Tibial fracture, Orthopedics FAQ - Page 3

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Understanding Post-Surgery Complications: Titanium Rod Deformation in Pediatric Fractures

Postoperative heterotopic ossification after fracture surgery? I would like to inquire about an incident on February 16, where my child fell off a bicycle and suffered a fracture of the left tibia (specifically in the middle of the tibia). The surgery involved the use of titanium...


Dr. Shi Guozheng Reply:
1. The healing of the bone after tibial fracture surgery occurs at a certain rate. 2. Typically, it takes one to two months for callus formation to begin. 3. It is necessary to wait until the bone becomes very hard, which usually takes about three to six months. 4. If the i...

[Read More] Understanding Post-Surgery Complications: Titanium Rod Deformation in Pediatric Fractures


Understanding Tibial Fractures: Misdiagnosis and Patient Concerns

Tibial fracture Hello, doctor. I was involved in a car accident on October 26, where my right calf was struck by a motorcycle while I was a pedestrian. The police accompanied me to the hospital for an X-ray, and the doctor said I only had a sprain with no fractures. However, due ...


Dr. Li Yongheng Reply:
Hello, it is indeed possible that an X-ray taken at the time of injury may not show a fracture, but after a period of time (usually 7-10 days), a follow-up X-ray may reveal the fracture. Therefore, you can communicate with the insurance company and advocate for your case.

[Read More] Understanding Tibial Fractures: Misdiagnosis and Patient Concerns


Understanding Open Tibial Fractures: Recovery and Treatment Insights

Open fracture of the tibia due to a car accident? Hello, Doctor. I have a few questions for you: 1. Chief complaint: A 57-year-old male, in August 2019, was struck by a car, resulting in an open fracture of the tibia, multi-fragmentary fracture of the tibia, and a diaphyseal fr...


Dr. Zhan Xian Reply:
The postoperative X-ray shows an acceptable fracture location; however, there are many factors that can affect fracture healing, such as soft tissue damage and blood circulation at the fracture site, which cannot be assessed by X-ray. Generally, more severe fractures in the lower...

[Read More] Understanding Open Tibial Fractures: Recovery and Treatment Insights


Understanding Tibial Fractures: Complications and Treatment Options

Tibial fracture Hello Doctor: My brother is a patient with a closed fracture of the upper end of the right tibia and has undergone internal fixation surgery with bone screws. One and a half months after discharge, he was diagnosed with acute hematogenous osteomyelitis of the tibi...


Dr. Chen Yongxue Reply:
1. Is it more suitable for the original surgeon who initially placed the artificial plates and screws to perform the removal and debridement surgery, or is it acceptable for a surgeon from another hospital to do it? What are the pros and cons of each? Having the original surgeon ...

[Read More] Understanding Tibial Fractures: Complications and Treatment Options


Weight Bearing After Tibial Fracture: 12 Weeks Post-Injury Guidance

Can a patient with a comminuted tibial fracture bear weight after 12 weeks? Hello Dr. Lee, I sustained a spiral comminuted fracture of the distal third of my tibia on August 31, and it has been over 12 weeks since then. During my follow-up appointment last week, the X-ray showed ...


Dr. Li Yongheng Reply:
Hello: 1. The patient has a spiral comminuted fracture of the distal third of the tibia that has exceeded 12 weeks, and no callus formation is observed on the X-ray. Currently, even with the use of a pneumatic ankle brace, it is not advisable to completely avoid using crutches. H...

[Read More] Weight Bearing After Tibial Fracture: 12 Weeks Post-Injury Guidance


Understanding Left Knee Injuries: Recovery from Tibial Fracture and ACL Tear

Left posterior knee avulsion fracture of the tibial plateau with posterior cruciate ligament tear? Doctor, my daughter suffered a fracture of the posterior tibial plateau and a rupture of the posterior cruciate ligament due to a car accident. Initially, the fracture was stabilize...


Dr. Li Yongheng Reply:
Hello, your daughter is unable to kneel and has difficulty squatting, which is likely related to the rehabilitation following her surgery a year ago, and is not related to the anterior cruciate ligament (ACL) not being reattached or reconstructed. As long as the knee joint is sta...

[Read More] Understanding Left Knee Injuries: Recovery from Tibial Fracture and ACL Tear


Understanding New Fractures in Pediatric Tibial Injuries: Key Concerns

Tibial shaft fracture with secondary injury? Hello Dr. Lee, My son (6 years old) sustained a tibial fracture on August 13. He returned for a follow-up two weeks later, and the bone was not displaced. On September 28, during another follow-up, the X-ray showed that the fracture l...


Dr. Li Yongheng Reply:
1. It is indeed possible. 2. There should be no impact. 3. There should be no impact. 4. The first item is more serious.

[Read More] Understanding New Fractures in Pediatric Tibial Injuries: Key Concerns


Understanding Tibial Plateau Fractures: Recovery, Hardware Removal, and Rehabilitation

Tibial fracture Hello, I have a comminuted and displaced fracture of the tibial plateau due to a car accident. I underwent surgery with the placement of 7 screws and 1 plate, and it took nearly 8 months to recover. I have the following questions: (1) I am a 50-year-old male with ...


Dr. Wang Jiacheng Reply:
In the case of a normally healed fracture, the removal of internal fixation hardware does not affect the original function, and there is no need to fill the screw holes with bone graft.

[Read More] Understanding Tibial Plateau Fractures: Recovery, Hardware Removal, and Rehabilitation


Managing Post-Fracture Care in Elderly Patients with Polio and Diabetes

The patient has sustained a fracture due to a fall and also has a history of poliomyelitis and diabetes mellitus? Hello, Doctor: The patient is 65 years old and suffered a right tibial fracture from a fall in mid-January, requiring surgery and hospitalization. During the process,...


Dr. Ye Qingnian Reply:
The fixed metal plate will not damage the nerves or muscles. The timing for rehabilitation depends on the severity of the fracture and the stability of the plate fixation after surgery. Therefore, the most appropriate time for rehabilitation should be determined by the attending ...

[Read More] Managing Post-Fracture Care in Elderly Patients with Polio and Diabetes


Knee Issues After Tibial Fracture: Recovery and Rehabilitation Tips

Knee issues following a tibial fracture? Hello, I had a car accident on October 1st, resulting in an open fracture of the tibia and fibula in my right lower leg. That night, I underwent surgery for intramedullary nailing of the tibia. I was able to get out of bed on October 3rd a...


Dr. Shi Guozheng Reply:
Surgical treatment for tibial fractures often involves the use of intramedullary nails, with the entry point located at the proximal tibia near the knee joint. This typically requires an incision through the patellar tendon to insert the nail. Occasionally, this may irritate the ...

[Read More] Knee Issues After Tibial Fracture: Recovery and Rehabilitation Tips


Conflicting Medical Advice on Tibia Fracture Recovery: What to Do?

Questions about tibial fractures? Hello Doctor: I was in a car accident on the evening of October 13, 2016, which resulted in an open fracture of my right tibia and fibula. I was taken to the hospital for treatment and had bone screws and plates installed. Since then, I have been...


Dr. Shi Guozheng Reply:
A tibial fracture that has not healed after a year is considered to be healing slowly. However, in the case of an open fracture, it may take a year and a half to two years to heal. If there is significant bone loss, bone grafting may be necessary. The physician recommends weight-...

[Read More] Conflicting Medical Advice on Tibia Fracture Recovery: What to Do?


Understanding Recovery Time for Right Tibial Plateau Fractures: A Care Guide

Right tibial plateau fracture (right knee joint can only move from 0 to 60 degrees) Hello, last year I was hit by a lady on a motorcycle while out with my boyfriend. The lady suffered a fracture of the right tibial plateau. I would like to ask if the diagnosis certificate she rec...


Dr. Xie Hongjia Reply:
Hello, Miss Jie-Ru: A normal bone fracture typically takes 2-3 months to heal, but this can vary from person to person. Rehabilitation is necessary for subsequent joint mobility. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

[Read More] Understanding Recovery Time for Right Tibial Plateau Fractures: A Care Guide


Understanding Skin Indentation After Tibial Fracture Healing

Depression of the skin over the fracture site? Two months ago, I underwent surgery for a closed mid-shaft tibial fracture, with a bone plate implanted for fixation. The callus formation has begun, but there is a noticeable indentation in the skin over the fracture site. I read in...


Dr. Li Wenhong Reply:
Hello: The raised area at the fracture site will improve after the bone healing process. However, the depressed area typically does not show significant improvement. For more details, please consult your original treating physician during your follow-up visit. Wishing you good he...

[Read More] Understanding Skin Indentation After Tibial Fracture Healing


Recovery Time for Tibial Fractures: What to Expect After Surgery

The recovery time for a tibial fracture in the left lower leg typically ranges from 6 to 12 weeks, depending on the severity of the fracture and the individual's overall health? Hello Doctor, I had a tibial fracture in my left lower leg on July 4th and underwent surgery with...


Dr. Li Yongheng Reply:
After a fracture, circulation in the lower extremities may worsen, leading to swelling when the foot is placed down. This is a common phenomenon. The term "rest for three months" means that it will take approximately three months before the foot can bear weight without ...

[Read More] Recovery Time for Tibial Fractures: What to Expect After Surgery


Why Are Toes Left Exposed in a Cast for Foot Fractures?

Foot cast Hello, doctor. Recently, I fell and fractured my left foot while walking down the stairs, and I had to have it immobilized with a cast. I would like to ask why the toes are left exposed when the foot is casted, instead of covering the entire foot?


Dr. Shi Guozheng Reply:
The area of plaster immobilization should encompass the joints above and below the fracture. Therefore, for a tibial fracture, the immobilization should extend to the knee joint and the ankle joint. In the case of an ankle fracture, it is sufficient to immobilize just above and b...

[Read More] Why Are Toes Left Exposed in a Cast for Foot Fractures?


Understanding Recovery from a Closed Tibial Fracture in the Lower Leg

Closed fracture of the left tibia? Hello Doctor: I was in a car accident on April 2nd, and the doctor diagnosed me with a closed tibial fracture in the upper third of my left calf. The doctor assessed that I do not need to be hospitalized, nor do I require a cast or surgery. Howe...


Dr. Shi Guozheng Reply:
If the fracture is non-displaced, it will typically heal in about three months.

[Read More] Understanding Recovery from a Closed Tibial Fracture in the Lower Leg


Understanding Nonunion in Fibula Fractures: Treatment Options and Recovery

Fibular nonunion? Hello Doctor, I had a car accident at the end of December last year that resulted in a fibula fracture. The mid-section of the fibula is displaced, and the upper and lower segments are only in contact with each other. One hospital initially recommended surgery, ...


Dr. Shi Guozheng Reply:
Fibula fractures typically heal within about three months without the need for surgical intervention, and afterward, there should be no impact on mobility or walking. If three months have passed, the use of crutches can be discontinued. In cases of tibial fractures where intramed...

[Read More] Understanding Nonunion in Fibula Fractures: Treatment Options and Recovery


Recovery Tips for Tibia and Fibula Fractures: What to Expect

Tibiofibular fracture Hello Doctor, I had a car accident a month ago that resulted in a closed tibial fracture and a fibular hairline fracture. I underwent surgery to insert a steel rod, and the fibula was not treated and was not put in a cast. I asked my attending physician if I...


Dr. Shi Guozheng Reply:
Rehabilitation involves moving your knee and ankle joints. The ankle should move up and down to engage the muscles, preventing muscle atrophy. After completing the exercises, if your foot or calf is swollen, you can elevate it. Additionally, it's important to have regular fo...

[Read More] Recovery Tips for Tibia and Fibula Fractures: What to Expect


Understanding Post-Fracture Symptoms in Children: Is Numbness Normal?

After bone fracture healing Hello, Dr. Lee: I would like to ask you about my child's tibial fracture healing. During the follow-up appointment on November 8, the X-ray showed complete healing. Recently, he has been sitting in a fixed position for too long, such as on the sof...


Dr. Li Yongheng Reply:
The X-ray taken during the follow-up visit for the tibial fracture shows complete healing. It is normal for the previously injured leg to occasionally feel numb after sitting in a fixed position for too long, so there is no need to worry.

[Read More] Understanding Post-Fracture Symptoms in Children: Is Numbness Normal?


Recovery Timeline for Right Tibial Plateau Fracture After Surgery

Closed fracture of the distal right tibia with an elevated bony prominence? Two weeks ago, I was coming down from Yangmingshan with a friend when it started to rain, making the road slippery. During the descent, my tires slipped while braking, and I accidentally fell off my bike....


Dr. Shi Guozheng Reply:
A tibial fracture typically takes about three months to heal completely, and it generally takes a similar amount of time to transition from using crutches to walking independently. If the surgical fixation is done well, you may be able to start putting light weight on the leg wit...

[Read More] Recovery Timeline for Right Tibial Plateau Fracture After Surgery


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