Tibial fracture, Orthopedics FAQ - Page 4

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How Soon Can I Return to Work After Tibial Fracture Surgery?

How long after surgery for a tibial fracture from a car accident can one return to work? Hello Dr. Hong: I was involved in a car accident last month that resulted in a comminuted open fracture of the distal tibia in my left ankle. Due to the wound on my ankle, the doctor first pe...


Dr. Hong Ximing Reply:
After a comminuted fracture of the ankle joint, follow-up X-rays are necessary to monitor the healing process of the fracture. Rehabilitation exercises can be initiated to prevent muscle atrophy. For detailed information, please consult your attending physician.

[Read More] How Soon Can I Return to Work After Tibial Fracture Surgery?


Can a Child Stand After 5 Weeks of Tibial Fracture Healing?

Can I stand if my bone fracture has not completely healed after five weeks? A three-year-old child sustained a tibial stress fracture on August 31 while playing soccer. It has been five weeks since the injury, and during a follow-up visit on October 6, X-rays showed that the frac...


Dr. Li Yongheng Reply:
Fracture healing in three-year-old children generally occurs quickly. If the physician indicates that the child can stand and walk, and the child is not experiencing any pain, parents can feel reassured. However, it is important to avoid falls and running or jumping.

[Read More] Can a Child Stand After 5 Weeks of Tibial Fracture Healing?


Do You Need Bone Cement for Foot Fractures? Key Insights Explained

Bone pinning for foot fractures? Do I need to get a bone cement injection for a foot fracture? Under what circumstances is a bone cement injection necessary? Why did the doctor recommend that I get a bone cement injection?


Dr. Shi Guozheng Reply:
Your question is unclear regarding which specific bone fracture you are referring to. Foot or ankle fractures typically heal more easily and rarely require bone grafting. In the case of tibial fractures, sometimes there can be poor healing that necessitates bone grafting. What do...

[Read More] Do You Need Bone Cement for Foot Fractures? Key Insights Explained


Recovery Tips for Tibial Fracture and Lateral Ligament Injury

Closed fracture of the proximal tibia with lateral collateral ligament tear? Hello Dr. Tsai: I was in a car accident on May 16th and underwent open reduction and internal fixation of a right tibial fracture and lateral collateral ligament repair on May 17th. It has been about 47 ...


Dr. Cai Shanglin Reply:
Six weeks after surgery, an initial X-ray will typically be taken to assess whether the plate has shifted or if there is any further displacement of the fracture. Your attending physician should explain these findings to you and inform you whether you can put weight on your right...

[Read More] Recovery Tips for Tibial Fracture and Lateral Ligament Injury


Do You Need the Same Surgeon for Plate Removal After Injury?

Does the removal of steel plates and screws need to be performed by the same physician? Hello Doctor: I was involved in a car accident in Hualien on April 9th of this year and was hospitalized. I underwent surgery on April 10th, and my diagnoses were: 1. Medial proximal tibial fr...


Dr. Shi Guozheng Reply:
The removal of the steel plate does not necessarily have to be performed by the same physician; as long as a physician at the hospital you are visiting is willing to perform the surgery, it is acceptable. Injury to the common peroneal nerve causing foot drop may not recover, and ...

[Read More] Do You Need the Same Surgeon for Plate Removal After Injury?


Recovery After Tibial Fracture: ACL Rehabilitation and Hardware Removal

Removal of intramedullary nail for tibial fracture and reconstruction of the posterior cruciate ligament? Hello, doctor: After a car accident, I had an intramedullary nail placed for a tibial fracture. Three months later, during a follow-up, it was discovered that I have a torn p...


Dr. Wang Shouji Reply:
Hello: The presence of intramedullary nails in the tibia can indeed affect anterior cruciate ligament (ACL) reconstruction. I recommend removing the metal pins after the fracture has healed before addressing the ACL issue. For ACL reconstruction, you may consult an orthopedic sur...

[Read More] Recovery After Tibial Fracture: ACL Rehabilitation and Hardware Removal


Recovery After Tibia Fracture: ACL Rehabilitation and Hardware Removal

Removal of intramedullary nail for tibial fracture and reconstruction of the posterior cruciate ligament? Hello, Doctor: After a car accident, I had an intramedullary nail placed for a tibial fracture. Three months later, during a follow-up visit, it was discovered that I have a ...


Dr. Wang Shouji Reply:
Hello: The presence of intramedullary nails in the tibia can indeed affect anterior cruciate ligament (ACL) reconstruction. I recommend removing the metal pins after the fracture has healed before addressing the ACL issue. For ACL reconstruction, you may consult an orthopedic sur...

[Read More] Recovery After Tibia Fracture: ACL Rehabilitation and Hardware Removal


Managing Tibial Fractures: Pain Relief, Cast Issues, and Mobility Tips

For a tibial fracture, pain relief and discomfort from the cast can vary. Generally, patients may be able to use crutches and get out of bed within a few days to a week after the injury, depending on the severity of the fracture and the doctor's recommendations. It is essent...


Dr. Shi Guozheng Reply:
Your questions have been repeated. I already answered them on April 15th. Basically, your fracture is unlikely to displace, so it is best for you to follow your doctor's instructions and return for your scheduled appointment to change the cast. Recovery will take approximate...

[Read More] Managing Tibial Fractures: Pain Relief, Cast Issues, and Mobility Tips


Alternatives to Heavy Casts for Left Tibia Fractures: What You Need to Know

Issues with Cast for Left Tibial Fracture I have attached a photo of my fracture. My fracture has been casted up to my thigh, and the cast is too heavy for me to get out of bed on my own. I have to rely on my family for assistance. Since my mobility is limited, it has been six da...


Dr. Shi Guozheng Reply:
The photo shows a tibial fracture (shinbone fracture) without displacement. The best treatment option is to use a cast for immobilization. Currently, you are using a posterior splint (long leg splint) that covers only the back of the thigh and calf. It should be changed to a shor...

[Read More] Alternatives to Heavy Casts for Left Tibia Fractures: What You Need to Know


Slow Bone Healing After Tibia Fracture: Causes and Solutions

Delayed bone healing? Hello, Doctor Shi: I would like to ask about my right tibial fracture. I had surgery in September 2014 to insert a steel rod for stabilization, but the healing process has been very slow. I do not smoke or drink, maintain a regular lifestyle, and have follow...


Dr. Shi Guozheng Reply:
If there have been several follow-ups without any signs of bone growth, and if there are symptoms of pain, it may be necessary to consider surgical bone grafting to promote bone healing. This should be discussed with your attending physician.

[Read More] Slow Bone Healing After Tibia Fracture: Causes and Solutions


Managing Knee Pain After Intramedullary Nail Surgery for Leg Fracture

Crush fracture of the tibia underwent intramedullary nailing through a knee incision, resulting in knee discomfort? Dr. Chen, I have a question. I suffered a comminuted fracture of my lower leg in a car accident on January 15, and I had an intramedullary nail inserted through sur...


Dr. Chen Yongxue Reply:
Hello, intramedullary nailing is the standard treatment for tibial fractures. After the insertion of the intramedullary nail, some patients may experience knee pain. However, it is important to rule out the issue of excessive nail prominence. If the length of the nail is appropri...

[Read More] Managing Knee Pain After Intramedullary Nail Surgery for Leg Fracture


Running After Tibial Fracture: Is Pain Normal and Should Hardware Be Removed?

Running exercises after recovery from a tibial fracture? Last May, I had a tibial fracture and had a titanium alloy plate and screws implanted. Recently, I started jogging with small strides, running about 500 to 600 meters, but I experience soreness at the fracture site where th...


Dr. Shi Guozheng Reply:
After a fracture, it is essential to confirm that healing has occurred before resuming physical activity; otherwise, there is a risk of re-fracture, and caution must be exercised. It is advisable to have an X-ray to ensure there are no issues. If the metal plate is easily removab...

[Read More] Running After Tibial Fracture: Is Pain Normal and Should Hardware Be Removed?


Post-Fracture Complications: Managing Nerve Damage and Recovery

Post-fracture complications Hello Doctor, I was in a car accident on May 20th and suffered a tibial fracture in my lower leg. However, the day after the surgery, I developed compartment syndrome, which required an emergency fasciotomy. Unfortunately, this also resulted in nerve d...


Dr. Wang Shouji Reply:
Hello: This type of nerve injury has a poor recovery prognosis, but it is essential to determine whether there is a nerve rupture or temporary paralysis. If there is a rupture, recovery may be inadequate, leading to long-term sequelae. Rehabilitation is recommended as necessary. ...

[Read More] Post-Fracture Complications: Managing Nerve Damage and Recovery


Rehabilitation Tips for Tibial Fracture Recovery After an Accident

Rehabilitation for Tibial Fracture Hello Doctor: At the end of June, I had a car accident that resulted in a small fracture in the upper half of my right tibia. After being in a half-cast for a week, I can now bend my leg but cannot fully extend it, and I am unable to dorsiflex m...


Dr. Xie Hongjia Reply:
It is advisable not to rush into stretching exercises at this time. Please consult your physician to determine if the fracture has healed sufficiently since the cast was applied and when it would be appropriate to begin stretching exercises. It is best to wait for your follow-up ...

[Read More] Rehabilitation Tips for Tibial Fracture Recovery After an Accident


Recovering from Tibial Fracture Surgery: Muscle Rehabilitation Tips

Two days after surgery for a tibial fracture? It has been over a month since I had surgery for a tibial fracture in my lower leg. The doctor advised me not to put weight on it for six weeks, so I will start rehabilitation afterward. Can I regain my muscle strength? I have also no...


Dr. Shi Guozheng Reply:
Although you cannot bear weight, you can still perform flexion and extension movements of the knee and ankle joints, as this engages the muscles. Muscle contraction occurs with joint movement, which helps prevent atrophy. After six weeks, you can begin to bear weight, which will ...

[Read More] Recovering from Tibial Fracture Surgery: Muscle Rehabilitation Tips


Understanding Muscle Atrophy After Tibial Fracture Surgery: Recovery Tips

Post-operative care after tibial fracture surgery? Why is there significant muscle atrophy in the calf after surgery? Compared to the unoperated leg, it has decreased by one size. Will it regain strength after starting rehabilitation? Is it beneficial to massage the muscles durin...


Dr. Shi Guozheng Reply:
First, it is important to determine the location of your surgery, whether it is on the tibia, femur, hip joint, or knee joint. After surgery, the affected limb may become hesitant to move due to pain, which can lead to muscle atrophy. In fact, it is recommended to begin movements...

[Read More] Understanding Muscle Atrophy After Tibial Fracture Surgery: Recovery Tips


Understanding Posterior Cruciate Ligament Injuries and Recovery Tips

Posterior cruciate ligament tear with associated fracture? Last week, after a motorcycle accident, I went to the hospital where the doctor diagnosed me with a 71784 right knee posterior cruciate ligament (PCL) strain and a tibial fracture. After reviewing the X-rays, the doctor m...


Dr. Chen Yongxue Reply:
The cruciate ligament brace is used for patients undergoing cruciate ligament reconstruction or those with cruciate ligament tear-related fractures. This brace provides a certain degree of joint mobility under safe conditions. It is recommended that you wear this brace until the ...

[Read More] Understanding Posterior Cruciate Ligament Injuries and Recovery Tips


Sudden Pain and Swelling Years After Tibia Fracture Healing

Sudden swelling and pain long after a fracture has healed? Hello Doctor: I would like to ask, my tibial fracture in the lower leg has healed for about 8 years. I have previously gone for follow-up examinations, and they all indicated no issues. However, recently, when I press on ...


Dr. Hong Ximing Reply:
The tibial fracture has healed for 8 years, and the adjacent muscle soreness is likely not significantly related to the fracture. It may be due to increased physical activity recently. For a detailed evaluation, it is advisable to consult with the original orthopedic physician in...

[Read More] Sudden Pain and Swelling Years After Tibia Fracture Healing


Understanding Tibial Fracture Surgery: Why the Incision is Near the Knee

Tibial fracture and its surgical site? Hello, Doctor. I have some questions I would like to ask you. About two years ago, I fractured both my tibia and fibula due to a car accident. A bone screw was inserted into my tibia, but I have been puzzled about why the surgical incision i...


Dr. Shi Guozheng Reply:
In the case of a mid-shaft tibial fracture, intramedullary nailing can be used for stabilization. The surgical approach involves creating a small hole just below the tibial tuberosity at the knee joint to insert the nail, which is the most effective and cost-efficient method. The...

[Read More] Understanding Tibial Fracture Surgery: Why the Incision is Near the Knee


Effective Methods to Accelerate Tibia Fracture Healing

Fracture healing Hello Dr. Lee, I am a tibial fracture patient and it has been three months with slow bone healing. I would like to ask if the ultrasound device for accelerating bone healing is effective? Alternatively, could you suggest any methods to promote faster healing of t...


Dr. Li Wenlin Reply:
Bone growth takes time, and appropriate sun exposure is also a good way to support it.

[Read More] Effective Methods to Accelerate Tibia Fracture Healing


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