Tibia, Orthopedics FAQ - Page 24

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Does Walking Stimulate Bone Healing After a Fracture?

Does attempting to walk stimulate bone healing? Dear Director Shih, I have greatly benefited from reading your detailed responses regarding fracture issues. I have some questions to ask you, and I appreciate your time amidst your busy schedule! I sustained a tibial fracture in ...


Dr. Shi Guozheng Reply:
Your condition may require evaluation by a physician to determine if you can begin walking. If the fracture is non-displaced and remains stable after being cast, you may be able to attempt walking, but you must use crutches and avoid putting too much weight on the affected leg. G...

[Read More] Does Walking Stimulate Bone Healing After a Fracture?


Understanding Post-Trauma Osteoarthritis: Recovery and Rehabilitation Insights

Degenerative arthritis caused by external forces? Dear Dr. Chen, I sustained an injury to my left knee in a car accident on November 4th and underwent an "open reduction and internal fixation surgery" at your hospital. I was discharged on November 8th, and my attending...


Dr. Chen Xingyuan Reply:
Dear Mr. Yang, Whether you can return to normal work after discharge depends on the nature of your job. In principle, it is advisable to avoid jobs that require excessive walking or heavy labor. The removal of the bone screws will take at least six months, and this will be deter...

[Read More] Understanding Post-Trauma Osteoarthritis: Recovery and Rehabilitation Insights


Understanding Soft Bone Tumors in Children's Knees: Key Questions Answered

Knee chondroma Hello Dr. Lee: I have a few questions regarding my 13-year-old son who has a soft bone growth on his right knee. 1: Is surgery appropriate for a 13-year-old? 2: Will the tumor disappear as he grows older? 3: How long will he need to stay in the hospital for the sur...


Dr. Li Wenlin Reply:
Hello, In response to your question, a 13-year-old with a chondroblastoma typically presents with an osteochondroma that most commonly arises on the lateral aspect of the proximal tibia. Clinically, patients may report pain and localized swelling, but most cases are asymptomati...

[Read More] Understanding Soft Bone Tumors in Children's Knees: Key Questions Answered


Understanding ACL Reconstruction: Procedure, Complications, and Recovery

Arthroscopic Surgery Issues: Anterior Cruciate Ligament (ACL) Could you please explain the process of the arthroscopic surgery for the left umbilical joint ligament reconstruction? What are the potential complications? Will there be any need for screws or similar devices to secur...


Dr. Chu Baijun Reply:
Hello: After a reconstruction of the anterior cruciate ligament (ACL) tear, an arthroscopic surgery is performed to implant a harvested graft into the knee joint. The graft is typically secured at both ends to the femur and tibia using special screws. Common complications include...

[Read More] Understanding ACL Reconstruction: Procedure, Complications, and Recovery


Post-Fracture Recovery: Managing Pain and Mobility After Surgery

Post-fracture surgery Dear Dr. Lee, I was involved in a car accident four months ago, resulting in a fracture of the mandible, a fracture of the right ankle, and an open fracture of the right tibia. Currently, the healing of the fractures has reached 95%. However, I experience p...


Dr. Li Wenlin Reply:
Hello: In response to your question, recovery after the removal of the metal plate is generally quick. Typically, during the first week, you will need to rely on crutches, but you can still walk normally. By the second week, you should be able to walk without crutches, although y...

[Read More] Post-Fracture Recovery: Managing Pain and Mobility After Surgery


Understanding Knee Cartilage Damage: Treatment Options and Recovery

Knee cartilage Hello, three years ago I had a tibial fracture and a torn anterior cruciate ligament due to a car accident. I underwent three surgeries, the most recent one being a year ago. The doctor mentioned that the screws have loosened and the ligament is somewhat lax, so he...


Dr. Xu Zhaoren Reply:
Joint wear has caused traumatic arthritis; avoid vigorous exercise. Glucosamine is merely a dietary supplement, not a miracle cure.

[Read More] Understanding Knee Cartilage Damage: Treatment Options and Recovery


Understanding Knee Bumps: Causes, Symptoms, and Treatment Options

A lump on the knee? I have a lump that appears on my left wrist when I bend it in a certain way, and it can be quite painful at times. I had an X-ray, and the doctor said there are no issues with the bones, but sometimes after playing basketball, it hurts when I try to bend it. T...


Dr. Yang Nanping Reply:
Hello: This situation is usually caused by excessive pulling of the patellar ligament during the developmental phase, resulting in a noticeable prominence of the proximal tibia. Generally, no special treatment is required. During painful episodes, reducing activity, applying ice,...

[Read More] Understanding Knee Bumps: Causes, Symptoms, and Treatment Options


Can I Start Swimming a Year After a Tibia Fracture?

Can I go swimming after a year of having a tibial fracture? Dear Doctor, I fractured my tibia and fibula last April. I had an X-ray at the end of last month, and there is still some shadowing in the fractured area of the tibia. I would like to know if it is safe for me to start...


Dr. Shi Guozheng Reply:
Typically, a calf fracture will heal within a year. If walking is no longer a significant issue, then it is possible to start learning how to swim.

[Read More] Can I Start Swimming a Year After a Tibia Fracture?


Understanding Patellar Dislocation: Pain Management and Treatment Options

Patella Hello Doctor: Here’s the situation. Occasionally, my right knee joint hurts when I bend it. I went to the hospital for an examination; one doctor said it was gout, while another said it was a sports injury, so I left it unresolved. Two days ago, my left foot suddenly made...


Dr. Shi Qiming Reply:
Hello: Misalignment of the knee (patella) can lead to knee pain, including recurrent subluxation and dislocation. Sometimes the appearance may not be obvious, and a detailed examination is necessary to determine whether it is caused by muscle asymmetry or skeletal abnormalities. ...

[Read More] Understanding Patellar Dislocation: Pain Management and Treatment Options


Managing Knee Pain for Hiking: Tips and Remedies for Relief

Knee pain Hello, Doctor. I have been hiking almost every week for the past year, with each hike lasting about 3 to 4 hours. I have no issues with my stamina, but whenever I hike for an extended period, my right knee starts to hurt. However, I don’t experience any pain during norm...


Dr. Shi Qiming Reply:
Based on your description, the possible diagnosis is patellar tendinitis, which is caused by overuse or excessive load, affecting the area where the quadriceps tendon attaches to the upper edge of the patella, or where the patellar ligament attaches to the lower edge of the patel...

[Read More] Managing Knee Pain for Hiking: Tips and Remedies for Relief


Understanding Fibula Fractures: Importance, Recovery, and Treatment Options

Fibula fracture Right tibial plateau fracture is currently healing well, and there is a right proximal fibula fracture. The doctor mentioned that it is not significant since it is non-weight bearing and does not require fixation; if fixation is necessary, it would require surgery...


Dr. Shi Qiming Reply:
Hello: Proximal tibial fractures generally do not require reduction and internal fixation surgery. The tibia itself only accounts for 1/6 of the weight-bearing load, and its distal part is important for the ankle joint. The fibula can also serve as a source for bone grafting. The...

[Read More] Understanding Fibula Fractures: Importance, Recovery, and Treatment Options


Understanding Ankle Joint Stiffness: Causes, Treatment, and Recovery

Inability to move the ankle joint? The ankle joint is unable to move normally, causing significant discomfort while walking. When squatting, the joint does not move as it should, and it feels as if the ankle joint is fused with the tibia, almost as if there is no joint at all. I ...


Dr. Ye Qingnian Reply:
Limited ankle joint mobility can lead to an inability to squat, primarily due to tightness in the Achilles tendon, which prevents dorsiflexion of the ankle. It is advisable to start with rehabilitation exercises.

[Read More] Understanding Ankle Joint Stiffness: Causes, Treatment, and Recovery


Strengthening My Left Foot After a Serious Fracture: Tips and Relief

My left foot? Hello, Doctor. I accidentally fell from the third floor while building a house and severely fractured my left leg. I did not have surgery or a cast. Now I am healed, but my leg feels very weak. What can I do to strengthen my leg? Also, my leg hurts every day; how ca...


Dr. Zhou Lizhi Reply:
A fall from the third floor is considered a major trauma, and the potential impacts may include 1. vertebral compression fractures 2. calcaneal fractures 3. knee and tibial fractures 4. hip fractures. A user experienced a tibial fracture and, after conservative treatment, develop...

[Read More] Strengthening My Left Foot After a Serious Fracture: Tips and Relief


Knee and Calf Pain After Fracture: Military Service Implications

Knee and calf pain? Hello, doctor. I fractured my knee last year, specifically a patellar fracture. I have had O-shaped legs since childhood, and after walking for long periods, my knee and calf often feel sore. Since the fracture, the area around my patella has been particularly...


Dr. Shi Qiming Reply:
Hello: Due to the insufficient information provided regarding your actual condition (the term "calf angle" at 0 degrees is not a professional orthopedic medical term), we recommend that you visit our orthopedic outpatient clinic for a lower limb X-ray examination and a ...

[Read More] Knee and Calf Pain After Fracture: Military Service Implications


Effective Rehabilitation Strategies for Knee Recovery After Tibia Fracture

Rehabilitation I previously suffered a tibial fracture due to a car accident. I am now able to walk, but my knee still cannot fully extend like a normal leg. The doctor advised me to elevate my leg and apply pressure to the mid-thigh area to help straighten the knee. I have been ...


Dr. Shi Guozheng Reply:
Inability to fully extend the leg may be due to quadriceps weakness. After a fracture, immobilization with a cast or surgery can lead to disuse of the muscles for a period of time, resulting in muscle strength reduction. With active training or rehabilitation, it is usually possi...

[Read More] Effective Rehabilitation Strategies for Knee Recovery After Tibia Fracture


Understanding Rehabilitation Challenges After Tibial Fracture

Rehabilitation issues Hello, doctor: I suffered a tibial fracture over two months ago. I am currently able to walk, but my gait is still somewhat limping. The injured leg can bend normally (I can flex it freely), but it is still undergoing rehabilitation for full extension. Could...


Dr. Shi Guozheng Reply:
It takes about three months for a broken bone to heal, and experiencing some limping during this period is normal. Difficulty in straightening the limb will improve with rehabilitation. The presence of internal screws does not have any adverse effects. Pain will gradually decreas...

[Read More] Understanding Rehabilitation Challenges After Tibial Fracture


Understanding Bow Legs: Surgery Impact on Height and Recovery

bow legs Doctor, my leg gap is 4 to 5 cm. If I consider surgery, will my height increase or decrease? Can both legs be operated on at the same time? Please provide an answer, thanks.


Dr. Yang Zhengfan Reply:
Dear orthopedic surgeon, when assessing bow legs, the gap between the legs is not the standard for determining whether surgery is necessary. I recommend finding a reputable hospital for a thorough X-ray examination. Generally, the surgical procedure for bow legs is high tibial os...

[Read More] Understanding Bow Legs: Surgery Impact on Height and Recovery


Understanding Leg Alignment Issues and Their Impact on Sports Injuries

Regarding leg shape and exercise? Hello doctor, I sprained my right knee when I was 15 years old. Although I applied ice, I still feel swelling almost every time I play basketball or run. I also hear a "cracking" sound when I walk. Later, in September 2004, when school ...


Dr. Yang Nanping Reply:
Hello: It sounds like your issue is more related to the soft tissues of the knee, such as cartilage and ligaments, which are not visible on X-rays. It is recommended to apply heat therapy regularly and use a knee brace. If necessary, you can visit an orthopedic or rehabilitation ...

[Read More] Understanding Leg Alignment Issues and Their Impact on Sports Injuries


Is Swelling and Coldness Normal After Tibia Fracture Recovery?

excuse me? I previously had a tibial fracture in my lower leg. I had my cast removed last month. Due to work requirements, I have to stand a lot. My foot tends to swell and feels cold. The muscles in my calf have also become stiff. However, after applying heat at home and elevati...


Dr. Shi Guozheng Reply:
This is a normal phenomenon. The reason is that bones are a type of tissue filled with blood vessels and blood. When a fracture occurs, it interrupts the blood circulation. Therefore, it is necessary to wait until the fracture heals and the new blood vessels are reestablished bef...

[Read More] Is Swelling and Coldness Normal After Tibia Fracture Recovery?


Understanding Rehabilitation Challenges After Tibial Fracture: Key Insights

Rehabilitation issues? Dr. Shi: I had a car accident on December 7, 2004, which resulted in a tibial fracture. I had two pins inserted. The cast was removed on January 18, 2005. Currently, my doctor has instructed me to do rehabilitation at home. Over the past two weeks of rehabi...


Dr. Shi Guozheng Reply:
Tibial fractures typically take about three months to heal. After healing, weight-bearing activities should not cause any issues or pain. The temporary inability to flex the knee may improve with rehabilitation exercises. Applying heat can help relax the tendons and muscles, maki...

[Read More] Understanding Rehabilitation Challenges After Tibial Fracture: Key Insights


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