Dealing with Frequent Knee Dislocations: Causes and Solutions
Dislocation issues I frequently experience dislocations in my knee. During my last dislocation, I went to the hospital for an MRI, and the doctor informed me that all the ligaments in my right knee were completely torn and could only be repaired through surgery. Later, I fell on ...
Dr. Chen Yongxue Reply:
Please visit a hospital or clinic for treatment. Thank you.[Read More] Dealing with Frequent Knee Dislocations: Causes and Solutions
Post-Surgery Concerns: Understanding Pain and Mobility After Tibia Surgery
Postoperative care for tibia and fibula fractures? Hello Doctor! A few months ago, I underwent surgery to remove a tibial tumor, and artificial bone was used to fill the area. Recently, I've been experiencing back pain, so I followed some rehabilitation exercises I found onl...
Dr. You Dianqi Reply:
From your response, I noticed that there are concerns about the possibility of the bone plate screws shifting. This issue may require imaging to provide a more informed response. As for your questions about whether you can kneel and similar inquiries, it largely depends on the co...[Read More] Post-Surgery Concerns: Understanding Pain and Mobility After Tibia Surgery
Recovery Timeline for Tibial Comminuted Fractures: What to Expect
The recovery timeline for a comminuted fracture of the tibia? Hello, Doctor! I was involved in a car accident on March 10 of this year, resulting in a comminuted fracture of my right tibia. The following day, I underwent internal fixation surgery using intramedullary nails and bo...
Dr. Chen Yongxue Reply:
1. Fracture healing takes at least 6 weeks. Severe comminuted fractures or those with infection may experience delays. 2. Internal fixation can provide support for the fracture, and fractures generally heal well; however, if there is an infection, the hardware must be removed to ...[Read More] Recovery Timeline for Tibial Comminuted Fractures: What to Expect
Can I Drive After Tibial Fracture Surgery? 85 Days Post-Op Concerns
Issues 85 days after tibial fracture surgery? I have a V-shaped fracture of the tibia in my right lower leg, and I underwent surgery with a self-funded plate treatment. I am currently using crutches to walk. Can I drive for transportation at this time? Thank you.
Dr. Shi Guozheng Reply:
If an X-ray examination shows that the fracture has healed, then you can start applying force, which means you can drive. However, if the fracture has not yet healed, you should avoid putting weight on it to prevent re-injury. Therefore, it is advisable to get another X-ray and h...[Read More] Can I Drive After Tibial Fracture Surgery? 85 Days Post-Op Concerns
Understanding Posterior Tibial Muscle Dysfunction: Symptoms, Causes, and Treatment Options
Soleus muscle dysfunction Since I can remember, I have often stood for long periods and felt discomfort in the soles of my feet after walking for a while. My classmates mentioned that I have an inward foot posture, but my family did not pay much attention to it. I have been overw...
Dr. Chen Bochen Reply:
I sincerely suggest that you consult an ankle and foot specialist. In the central region, Dr. Chiu Chia-Hung has a good reputation in the industry, and I have referred several patients to him who have successfully received treatment. However, I've heard that he is not very a...[Read More] Understanding Posterior Tibial Muscle Dysfunction: Symptoms, Causes, and Treatment Options
Can Warm Baths Enhance Bone Healing After Fracture Surgery?
Fracture healing I was involved in a car accident on September 27 of last year, resulting in fractures of the tibia and fibula in my lower leg. I underwent internal fixation surgery, and it has now been 7 months. During my follow-up appointment today, the doctor mentioned that al...
Dr. Shi Guozheng Reply:
Saunas and hot baths do not accelerate bone growth. A tibial fracture that has not healed typically refers to a duration exceeding 12 months. In such cases, one can wait and see if bone growth is promoted without surgery. There is a type of extracorporeal shockwave therapy that c...[Read More] Can Warm Baths Enhance Bone Healing After Fracture Surgery?
Revisiting Knee Replacement: Addressing Pain from Short Pins After Surgery
One year after total knee arthroplasty, the screws are too short and require another surgery? Hello, doctor. I underwent knee arthroplasty in May 2020, and I have been experiencing pain for about a year post-surgery, which has recently worsened. I consulted the original surgeon, ...
Dr. Shi Guozheng Reply:
What you are describing as misalignment may be due to the tilting of the tibial stem, which is referred to as prosthetic loosening. The term "replacing the steel pin to adjust the length" pertains to surgery and is not related to length but rather to the fixation of the...[Read More] Revisiting Knee Replacement: Addressing Pain from Short Pins After Surgery
Should You Remove Plates and Screws After Orthopedic Surgery?
Should the plates and screws be removed? In late February, I was involved in a car accident and had an interlocking plate fixed to my acetabulum. A few days later, I underwent surgery for my tibia, which was stabilized with screws. The doctor mentioned that if I don't feel a...
Dr. Chen Yongxue Reply:
Hello, 1. What are the pros and cons of removing the plate versus not removing it? The metal plate is considered a foreign body in the human body. At this stage, not removing it is unlikely to cause significant issues. However, as one ages and the body's immune system weak...[Read More] Should You Remove Plates and Screws After Orthopedic Surgery?
Understanding Recovery from Tibia Fractures: Healing Time and Treatment Options
Fracture healing I fell and fractured my left tibia around September 4, 2019. Now, more than a year later, X-rays show that the bone has healed. However, the doctor still hasn't removed the interlocking plate that I paid for out of pocket. I've heard that it takes about...
Dr. Chen Bochen Reply:
The metal plates can be removed; they may be a bit more difficult to take out if they have been in place for a long time. I recommend scheduling a time with your surgeon to have the plates removed. After that, you can resume normal activities and live your life without much to wo...[Read More] Understanding Recovery from Tibia Fractures: Healing Time and Treatment Options
Understanding High Tibial Osteotomy: Benefits, Risks, and Recovery
High tibial osteotomy Hello Doctor: I have been actively seeking treatment for my tibial varus deformity for about six years, researching and consulting with hospitals. Recently, there seems to be a lot of news about High Tibial Osteotomy (HTO) surgery, which appears to have been...
Dr. Wang Shouji Reply:
Hello, the purpose of high tibial osteotomy is to shift the mechanical axis laterally, potentially balancing the load across the knee joint. 1. As long as the osteotomy heals well, there are usually no significant issues with mobility. 2. Individuals with a lighter body weight an...[Read More] Understanding High Tibial Osteotomy: Benefits, Risks, and Recovery
Exploring Minimally Invasive Height Increase Surgery Options for Men
A male who is 159 cm tall is inquiring about minimally invasive height increase surgery? Hello Doctor, I am currently 23 years old and have had an X-ray that shows my growth plates have fully closed. I learned too late that growth hormone therapy could have been an option for me....
Dr. Shi Guozheng Reply:
Bone lengthening surgery involves cutting the original healthy bone (such as the femur or tibia) and then using instruments to gradually lengthen it, often with the implantation of intramedullary nails. After extending the bone to a certain length, it is stabilized to allow for p...[Read More] Exploring Minimally Invasive Height Increase Surgery Options for Men
Should You Remove Surgical Plates and Screws After Ankle Surgery?
Should the metal screws and plates be removed after surgery? Hello, Doctor. On January 14, I underwent surgery for a fibula fracture and tibial dislocation in my left ankle, during which 9 screws and 1 plate were inserted. Although I opted for a self-funded plate that does not ne...
Dr. Cai Shanglin Reply:
Hello Annie, You have undergone ankle fracture surgery with fixation using plates and screws. Typically, recovery takes several months. If the healing process goes smoothly and you do not experience discomfort, the plates can remain in place. However, if you experience pain due...[Read More] Should You Remove Surgical Plates and Screws After Ankle Surgery?
Post-Surgery Complications: Managing Infections After Tibia and Fibula Fractures
Postoperative care for tibia and fibula fractures? Hello Dr. Chen, three months ago I fell and fractured my tibia and fibula. I had surgery on both sides of my ankle, with two screws inserted on each side. One side is healing well, but the other side's wound has not yet heal...
Dr. Chen Bochen Reply:
Find a hospital for a blood test + consult with a surgeon (orthopedic specialist) to determine if there is an infection. If an infection is present, debridement treatment is necessary, as delaying treatment can lead to more severe complications. Wishing you a speedy recovery.[Read More] Post-Surgery Complications: Managing Infections After Tibia and Fibula Fractures
Chronic Ankle Shortening and Muscle Tension After Old Leg Fracture
The muscle and tendon tissue at the site of an old fracture in the calf is being pulled, resulting in a persistent shortening of the ankle extension? Approximately 30 years ago, I sustained an open fracture of the left tibia in a car accident. The steel rod that was placed to sup...
Dr. Shi Guozheng Reply:
It may be related to tissue adhesions, so you can try rehabilitation to see if it alleviates the symptoms. If there is no improvement, further evaluation will be needed to determine if surgery is necessary.[Read More] Chronic Ankle Shortening and Muscle Tension After Old Leg Fracture
Can I Use Heat Therapy on My Leg Two Weeks After Tibia Surgery?
Is it advisable to apply heat therapy two weeks after tibial fracture surgery? I would like to ask the doctor, two weeks after tibial surgery, the surgical wound has healed but the injured leg is still swollen and uncomfortable. Is it okay to apply a warm compress?
Dr. Chen Bochen Reply:
If the calf is still warm and painful, it is recommended to apply ice. If there is redness or any discharge, infection should be suspected, and it is important to return for a follow-up appointment. During rest, elevate the leg and frequently move the ankle to help reduce swellin...[Read More] Can I Use Heat Therapy on My Leg Two Weeks After Tibia Surgery?
Three Months Post-Surgery: Concerns About Bone Healing Progress
Three months post-surgery, the bone healing does not seem to be ideal? It has been three months since my surgery, and is it normal that my ankle and foot are still not completely reduced in swelling? During each follow-up appointment, the doctor seems to indicate that the healing...
Dr. Chen Bochen Reply:
1. Sun exposure for half an hour daily (between 10 AM and 3 PM). 2. Static strength training (apply force with the entire leg for 15 seconds, alternating between legs). 3. Absolutely no smoking or exposure to secondhand smoke. 4. Reduce consumption of sugary foods and bever...[Read More] Three Months Post-Surgery: Concerns About Bone Healing Progress
Understanding Congenital Tibial Bowing in Infants: When to Seek Further Evaluation
Congenital tibial bowing in infants? Hello doctor, my child is currently 9 and a half months old. An ultrasound before birth indicated that there was an issue with his foot. Since birth, the pediatric orthopedic doctor we have seen mentioned that it has become somewhat straighter...
Dr. Li Wenhong Reply:
Hello: If there is improvement (more upright), you can observe first without aggressive treatment. If you notice that the crawling posture seems a bit unusual, you can assist from the side. During bathing, dressing, or changing diapers, you can also perform massage on the affecte...[Read More] Understanding Congenital Tibial Bowing in Infants: When to Seek Further Evaluation
Understanding Tibial Fractures: Treatment, Surgery, and Growth Concerns
Tibial fracture Hello: My daughter suffered a tibial fracture in a car accident on September 5, 2018. She underwent surgery at that time, where a steel plate was used for fixation. The plate was removed the following July, and upon further observation, it was discovered that she ...
Dr. Wang Shouji Reply:
Hello, if a pediatric fracture affects the growth plate, it can sometimes lead to asymmetrical growth. In such cases, it is necessary to suppress the growth on one side to prevent increasing deformity and to correct the malalignment. We will only know if there is still a leg leng...[Read More] Understanding Tibial Fractures: Treatment, Surgery, and Growth Concerns
Understanding Giant Cell Tumors of the Tibia: Treatment Options and Recurrence Risks
Tibial tumor Dr. Shih: Hello, Dr. Shih! I have developed a tumor on my proximal tibia. In October, I underwent surgery with Professor Yang Rong-Sen at National Taiwan University Hospital. My tumor is a benign giant cell tumor of bone. Dr. Yang recommended that I start treatment w...
Dr. Shi Guozheng Reply:
Dr. Yang is an expert in bone tumors in Taiwan, so it is advisable to consider his opinion. He has extensive experience in treating this type of tumor. It is important to have a thorough discussion with him before deciding on the treatment approach.[Read More] Understanding Giant Cell Tumors of the Tibia: Treatment Options and Recurrence Risks
Understanding Pain Above the Tibia After Playing Sports: Causes and Concerns
Pain above the tibia after playing basketball? Hello Doctor, I am 18 years old. When I went to the court to play basketball tonight, I initially felt some soreness above my knee (which I believe is the quadriceps tendon). Later, the area above my tibia became painful when bending...
Dr. Chen Bochen Reply:
1. The prominent area of the tibia in adolescents is often a benign condition known as Osgood–Schlatter disease. 2. The area you described seems more like patellar tendonitis, which requires moderate rest (about two weeks) followed by a gradual return to activity. Additionally,...[Read More] Understanding Pain Above the Tibia After Playing Sports: Causes and Concerns