Tibia, Orthopedics FAQ

Understanding Tibia and Fibula Fractures: Do You Need Bone Graft?

Tibiofibular fracture from a car accident? I have a tibia and fibula fracture from a car accident. The fracture is quite fragmented with a one-centimeter gap, and I have an internal fixation plate installed. Do I need to use bone graft? The doctor said that the X-ray shows that t...

Dr. Li Wenhong Reply:
Hello: A comminuted fracture of the lower extremity generally requires three to six months before one can walk without assistive devices, but this varies from person to person. Typically, regular follow-up appointments with X-rays are necessary, during which the physician will ad...

Understanding Tibial Plateau Fractures: Recovery and Long-Term Concerns

After a tibial plateau fracture, the physician will typically assess the injury through physical examination and imaging studies such as X-rays or CT scans. Treatment options may include conservative management with immobilization and physical therapy, or surgical intervention to...

Dr. Shi Guozheng Reply:
1. Any method of stabilization that can effectively secure the area is acceptable. 2. It is also possible to address everything at once. 3. Swelling may gradually subside, but it could take a considerable amount of time. 4. It will depend on the condition of recovery after ...

Recovery Time After Tibial Intramedullary Nail Removal: What to Expect

Recovery time after removal of intramedullary nail from the tibia? Doctor, I had a tibial fracture in my right leg at the end of March last year and had an intramedullary nail inserted. I have recovered well and can run now. I plan to have the intramedullary nail removed in Febru...

Dr. Shi Guozheng Reply:
Approximately two weeks after the removal of the bone screws, you can start walking. During the screw removal procedure, you can ask the physician to excise the keloid and then re-suture the area. Afterward, it is important to implement some measures to prevent recurrence.

Understanding First Metatarsal Fractures: Diagnosis, Treatment, and Recovery Tips

First metatarsal fracture Hello, doctor. I would like to ask some questions. Last week, I was involved in a car accident where I was rear-ended. During the emergency visit, I was informed that I have a fracture of the first metatarsal (the X-ray is as follows: https://upload.cc/i...

Dr. Shen Boquan Reply:
Hello, I apologize, but I cannot view your X-ray. Even if I could, the resolution and image quality would not be as clear as those taken in a hospital. The bones in the foot are quite numerous and complex. Sometimes, additional imaging such as a CT scan may be necessary for confi...

Understanding Health Insurance X-Ray Regulations for Orthopedic Issues

What are the regulations for orthopedic X-rays under health insurance? Recently, I have been experiencing tibial pain that has spread to my knee for nearly a month. I finally found a clinic with X-ray services, but I was told it was just fascia inflammation. However, my bones rea...

Dr. Shi Guozheng Reply:
If the disease treatment is not effective, and based on the physician's assessment, X-rays can be taken if there are indications. Fractures and arthritis are the most common conditions for which X-rays are routinely performed.

Understanding Anterior Shin Swelling: Causes and When to Seek Help

Tibialis anterior muscle swelling Hello, doctor. About two days ago, I noticed swelling in my calf (anterior and lateral sides) that is painful when pressed. The next day, I found a small protruding spot in the swollen area, and now it only hurts when I press that spot. The whole...

Dr. Chen Yongxue Reply:
Hello, it appears to be inflammation of the tibialis anterior muscle. I recommend monitoring the situation for now. If there is no improvement after two weeks, you may follow up at an orthopedic clinic. Thank you, it is not gout.

Recovery Challenges After Tibial Plateau Fracture Surgery: Can I Squat Again?

More than 5 months post-surgery for tibial plateau fracture? Hello, I was in a car accident on July 1st and injured my left tibial plateau, classified as Type II combined with Type V. It's been five months and I'm still recovering. My knee joint still feels tight, and I...

Dr. Shi Guozheng Reply:
After a tibial plateau fracture, damage to the joint surface will inevitably affect joint mobility, making it difficult to squat down. Engaging in rehabilitation as much as possible may help improve the situation slightly.

Post-Surgery Swelling After Tibial Plateau Fracture: Is It Normal?

Postoperative swelling of the tibial plateau fracture? Hello Doctor, my mother underwent surgery for a right tibial plateau fracture on November 8. After being bedridden for too long, she developed a urinary tract infection and was discharged on December 2. At the time of dischar...

Dr. Shi Guozheng Reply:
After joint fracture surgery, swelling in the lower extremities typically persists for several months. If the leg is placed down, swelling may increase, but elevating it can help improve the condition. Alternating between ice packs and heat applications can also enhance blood cir...

Understanding Crush Fracture Injury Levels and Recovery Timeline

Crush fracture injury classification Hello Doctor: I was in a car accident on November 2nd and went to the emergency room that day. The next day, I underwent surgery for a comminuted fracture of the distal tibia (the surgery used a self-funded 3.5 mm titanium locking compression ...

Dr. You Dianqi Reply:
Hello! It is recommended that you discuss the follow-up rehabilitation situation and methods with your attending physician during your next visit. Thank you.

Understanding Crush Injuries: Recovery Insights for Foot and Leg Fractures

Bilateral foot crush fractures? Hello, Doctor. I would like to ask about my condition. I suffered a fall from a height, resulting in comminuted fractures of both feet, comminuted fractures of the right tibia and fibula, a comminuted fracture of the coccyx, and cauda equina syndro...

Dr. Wang Jiacheng Reply:
Even while on bed rest, rehabilitation exercises can still be performed. If there is no movement, muscles can quickly atrophy.

Concerns About Hardware Removal After Tibia and Pelvis Fractures

Rehabilitation issues related to metal implants? Hello Dr. Wang! I was in a car accident on March 25 of this year, resulting in a fracture of my left tibia and a fracture of my left pelvis. I underwent surgery for internal fixation of the tibial fracture on April 14. It has been ...

Dr. Wang Shouji Reply:
Hello, for lower limb fractures, the internal fixation should be removed at least one to one and a half years later. There is no specific harm in removing the internal fixation, but please avoid vigorous exercise for one month post-surgery. Changhua Hospital cares about your heal...

Chronic Posterior Tibial Tendon Injury: Treatment Options and Solutions

Tear of the Achilles tendon? I have an injury to the Achilles tendon in my left ankle, and I have undergone PRP therapy three times without improvement. The tendon in my calf still feels uncomfortable, and I cannot walk normally like I do with my right foot; I still have a notice...

Dr. Chen Yongxue Reply:
Hello, calf muscle injuries can vary in severity from strains to ruptures. The treatment methods also differ accordingly. It is advisable to undergo examinations (ultrasound or MRI) first to determine the appropriate course of treatment. Thank you.

Challenges in Healing Open Fractures: A Case Study of Tibia and Fibula

Incomplete healing after open reduction and internal fixation of a right distal tibiofibular fracture? Hello Doctor, I had an open fracture of the distal fibula on the right side due to a car accident in January this year, and I underwent surgery with self-funded internal fixatio...

Dr. Shi Guozheng Reply:
1. If there is a defect in the bone, healing can be very slow, and sometimes it may not heal at all. In such cases, surgical bone grafting may be necessary to promote healing. Usually, if a fracture has not healed after one year, surgery can be considered. 2. If the fracture si...

Understanding Recovery from Multiple Leg Fractures: Key Questions Answered

Femoral and tibial fractures? Hello Dr. Chen, I was involved in a car accident at the beginning of August, resulting in multiple fractures on the left side. The more severe injuries include fractures of the left femur, tibia, and fibula (I have used a self-paid plate for fixation...

Dr. Chen Bochen Reply:
1. The diagnosis indicates a fracture of the left pelvic pubic ramus, but there are no specific medical instructions. Q: Does this mean it can heal naturally without intervention? Will there be any long-term effects? If the pubic ramus is not significantly displaced, it can gener...

Managing Swelling and Discoloration After Right Tibia-Fibula Fracture Surgery

Right tibia and fibula fracture? Hello Doctor, I underwent a right calf fracture reduction and interlocking nail fixation on July 21. One month post-surgery, I followed my attending physician's advice to elevate my leg daily with a pillow and apply ice. I can slightly move m...

Dr. Shi Guozheng Reply:
Swelling may persist for about three to six months. Elevate the leg and alternate between cold and hot compresses. Practice the range of motion for the knee and ankle joints to promote muscle contraction, which will help improve the condition.

Should I See an Orthopedic Specialist for My Ankle Injury?

I'm not sure if I should schedule another appointment with an orthopedic specialist? Hello, Doctor: I fell and got injured on August 18. I went to the emergency room for urgent treatment, but they only took X-rays of my hand and shoulder. I returned to the orthopedic clinic ...

Dr. Shi Guozheng Reply:
If you have swelling in the dorsum and sole of your foot, along with pain in the ankle joint, it would be advisable to consult an orthopedic specialist for an examination to ensure peace of mind.

Managing Complications After Tibial Plateau Fracture Surgery

Tibial plateau malunion? After surgery on March 18, 2022, for a grade 2 tibial plateau fracture, there is a 2 cm wide depression in the steel plate. The lower leg is externally rotated by 9 degrees, and the femur is internally rotated by 4 degrees, resulting in overall joint tigh...

Dr. Wang Shouji Reply:
Hello, if the dislocation is so evident, the likelihood of developing post-traumatic arthritis is very high. The chances of successfully realigning the fracture through another surgery are likely low. Some physicians may opt for osteotomy to shift the weight-bearing load of the k...

Concerns After Dog Accident: Impact on Leg Fracture Recovery

Two weeks after a tibial fracture, the wound site was stepped on by a dog? My mother is 50 years old. Half a month ago, she fell and fractured one of the larger bones in her right calf and one of the smaller bones near her ankle (likely the tibia and fibula). She has undergone su...

Dr. Wang Jiacheng Reply:
1. It is normal to experience pain at the surgical site shortly after the procedure. 2. Displacement is only likely if there was significant force applied. If you are concerned, you can visit the hospital for an X-ray to confirm.

Will Steel Pins Shift After Leg Injury? Concerns and Recovery Tips

Will the steel nail shift position? My mother is 50 years old. Half a month ago, she fell and fractured one bone in her right lower leg and one near her ankle (likely the tibia and fibula). After the surgery, she has returned home to rest, and her lower leg is in a cast that has ...

Dr. Shi Guozheng Reply:
1. It is normal to experience pain at the surgical site shortly after the procedure. 2. Displacement is only likely if there was significant force applied. If you are concerned, you can go to the hospital for an X-ray to confirm.

Can Rehabilitation Speed Up Recovery from a Severe Tibial Fracture?

Open comminuted fracture of the right tibia? Hello, Doctor. I was in a car accident on June 26 and sustained a comminuted fracture of the right tibia. I underwent surgery that night, during which a steel plate and screws were implanted. The doctor mentioned that the fracture was ...

Dr. Shi Guozheng Reply:
A comminuted fracture of the tibia must heal before one can walk without assistive devices, which typically takes three to six months. If too much weight is placed on the fracture site before it has healed, there is a risk of displacement or re-fracture. This is not significantly...

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