Understanding Tibial Fracture Recovery: To Remove Hardware or Not?
Tibial fracture Hello Doctor, my son is 23 years old and previously suffered a tibial shaft fracture in a car accident. He had titanium alloy implants with four screws for fixation, and it has been 1 year and 2 months since the surgery. During his follow-up visit, the physician m...
Dr. You Dianqi Reply:
Bone screws and plates are considered foreign objects in the body. Whether or not to surgically remove them depends on whether the patient experiences discomfort. If there is discomfort that affects daily life and work, it is recommended to follow up with the attending physician ...[Read More] Understanding Tibial Fracture Recovery: To Remove Hardware or Not?
Post-Surgery Guidelines: When to Stop Wearing a Brace After Fracture
Inquire about issues related to post-fracture orthopedic braces and casts? Hello, doctor. I would like to ask how long after surgery for a left tibial fracture and radial dislocation can I ride a motorcycle without wearing a protective brace? (The steel pins have not been removed...
Dr. Chen Yongxue Reply:
Hello, the need for follow-up visits depends on the initial severity of the fracture or dislocation as well as your recovery progress. It is recommended to consult your attending physician. Thank you.[Read More] Post-Surgery Guidelines: When to Stop Wearing a Brace After Fracture
Understanding Tibial Fractures and Osteogenesis Imperfecta in Children
Tibial fracture/Osteogenesis imperfecta (OI) Hello, Doctor: My child, who is 8 years old, suffered an injury in a car accident resulting in a spiral fracture of the left tibial shaft. The doctor used a telescopic intramedullary nail with two fixation screws. I would like to ask t...
Dr. Li Wenhong Reply:
Hello: 1. The effectiveness of rehabilitation therapy varies from person to person, especially in children where the differences can be significant. Please be patient and cooperate with the rehabilitation therapy for six months. 2. Normal removal of internal fixation devices requ...[Read More] Understanding Tibial Fractures and Osteogenesis Imperfecta in Children
Post-Surgery Concerns After Tibial Fracture: Pain and Limitations Explained
Post-operative questions regarding tibial fracture? Hello, doctor! I suffered a distal tibial fracture due to a car accident, and the surgery involved minimally invasive open reduction and internal fixation. A steel rod was inserted from the tibial plateau and secured with four s...
Dr. Chen Yongxue Reply:
Hello, based on your letter, your fracture should be at the proximal tibia rather than the distal tibia. 1. Proximal tibial fractures can range from very minor to highly comminuted, and the surgical approach and recovery can vary significantly. However, since the injury has alr...[Read More] Post-Surgery Concerns After Tibial Fracture: Pain and Limitations Explained
Post-Surgery Recovery Tips for Tibial Fractures: What to Expect
Post-operative care for tibial fractures? On July 19, I was involved in a car accident that resulted in a comminuted fracture of the left femur, with the fracture extending approximately 30 centimeters from above the knee joint to below the hip joint. I also sustained a fracture ...
Dr. Shi Guozheng Reply:
The duration for which a walker is needed depends on the healing status of the bone, which should be assessed through follow-up X-rays. If it is not a comminuted fracture, typically, one can start walking within three months, but a walker will still be necessary. To safely discon...[Read More] Post-Surgery Recovery Tips for Tibial Fractures: What to Expect
Should You Remove a Broken Tibial Nail After an Injury?
Does a broken tibial nail need to be removed? Hello, I had a tibial fracture from a car accident in early January this year, and I underwent surgery to have a titanium alloy plate and locking screws inserted. In mid-May, I returned to the hospital for an X-ray and discovered that...
Dr. Li Wenhong Reply:
You can visit the outpatient clinic for an evaluation and have an X-ray taken.[Read More] Should You Remove a Broken Tibial Nail After an Injury?
Can I Apply for Disability with Severe Tibial Fracture After a Fall?
I would like to ask? Hello doctor, I fell from a height while working in January, resulting in a closed fracture with displacement of the right tibial plateau. The surgeon emphasized that my bone was severely fragmented. To this day, I cannot fully extend my knee like my left leg...
Dr. Shi Guozheng Reply:
To apply for disability benefits, you must undergo a functional assessment by a physician, and your results must fall below a certain threshold to qualify.[Read More] Can I Apply for Disability with Severe Tibial Fracture After a Fall?
Post-Tibial Fracture Surgery: Common Concerns and Rehabilitation Tips
Post-operative inquiries regarding tibial fractures? Hello Doctor: I was involved in a car accident on January 24 of this year, resulting in a comminuted fracture of my left knee and lower leg. I subsequently underwent tibial plate surgery (on both sides), with three surgeries in...
Dr. Shi Guozheng Reply:
1. What the doctor said may be correct. 2. It is important to continue rehabilitation to allow for gradual recovery. 3. Improvement may occur gradually due to swelling; performing rehabilitation slowly can help. Taking anti-inflammatory medications may make rehabilitation eas...[Read More] Post-Tibial Fracture Surgery: Common Concerns and Rehabilitation Tips
Rehabilitation Timeline After Tibial Fracture: What to Expect
Rehabilitation-related issues! Hello, doctor. I sustained a fracture of the upper end of the left tibia due to a car accident on February 21. I have been in a cast for 5 weeks and am scheduled to return for a follow-up appointment to remove the cast on April 6. I would like to kn...
Dr. Shi Guozheng Reply:
Fractures typically take about three months to heal. If the fracture is not severe, the healing time may be shorter, around six weeks. Initially, weight-bearing is allowed, but only with about a quarter of the body weight. Crutches should be used for assistance, and follow-up app...[Read More] Rehabilitation Timeline After Tibial Fracture: What to Expect
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.[Read More] Recovery Time After Tibial Intramedullary Nail Removal: What to Expect
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...[Read More] Concerns About Hardware Removal After Tibia and Pelvis Fractures
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...[Read More] Can Rehabilitation Speed Up Recovery from a Severe Tibial Fracture?
Post-Tibial Fracture Surgery: Addressing Persistent Foot Mobility Issues
Post-operative care for tibial fractures? I suffered a tibial fracture in my lower leg during the last accident, approximately in the middle of the bone. After surgery, I started to move a few days later and noticed that I couldn't dorsiflex my foot or fully place it flat on...
Dr. You Dianqi Reply:
Hello! It is recommended that you return to the original surgeon's clinic for a follow-up consultation. Thank you.[Read More] Post-Tibial Fracture Surgery: Addressing Persistent Foot Mobility Issues
Do I Need Surgery for a Right Tibial Fracture? Recovery Insights
Does a right tibial fracture require surgery? Hello, doctor. I am working in mainland China and accidentally had a collision with a car, resulting in a lateral fracture of my right tibia. Do I need surgery? I am currently using a cast for immobilization, and it has been 8 days. H...
Dr. Shi Guozheng Reply:
If it is a simple fracture without displacement, treatment with a cast is sufficient, and it typically takes eight to twelve weeks to heal. The cast should remain until the femoral head has healed, which takes at least eight weeks. Currently, if the cast is stable, walking is pos...[Read More] Do I Need Surgery for a Right Tibial Fracture? Recovery Insights
Post-Tibial Fracture: Understanding Long-Term Effects and Recovery
Will there be any sequelae after a tibial fracture? Hello, Doctor. I apologize for bothering you, but I have a few questions. Two months ago, my friend suffered a left tibial shaft fracture (approximately 10 cm above the ankle) due to a car accident. During surgery, titanium allo...
Dr. Shi Guozheng Reply:
1. If the fracture has healed properly, there are usually no significant sequelae. 2. Removal is necessary only if there is irritation or if it affects joint mobility. 3. It is advisable to consume nutritious foods and ensure adequate calcium intake.[Read More] Post-Tibial Fracture: Understanding Long-Term Effects and Recovery
Challenges in Healing Open and Comminuted Tibial Fractures: Surgical Options Explained
Open and comminuted fracture of the right tibia with poor fracture healing? Hello Dr. Wang, I was involved in a car accident on November 26, 2019, which resulted in an open and comminuted fracture of my right tibia. On December 2, 2019, Dr. A performed intramedullary nailing surg...
Dr. Wang Shouji Reply:
Hello, 1. Generally, it is not necessary to remove the intramedullary nail; using a steel plate for fixation carries a higher risk of plate fracture if healing does not occur. 2. It is important to assess the overall volume of the defect; if the volume is significant, there is...[Read More] Challenges in Healing Open and Comminuted Tibial Fractures: Surgical Options Explained
How Soon After Tibia Surgery Can You Walk Without Crutches?
How long after a tibial fracture surgery can a patient walk without crutches? Hello, doctor. I suffered a tibial fracture in a car accident on February 28 and underwent surgery to insert a metal rod on March 1. At that time, I asked the doctor how long it would take to walk witho...
Dr. Shi Guozheng Reply:
If the fracture is properly realigned and securely fixed after surgery, it is possible to start walking earlier. However, if there are any concerns, using crutches for about six weeks is advisable. Of course, this depends on the location of the fracture, the degree of comminution...[Read More] How Soon After Tibia Surgery Can You Walk Without Crutches?
Post-Tibial Plate Removal: Tips for Bone Health and Safety
Tibial screw removal Hello, doctor. This month I had the metal plate removed, and today I also had the sutures taken out. My attending physician advised me to be cautious about the possibility of re-fracturing the bone. As my job requires me to stand for long periods, will prolon...
Dr. Li Wenhong Reply:
Hello: After the healing of a tibial fracture and the removal of the plate, normal weight-bearing and walking are possible, and standing for long periods will not harm the bone. However, if standing for too long leads to muscle fatigue and soreness, it is important to rest and no...[Read More] Post-Tibial Plate Removal: Tips for Bone Health and Safety
Post-Operative Care for Tibial Fractures: Common Questions Answered
Postoperative care for tibial fractures? Hello, doctor. I was in a car accident on November 25, 2021, and was diagnosed with a posterior collapse of the left tibia (fracture). I had an L-shaped steel plate inserted and a knee brace on my leg. It has been two and a half months sin...
Dr. Shi Guozheng Reply:
1. If the fracture has healed, you can stop using the crutches. 2. You can bend it a little more. 3. It is possible that with more time, there may be further improvement.[Read More] Post-Operative Care for Tibial Fractures: Common Questions Answered
Post-Tibial Fracture Surgery: Why Can't I Bend My Knee?
After a tibial fracture surgery, the knee cannot be flexed? Hello doctor, I had surgery on October 9, 2021, and the cast was removed on November 9, after which I was fitted with a protective brace (equivalent to a cast). When I removed the brace to clean my leg, I noticed that my...
Dr. Chen Yongxue Reply:
Hello, fractures around the joints often require fixation with a cast or splint after surgery due to the risk of displacement. However, prolonged immobilization can lead to joint stiffness. Please return for a follow-up appointment to have X-rays taken. If there is evidence of ca...[Read More] Post-Tibial Fracture Surgery: Why Can't I Bend My Knee?