Understanding Tibial Osteotomy: Addressing Knee Pain and Patellar Issues
Tibial realignment surgery Hello Doctor: I underwent arthroscopy on my knee in 2004. After recovery, I attempted to run, but my knee started to hurt again. This pain sometimes resolves suddenly, but at times it lingers for an extended period (about six months with a dull ache). A...
Dr. Ye Qingnian Reply:
Hello: I have not performed surgeries or conducted research in this area at the regional hospital. Please consult a physician at a medical center who specializes in sports medicine for a more in-depth understanding. I apologize for any disappointment this may cause. Wishing you p...[Read More] Understanding Tibial Osteotomy: Addressing Knee Pain and Patellar Issues
Rehabilitation Challenges After Tibial Plateau Fracture: Seeking Guidance
Rehabilitation issues following a right tibial plateau fracture? Dear Doctor, I was involved in a car accident on February 28 of this year, which resulted in a fracture of the right tibial plateau and an avulsion fracture of the lateral ligament. I underwent internal fixation su...
Dr. Li Wenlin Reply:
After a knee joint fracture, the degree of fracture reduction can affect the range of motion of the joint. Since you have been rehabilitating for a month without significant progress, you should first consult an orthopedic surgeon to assess whether there are any issues with the j...[Read More] Rehabilitation Challenges After Tibial Plateau Fracture: Seeking Guidance
Delaying Removal of Tibial Nails: What Are the Risks?
Removal of metal screws issue Hello, doctor. I have had a tibial intramedullary nail for a year and need to have it removed. However, due to my busy work schedule, I don't have time to have it removed right now. I am considering postponing the removal for another year. Will ...
Dr. Shi Guozheng Reply:
If there is currently no tingling sensation or joint locking, it would not be a major issue to wait another year for extraction.[Read More] Delaying Removal of Tibial Nails: What Are the Risks?
Understanding Tibial Osteotomy: When Surgery is Necessary and What to Expect
Tibial osteotomy surgery Hello, Doctor: I would like to ask under what circumstances surgery is necessary to correct a misaligned tibia? My doctor mentioned wanting to perform an osteotomy, where he plans to remove the upper edge of the tibia, realign it, and then secure it with ...
Dr. Hong Ximing Reply:
Based on your description, it seems to be a lateral displacement of the patella, causing the patella to be out of its normal position and resulting in cartilage wear. Generally, if there is a patellar subluxation or greater, a patellar ligament realignment surgery is required; ot...[Read More] Understanding Tibial Osteotomy: When Surgery is Necessary and What to Expect
Recovery Time After Tibial Nail Removal: When Can You Walk Normally?
Tibial fracture and removal of metal screws? How long does it take to walk normally after surgery to remove steel pins from the knee?
Dr. Zhang Jiahao Reply:
Hello: In theory, after the fracture has healed and the steel pins are removed, you should be able to walk normally once the wound has healed. However, it is not advisable to engage in excessive weight-bearing or jumping activities. There are individual differences, so it is reco...[Read More] Recovery Time After Tibial Nail Removal: When Can You Walk Normally?
Impact of Long-Term Retained Bone Screws on Mobility and Health Risks
Will having thigh and knee bone screws left in for about 20 years affect mobility in the future? I was involved in a severe car accident in 1993, resulting in fractures of both hip joints, the right femur, the left knee joint, and the left tibia. After multiple surgeries, both th...
Dr. Zhang Jiahao Reply:
Hello: The principle is to remove internal bone screws and plates; however, many individuals do not have them removed. This decision is related to the patient's age, the location of the screws (such as whether they are embedded within a joint), and the patient's symptom...[Read More] Impact of Long-Term Retained Bone Screws on Mobility and Health Risks
Understanding Tibia and Fibula Fractures: Surgical Options Explained
Tibiofibular fracture Hello Doctor: I was involved in a car accident on October 29, 2010, which resulted in a tibia and fibula fracture. I underwent reduction surgery at Changhua Show Chwan Hospital. However, six months later, the bone did not heal, so a fixation screw was remove...
Dr. Li Wenlin Reply:
In the case of simultaneous fractures of the tibia and fibula, if the fractures are located in the midshaft, it is sufficient to stabilize only the tibia. Therefore, if the tibial portion has not healed, there is no need for another surgery. The important factor is whether the bo...[Read More] Understanding Tibia and Fibula Fractures: Surgical Options Explained
Understanding Patellar Chondromalacia and Cartilage Damage: Treatment Options
Patellar chondromalacia and cartilage damage? Hello, Doctor! I have been suffering from chondromalacia of the right knee for seven to eight years. I have undergone physical therapy at the rehabilitation department of the hospital for both legs, including shortwave therapy, ultras...
Dr. Li Wenlin Reply:
Hello, Xiao Luo: 1. The principle of shortwave therapy cannot burn the cartilage in the knee joint, but it is indeed not advisable to adjust the intensity of the shortwave machine by yourself. If you are interested in the intensity of shortwave therapy, you can proactively discu...[Read More] Understanding Patellar Chondromalacia and Cartilage Damage: Treatment Options
How Long Does It Take for Broken Bones to Heal?
The issue of disconnection? How long does it take for a broken limb to heal, and what can be done to promote faster recovery?
Dr. Fan Hongbin Reply:
Hello: Regarding your inquiry, here is the response: 【(Toe) Phalanges: 3-5 weeks; Metacarpals and Carpals: 6 weeks; Radius and Ulna: 10-12 weeks; Humerus: 8-12 weeks; Clavicle: 6-10 weeks; Vertebrae: 16 weeks; Pelvis: 6 weeks; Femur: 10-18 weeks; Tibia: 8-20 weeks; Calcaneus: 12-...[Read More] How Long Does It Take for Broken Bones to Heal?
Understanding Pain Near the Shin: Causes and Solutions
Pain near the anterior tibia? I do not experience pain while walking or brisk walking, but I feel pain near the mid to lower part of my anterior tibia when running. This condition has persisted for several years. I have seen two Western medicine doctors, and they both advised me ...
Dr. Wang Shouji Reply:
Danny: This issue is likely caused by inflammation of the tibialis anterior muscle, which may be due to the relatively narrow compartment of the tibialis anterior muscle, making it prone to soreness during intense activity. Wishing you a speedy recovery.[Read More] Understanding Pain Near the Shin: Causes and Solutions
Challenges in Recovery from Tibial Fracture and ACL Injury: Knee Extension Issues
Tibial shaft fracture with an intact anterior cruciate ligament injury, unable to fully extend the knee? Hello Doctor: I had a motorcycle accident on October 20 of last year, resulting in continuous swelling below my right knee, and I did not undergo surgery until November 17. My...
Dr. Li Wenlin Reply:
Hello: In response to your questions, you can consult your attending physician in person. If you still have concerns, you may also seek advice from another orthopedic surgeon nearby. The old saying goes, "It takes a hundred days to heal injuries to muscles and bones," a...[Read More] Challenges in Recovery from Tibial Fracture and ACL Injury: Knee Extension Issues
Understanding Intramedullary Nail Issues in Tibial Fractures
Issues with Intramedullary Nails for Tibial Fractures Hello, Director Li. About three weeks ago, I suffered a closed fracture of the tibia and fibula in the lower leg, near the ankle, affecting the lower third. I underwent intramedullary nailing for the tibia and fixation with K-...
Dr. Li Wenlin Reply:
Hello: Here are the answers to your questions. 1. While it is ideal for a fracture to be completely reduced without any gaps, some fracture types (such as comminuted, deformed, or with bone loss) may not be easily reducible. Therefore, it is important not to focus too much on t...[Read More] Understanding Intramedullary Nail Issues in Tibial Fractures
Understanding Inability to Cross Legs: Causes and Treatment Options
Leg? The inability to sit cross-legged from a young age may be due to various factors, including anatomical variations or musculoskeletal issues. The observation of your legs appearing to be in an "external rotation" or "duck-footed" position could indicate a ...
Dr. Li Wenlin Reply:
Hello: In response to your inquiry regarding your hip and knee joints, I recommend that you consult an orthopedic physician nearby. I believe you will receive the best answers to your concerns. Wishing you all the best! Dr. Li Wen-Lin, Orthopedic Department, Keelung Hospital.[Read More] Understanding Inability to Cross Legs: Causes and Treatment Options
Understanding Pain and Swelling Below the Knee: Treatment Options
There is some swelling and pain in the bone below the knee? Hello, doctor. When I was a child, I fell and had two instances of a split below my left knee. About two years ago, I noticed that the bone below my knee seemed to be enlarged. I'm not sure which bone it is; a docto...
Dr. Zhou Lizhi Reply:
Dear users: The area below the knee is the attachment site of the patellar ligament, which is a prominent area on the proximal tibial tuberosity (this prominence will not disappear, but can be treated with medication). It may recur with excessive exercise (for at least three week...[Read More] Understanding Pain and Swelling Below the Knee: Treatment Options
Understanding Posterior Cruciate Ligament Injuries: Treatment Options and Recovery
Posterior cruciate ligament injury? Last year, I sustained an injury (work-related) to my right leg. An X-ray was taken at the time, and the doctor indicated that there were no fractures. When I was able to walk again, I felt some mild discomfort. At the beginning of this year, I...
Dr. Shi Guozheng Reply:
Injuries to the posterior cruciate ligament (PCL) require different treatments based on their severity, but conservative treatment or rehabilitation is usually the first approach. Surgery is only necessary if these methods are ineffective. Currently, casting may not guarantee rec...[Read More] Understanding Posterior Cruciate Ligament Injuries: Treatment Options and Recovery
Can You Take Hot Baths After a Leg Fracture Surgery?
Is it safe to take a hot bath after a fracture surgery? Hello Dr. Lee, I was in a car accident on March 14, which resulted in three closed fractures of the tibia and fibula in my left lower leg. The doctor performed surgery, inserting an intramedullary nail through an incision a...
Dr. Li Wenlin Reply:
Hello: In response to your question, based on your description, there should be no issues, and there will not be any sequelae such as rheumatism. I recommend that you elevate your foot and perform more exercises for your foot arch and toes. If the swelling subsides, that's f...[Read More] Can You Take Hot Baths After a Leg Fracture Surgery?
Choosing Between Insured and Self-Paid Synthetic Bone for Surgery
Should I consider using self-funded synthetic bone? Hello, Director: A small dog has been diagnosed with an osteoid osteoma due to swelling in the right tibia and is scheduled for surgical removal. I would like to ask how to compare and evaluate whether to use the government-su...
Dr. Li Wenlin Reply:
Hello: In response to your question, osteoid osteoma is a benign tumor, and whether surgery is needed depends on the size and location of the tumor. Generally, osteoid osteomas are not very large. The surgical approach typically involves local excision along with bone grafting (i...[Read More] Choosing Between Insured and Self-Paid Synthetic Bone for Surgery
Understanding Femoral Deformity: Measurement Techniques and Insights
Deformity of the femur in the lower extremity? Hello, I would like to ask if the curvature of the tibia (as seen on an X-ray) indicates femoral deformity? What is the correct method to measure the degree of femoral deformity? Thank you.
Dr. Li Wenhong Reply:
The bones of the lower leg are the tibia and fibula (not the femur). If we are referring to the diaphysis (midsection), it should be straight. If the X-ray shows curvature or deformity, there could be many reasons, such as improper healing of a fracture, congenital pseudarthrosis...[Read More] Understanding Femoral Deformity: Measurement Techniques and Insights
Understanding Knee Rehabilitation After Severe Tibial Fracture
Knee In early July of this year, I suffered a comminuted closed fracture of the tibia below the knee due to a car accident. By mid-August, I began to remove the cast for rehabilitation, and the fracture has generally healed well. The doctor mentioned that I can practice walking w...
Dr. Hong Ximing Reply:
After a successful healing of a comminuted closed fracture of the tibia below the knee, it is essential to first assess whether the fracture has affected the joint surface and the extent of damage to the surrounding soft tissues. Subsequently, rehabilitation therapy should be ini...[Read More] Understanding Knee Rehabilitation After Severe Tibial Fracture
Do I Need Surgery for My Fibula Fracture After a Car Accident?
Car accident? Hello Doctor: Currently, there is a fracture in the posterior and upper side of the fibula in my left calf, and I have had a cast for four days. The X-ray shows a separation of the tibia and fibula in the left calf, causing the ankle to be displaced outward. The doc...
Dr. Shi Qiming Reply:
Regarding the fracture of the left fibula, special attention should be paid to whether the distal fracture is within 8 centimeters of the ankle joint, as this will affect its stability. Therefore, internal fixation with a plate is required, so please consider the fracture locatio...[Read More] Do I Need Surgery for My Fibula Fracture After a Car Accident?