedullary nails in the tibia can indeed affect anterior cruciate ligament (ACL) reconstruction. I recommend removing the metal pins after the fracture has healed before addressing the ACL issue. For ACL reconstruction, you may consult an orthopedic sur...[Read More] Recovery After Tibial Fracture: ACL Rehabilitation and Hardware Removal
Recovery After Tibia Fracture: ACL Rehabilitation and Hardware Removal
Removal of intramedullary nail for tibial fracture and reconstruction of the posterior cruciate ligament? Hello, Doctor: After a car accident, I had an intramedullary nail placed for a tibial fracture. Three months later, during a follow-up visit, it was discovered that I have a ...
Dr. Wang Shouji Reply:
Hello: The presence of intramedullary nails in the tibia can indeed affect anterior cruciate ligament (ACL) reconstruction. I recommend removing the metal pins after the fracture has healed before addressing the ACL issue. For ACL reconstruction, you may consult an orthopedic sur...[Read More] Recovery After Tibia Fracture: ACL Rehabilitation and Hardware Removal
Understanding Shin Pain: Causes, Symptoms, and Relief Options
Tibial pain Hello Doctor: Last night, I noticed unexplained pain in the mid-anterior region of my tibia, along with a feeling of tightness in my knee and the muscles in the front of my lower leg. This has somewhat affected my walking and ability to sleep. However, I only took a b...
Dr. Hong Ximing Reply:
The best treatment for tibial muscle pain is rest and heat therapy.[Read More] Understanding Shin Pain: Causes, Symptoms, and Relief Options
Understanding X-Ray Reports: Insights on Tibial Plateau Fractures and Bone Grafting
Regarding X-ray examinations? Today, I received an X-ray report at the front desk and didn't have time to ask the attending physician. Here, I would like to ask Dr. Shi: X-ray findings indicate severely comminuted left lateral tibial plateau with poor surgical technique. Phy...
Dr. Shi Guozheng Reply:
The absorption of artificial bone is relatively slow and may take six months to a year for complete absorption.[Read More] Understanding X-Ray Reports: Insights on Tibial Plateau Fractures and Bone Grafting
Exploring Internal Bone Lengthening Surgery Options in Taiwan and Beyond
Bone lengthening surgery Doctor, may I ask if there are any practitioners in Taiwan performing internal bone lengthening surgeries using Albizzia or Guichet techniques? Additionally, could you recommend any doctors in Hong Kong or Singapore who specialize in this procedure? Thank...
Dr. Shi Guozheng Reply:
Currently, I am not sure, but this type of lengthening surgery is rarely performed in Taiwan. You can inquire at the pediatric orthopedic department of a medical center. Albizzia or Guichet nails are a type of specialized intramedullary nail. Once implanted into the medullary cav...[Read More] Exploring Internal Bone Lengthening Surgery Options in Taiwan and Beyond
Understanding Tibial Plateau Fractures: Recovery and Rehabilitation Insights
Regarding tibial plateau fractures? Three months ago, I suffered a tibial plateau fracture and underwent open reduction and internal fixation along with bone grafting. I did not put weight on my leg for the first two months post-surgery. After about a month of rehabilitation at a...
Dr. Hong Ximing Reply:
Tibial plateau fractures are very complex, and without X-ray references, I cannot answer your question. Please consult your attending physician for more detailed information.[Read More] Understanding Tibial Plateau Fractures: Recovery and Rehabilitation Insights
Overcoming Stiffness After Leg Surgery: Tips for Recovery
Removal of plaster cast due to stiffness in the bones? Hello Doctor: I had a car accident on December 18th last year, resulting in an open fracture of the tibia in my right leg. Due to concerns about infection from the wound, I was treated with a triangular external fixator. Afte...
Dr. Chen Yongxue Reply:
Hello, it is quite common to experience joint stiffness after a fracture. It is important to engage in rehabilitation to restore the knee joint's original range of motion as soon as possible. If rehabilitation is not effective, and depending on the situation, an anesthetic m...[Read More] Overcoming Stiffness After Leg Surgery: Tips for Recovery
Understanding Knee Injuries: ACL Tears and Recovery After a Car Accident
Knee fracture and anterior cruciate ligament tear due to a car accident, Dr. Si? Hello Dr. Shih, I was in a car accident last December, and I still cannot walk independently and need a walker. I have some concerns regarding the entire medical process conducted by the surgeon who ...
Dr. Shi Guozheng Reply:
A cruciate ligament tear with an associated fracture that is non-displaced does not require surgical fixation. If there is displacement, surgery can be performed to stabilize the fracture. The issue with the ligament is not solely about treating instability, but rather addressing...[Read More] Understanding Knee Injuries: ACL Tears and Recovery After a Car Accident
Recovery and Complications After Severe Femoral Fractures: A Patient's Guide
Comminuted fracture of the femur below the greater trochanter of the right leg? Hello Doctor, I had a car accident in January of this year, resulting in a comminuted fracture of the femur just below the greater trochanter of my right thigh and a fracture of the medial malleolus o...
Dr. Shi Guozheng Reply:
If a fracture does not heal properly after about six months, it may take up to a year, and the long-term effects are related to the severity of the initial injury. Sometimes, the range of motion in the hip joint may be affected, and there could be discrepancies in leg length. Add...[Read More] Recovery and Complications After Severe Femoral Fractures: A Patient's Guide
Managing Ankle Fracture Complications: Pain, Instability, and Rehabilitation
What are the issues following an ankle fracture injury? Dr. Chen, I would like to ask you about my condition following a car accident on June 20, 2015. At that time, an X-ray revealed a fracture of the left ankle's lateral malleolus, and I was placed in a cast and used crutc...
Dr. Chen Yongxue Reply:
Hello, 1. For instability issues that stem from ligaments, surgical intervention may be necessary. Pain and swelling are likely caused by inflammation, which can be managed with medication and rehabilitation. 2. Regarding rehabilitation for tendon rupture, based on your descr...[Read More] Managing Ankle Fracture Complications: Pain, Instability, and Rehabilitation
Understanding Benign Fibrous Tumors of the Bone: Recovery Time and Surgery Insights
Benign fibrous tumor of bone Hello Doctor, about two weeks ago I felt a sharp pain in my left tibia while running and fell, which led me to seek medical attention. I visited several hospitals, and after X-rays, they were unsure of the situation. After a CT scan, they diagnosed me...
Dr. Chen Yongxue Reply:
Hello, fibrous dysplasia is quite common and most cases do not present significant symptoms; many people go through their entire lives without realizing they have it. If your symptoms occur frequently, surgical treatment is an option. The recovery time can vary greatly depending ...[Read More] Understanding Benign Fibrous Tumors of the Bone: Recovery Time and Surgery Insights
Managing Tibial Fractures: Pain Relief, Cast Issues, and Mobility Tips
For a tibial fracture, pain relief and discomfort from the cast can vary. Generally, patients may be able to use crutches and get out of bed within a few days to a week after the injury, depending on the severity of the fracture and the doctor's recommendations. It is essent...
Dr. Shi Guozheng Reply:
Your questions have been repeated. I already answered them on April 15th. Basically, your fracture is unlikely to displace, so it is best for you to follow your doctor's instructions and return for your scheduled appointment to change the cast. Recovery will take approximate...[Read More] Managing Tibial Fractures: Pain Relief, Cast Issues, and Mobility Tips
Can Lack of Body Hair Affect Growth Plate Development?
The growth plate? The absence of armpit hair and the presence of facial hair do not directly affect height growth. Height is primarily determined by genetics and the growth plates in the bones. If the growth plates have not yet closed, it is still possible to grow taller, regardl...
Dr. Shi Guozheng Reply:
This depends on whether the growth plates have closed. Armpit hair and facial hair are secondary sexual characteristics in males, which are usually related to height. The growth plates are located near the knee joint, specifically at the distal end of the femur and the proximal e...[Read More] Can Lack of Body Hair Affect Growth Plate Development?