Can I Resume Martial Arts Training After a Severe Open Fracture?
Comminuted and open fractures? I would like to ask about my calf, which suffered a comminuted open fracture due to a car accident last year. I currently have a metal rod implanted. I practice martial arts; can I continue training during this recovery period? I am already able to ...
Dr. Huang Longde Reply:
Hello Mr. Zheng: Open comminuted fractures of the tibia and fibula can be classified into three grades based on the severity of the wound, muscle, and vascular damage, as well as the degree of comminution. The third grade is further divided into A, B, and C categories, with highe...[Read More] Can I Resume Martial Arts Training After a Severe Open Fracture?
Post-Surgery Pin Removal: Recovery Tips and Mobility Guidance
Issues related to fracture fixation removal? Hello Doctor: In June 2006, I sustained my first closed fracture of the right tibia and fibula, for which I underwent internal fixation surgery with bone screws and plates. In late November 2006, I experienced a second closed, comminut...
Dr. Li Wenlin Reply:
Hello: In response to your question, you have a fracture of the right ankle and tibial shaft, which has been stabilized with a plate, screws, and intramedullary nails. After a year of good healing post-surgery, you can undergo a procedure to remove the internal fixation. Postoper...[Read More] Post-Surgery Pin Removal: Recovery Tips and Mobility Guidance
Understanding Tibial Plateau Injuries: Recovery and Rehabilitation Insights
Tibia table Hello Doctor: I underwent arthroscopic knee surgery on July 5th and was found to have severe patellar chondromalacia, detachment of the membrane on the anterior cruciate ligament, damage to the medial meniscus, and a cartilage tear approximately 1.5-2 cm on the tibial...
Dr. Shi Guozheng Reply:
The "tibial table" you referred to may actually be the tibial plateau, which is the area at the proximal end of the tibia where it meets the distal end of the femur to form the knee joint, covered by meniscus cartilage around its periphery. The bone surface on the joint...[Read More] Understanding Tibial Plateau Injuries: Recovery and Rehabilitation Insights
Post-Surgery Recovery: Insights on Plate and Screw Removal in Orthopedics
Post-Removal of Hardware Surgery Dear Deputy Director Shih, I have a situation where I fractured my tibia in two places, resulting in an open fracture. After the injury, I had two plates and nine screws inserted for stabilization. I used crutches for eight months, and it has now...
Dr. Shi Qiming Reply:
Hello: 1. The decision to remove screws and plates after fracture surgery is still based on the healing status of the fracture. If 5-6 doctors agree that the surgery and healing are satisfactory, you can feel reassured. 2. Generally speaking, as long as there is not too much pain...[Read More] Post-Surgery Recovery: Insights on Plate and Screw Removal in Orthopedics
Post-Surgery Recovery: What to Expect After Removing Metal Plates and Screws
After the removal of the metal screws? Hello Director Li: My condition is that I have two fractures in my tibia in the lower leg, which are open fractures. After the injury, I had two metal plates and nine screws placed for stabilization. I used crutches for 8 months, and it has ...
Dr. Li Wenlin Reply:
Hello: In response to your questions. First, if you experience pain after the removal of the plates and screws, you should use crutches; if there is no pain, then you do not need to. Second, eight months and a year and a half are quite similar; it won't be too fast! Third, i...[Read More] Post-Surgery Recovery: What to Expect After Removing Metal Plates and Screws
Effective Treatment Options for Complete Tibia Fractures in Children
Complete fracture of the left lower leg with two oblique fissures. What is the correct treatment method? Dr. Wang has a complete fracture of the left calf with two oblique cracks, but the alignment remains intact. The appropriate treatment method, as assessed by the attending phy...
Dr. Wang Shouji Reply:
If a child has a fracture with no displacement, it can be immobilized with a cast for 6 to 8 weeks. However, it is important to ensure that the child does not bear weight during this time to prevent displacement and potential improper healing. I do not recommend using traditional...[Read More] Effective Treatment Options for Complete Tibia Fractures in Children
Accelerating Bone Healing: The Role of Ultrasound Therapy in Orthopedics
Ultrasound Bone Healing Acceleration System Hello Doctor, I had an open fracture of the right foot's metatarsal on January 18th, and I underwent surgery with intramedullary nailing about 10 centimeters below the knee. I had my cast removed on February 14th and returned for a...
Dr. Li Wenlin Reply:
Hello, in response to your question: 1. Bone fractures require various conditions for healing. The first is whether the fracture was managed correctly. Based on your description, the use of intramedullary nails and plaster cast fixation should be sufficient. The second factor i...[Read More] Accelerating Bone Healing: The Role of Ultrasound Therapy in Orthopedics
Post-Surgery Knee Pain After Tibial Fracture: What to Expect
Knee pain after tibial fracture surgery? Hello Doctor: In early November 2006, I sustained multiple closed, comminuted fractures of the tibia in my right lower leg (above the ankle and below the knee joint). After two months of casting, I underwent intramedullary nailing surgery ...
Dr. Shi Guozheng Reply:
It is necessary to check if the bone screws are protruding near the knee, which could irritate the bone or tendons and cause pain. Additionally, if a fracture has healed, the site of the break should not be painful, and there would be no need to rely on crutches for ambulation. C...[Read More] Post-Surgery Knee Pain After Tibial Fracture: What to Expect
Understanding Bone Misalignment: Causes, Effects, and Recovery Options
Bone misalignment? Hello Director Li: I have a few questions regarding my previous left calf fracture. After using crutches for eight months, I experienced severe atrophy of the quadriceps muscle. 1. I remember during my follow-up X-ray, the doctor mentioned that my tibia and...
Dr. Li Wenlin Reply:
Hello: In response to your question, it is difficult to provide a direct answer without being able to examine your limbs and review your X-rays. I personally recommend that you consult your attending physician, as they are most familiar with your condition and should be able to a...[Read More] Understanding Bone Misalignment: Causes, Effects, and Recovery Options
Understanding Knee Stability: Impact of Past Injuries and Muscle Atrophy
Knee stability Hello, Director Yeh: I have a few questions regarding my previous left calf fracture. I used crutches for eight months, which resulted in severe atrophy of my quadriceps. 1. I remember during my follow-up X-ray, the doctor mentioned that my tibia and the adjacent...
Dr. Ye Qingnian Reply:
1. The tibia and the bone it connects to are misaligned, and based on your description, it's difficult to determine which bone it is, so I cannot provide a detailed explanation. 2. If the bones are misaligned, it can easily lead to knee osteoarthritis, resulting in pain. ...[Read More] Understanding Knee Stability: Impact of Past Injuries and Muscle Atrophy
Understanding Bone Misalignment: Causes, Effects, and Recovery Options
Bone misalignment? Hello Director Li, I have a few questions regarding my previous left calf fracture. I used crutches for eight months, which resulted in severe atrophy of my quadriceps. 1. I remember during my follow-up X-ray, the doctor mentioned that my tibia and the adjac...
Dr. Li Wenlin Reply:
Hello: In response to your question, it is difficult to provide a direct answer without being able to examine your limbs and review your X-rays. I personally recommend that you consult your attending physician, as they are most familiar with your condition and should be able to a...[Read More] Understanding Bone Misalignment: Causes, Effects, and Recovery Options
Understanding Intramedullary Nail Issues in Orthopedic Surgery
Intramedullary nail issues? Hello Doctor: In June 2006, I experienced my first closed fracture of the right tibia and fibula, for which I underwent internal fixation surgery with bone screws and plates. Then, at the end of November 2006, I had a second closed and comminuted fract...
Dr. Li Wenlin Reply:
Hello, in response to your questions: 1. For tibial fractures treated with intramedullary nailing, it is true that some individuals may experience discomfort at the knee incision site, but this occurs in only about 10% of cases. There's no need to worry too much, and this ...[Read More] Understanding Intramedullary Nail Issues in Orthopedic Surgery
Understanding and Managing Lateral Knee Pain: Causes and Solutions
Lateral knee pain? Hello Dr. Li: I had a habit of running three to four times a week, but two weeks ago, I suddenly felt pain on the outer side of my knee while running. I do not experience any pain while walking or brisk walking. What could be the possible cause and how can I re...
Dr. Li Wenlin Reply:
Hello, in response to your question. If you do not experience pain while walking or brisk walking, but feel pain on the outer side of your knee when running, it is usually indicative of inflammation of the iliotibial band or a strain of the lateral collateral ligament. If there w...[Read More] Understanding and Managing Lateral Knee Pain: Causes and Solutions
Understanding Pain Above the Knee: Causes and Solutions
Pain near the knee, but not directly on the knee itself? I have been consistently exercising, but about a month ago, after running, I started to feel a dull pain below my knee, specifically on the outer side just above the tibia in both legs. There is tenderness upon palpation, b...
Dr. Zhang Shengben Reply:
Hello Amin: This is likely an inflammation of the hip ligaments, commonly seen after injuries from jumping or running activities. Initial treatment should include ice application, rest, and avoiding actions such as running, jumping, or squatting. After three days, apply heat and ...[Read More] Understanding Pain Above the Knee: Causes and Solutions
Effective Ways to Increase Height: Tips from Orthopedic Experts
How to increase height? I am only 163 cm tall and I really want to grow taller. I wonder if doctors have any suggestions or if there are any resources that could help me. I just want to reach 170 cm.
Dr. Ye Qingnian Reply:
Human height growth is regulated by the growth plates in the bones. Once the growth plates fuse, it is no longer possible to increase height. At 22 years old, your growth plates have completely fused, and you cannot grow taller. Some individuals have undergone surgical procedures...[Read More] Effective Ways to Increase Height: Tips from Orthopedic Experts
Recovery Insights for Right Tibia and Fibula Fracture with Dislocation
Fracture of the distal right tibia and fibula with dislocation? Hello Doctor: On October 28th of this year, I fell while playing soccer and sustained a distal fracture of the right tibia and fibula along with a dislocation. I underwent surgery the same day, and there are steel sc...
Dr. Shi Guozheng Reply:
1. If the fixation of the bone screws and plates is secure enough, then the cast can be removed, and starting rehabilitation exercises earlier will be beneficial and may lead to a quicker recovery. 2. Soaking in hot water can be done up to three times a day, but at least once i...[Read More] Recovery Insights for Right Tibia and Fibula Fracture with Dislocation
Understanding Recovery from Distal Fibula Fracture: What to Expect
Distal tibial fracture? Hello Dr. Wang, I fell from the 3rd floor to the 2nd floor. I was immediately taken to the emergency room, and the doctor said that the distal bone of my right calf is cracked (approximately 8 cm), but it is not broken. The incident occurred on September 2...
Dr. Wang Shouji Reply:
Mr. Gao: A non-displaced tibial fracture can generally be treated with cast immobilization. If the skin color has darkened and there is localized swelling and pain, as long as it is not worsening, it is usually not a concern. The cast typically needs to be on for at least 6-8 wee...[Read More] Understanding Recovery from Distal Fibula Fracture: What to Expect
Understanding Long-Term Effects of Ligament Tears After Injury
What are the sequelae after a ligament tear? Three months ago, I suffered a ligament tear and a tibial fracture due to a car accident. The bone has healed well, but my doctor has specifically advised me to pay attention to the recovery of the ligament. I am very concerned about t...
Dr. Shi Guozheng Reply:
First, it is important to identify which ligament is affected and the extent of the injury—whether it is a complete tear or an incomplete tear. If the injury is not severe, recovery typically takes about one and a half to three months. However, if it involves ligaments within the...[Read More] Understanding Long-Term Effects of Ligament Tears After Injury
Understanding Recovery Time and Concerns for Open Fractures of the Ankle
Questions related to the recovery time for open fractures of the tibia and fibula? Hello Doctor: On August 15, I had a car accident resulting in an open fracture of the distal tibia and fibula in my left leg (near the ankle). I underwent fixation with bone screws and plates, and ...
Dr. Li Wenlin Reply:
Hello, In response to your question, the old saying goes, "It takes a hundred days to heal muscles and bones." If you were injured on August 15, a complete recovery will take at least until the end of November, or even longer. Therefore, it is reasonable that the rang...[Read More] Understanding Recovery Time and Concerns for Open Fractures of the Ankle
Understanding Osgood-Schlatter Disease: Symptoms, Treatment, and Recovery
The tibia is swollen and the lump is somewhat large? I had sudden pain in my knee while playing basketball during my first year, but I didn't pay much attention to it. As a result, a somewhat large bump developed below my knee, which has been bothering me for almost a year. ...
Dr. Shi Qiming Reply:
Hello: It is recommended that you visit an orthopedic outpatient clinic for further examination. The physician must conduct a personal consultation to make an accurate diagnosis and provide you with the appropriate treatment options. Not all conditions require surgery; it depends...[Read More] Understanding Osgood-Schlatter Disease: Symptoms, Treatment, and Recovery