Understanding Incomplete Tibial Fractures: Healing and Discomfort Insights
Tibia Is it possible for an incomplete fracture of the tibia in the lower leg to still show a fracture line after more than a year without displacement? I experience discomfort when it's cold. Is there a solution for this? Will it gradually return to normal over time? Thank ...
Dr. Zhang Jiahao Reply:
Hello: Your concerns require a proper evaluation of the X-ray images for an accurate answer. It is recommended that you visit an orthopedic clinic. Thank you![Read More] Understanding Incomplete Tibial Fractures: Healing and Discomfort Insights
Understanding Tibia and Fibula Fractures: Surgical Options Explained
Tibiofibular fracture Hello Doctor: I was involved in a car accident on October 29, 2010, which resulted in a tibia and fibula fracture. I underwent reduction surgery at Changhua Show Chwan Hospital. However, six months later, the bone did not heal, so a fixation screw was remove...
Dr. Li Wenlin Reply:
In the case of simultaneous fractures of the tibia and fibula, if the fractures are located in the midshaft, it is sufficient to stabilize only the tibia. Therefore, if the tibial portion has not healed, there is no need for another surgery. The important factor is whether the bo...[Read More] Understanding Tibia and Fibula Fractures: Surgical Options Explained
Challenges in Recovery from Tibial Fracture and ACL Injury: Knee Extension Issues
Tibial shaft fracture with an intact anterior cruciate ligament injury, unable to fully extend the knee? Hello Doctor: I had a motorcycle accident on October 20 of last year, resulting in continuous swelling below my right knee, and I did not undergo surgery until November 17. My...
Dr. Li Wenlin Reply:
Hello: In response to your questions, you can consult your attending physician in person. If you still have concerns, you may also seek advice from another orthopedic surgeon nearby. The old saying goes, "It takes a hundred days to heal injuries to muscles and bones," a...[Read More] Challenges in Recovery from Tibial Fracture and ACL Injury: Knee Extension Issues
Understanding Intramedullary Nail Issues in Tibial Fractures
Issues with Intramedullary Nails for Tibial Fractures Hello, Director Li. About three weeks ago, I suffered a closed fracture of the tibia and fibula in the lower leg, near the ankle, affecting the lower third. I underwent intramedullary nailing for the tibia and fixation with K-...
Dr. Li Wenlin Reply:
Hello: Here are the answers to your questions. 1. While it is ideal for a fracture to be completely reduced without any gaps, some fracture types (such as comminuted, deformed, or with bone loss) may not be easily reducible. Therefore, it is important not to focus too much on t...[Read More] Understanding Intramedullary Nail Issues in Tibial Fractures
Can You Take Hot Baths After a Leg Fracture Surgery?
Is it safe to take a hot bath after a fracture surgery? Hello Dr. Lee, I was in a car accident on March 14, which resulted in three closed fractures of the tibia and fibula in my left lower leg. The doctor performed surgery, inserting an intramedullary nail through an incision a...
Dr. Li Wenlin Reply:
Hello: In response to your question, based on your description, there should be no issues, and there will not be any sequelae such as rheumatism. I recommend that you elevate your foot and perform more exercises for your foot arch and toes. If the swelling subsides, that's f...[Read More] Can You Take Hot Baths After a Leg Fracture Surgery?
Understanding Knee Rehabilitation After Severe Tibial Fracture
Knee In early July of this year, I suffered a comminuted closed fracture of the tibia below the knee due to a car accident. By mid-August, I began to remove the cast for rehabilitation, and the fracture has generally healed well. The doctor mentioned that I can practice walking w...
Dr. Hong Ximing Reply:
After a successful healing of a comminuted closed fracture of the tibia below the knee, it is essential to first assess whether the fracture has affected the joint surface and the extent of damage to the surrounding soft tissues. Subsequently, rehabilitation therapy should be ini...[Read More] Understanding Knee Rehabilitation After Severe Tibial Fracture
Can I Ride a Motorcycle After a Tibia Fracture Recovery?
Tibia fracture Doctor, I had an open tibial fracture from a car accident in early May this year, and I had a rod inserted. In early October, during my follow-up appointment, the doctor said that half of the bone had healed and I could use a crutch to practice walking. Currently, ...
Dr. Li Wenlin Reply:
Hello: The best answer comes from your attending physician. If possible, please consult your attending physician directly. They can assess your bone structure and postoperative recovery status. You should be able to ride a motorcycle, but it's best to get their recommendatio...[Read More] Can I Ride a Motorcycle After a Tibia Fracture Recovery?
Concerns About Retained Screws After ACL Repair Surgery: Pain and Complications
Issues with fixation screws in posterior cruciate ligament repair surgery? Hello, about 4 to 5 years ago, I underwent surgery for posterior cruciate ligament repair and fixation. A year later, after the screws were removed, the doctor mentioned that there were still three screws ...
Dr. Wang Shouji Reply:
In general, this type of steel pin does not necessarily need to be removed. If removal is required, there may be some minor risks involved, but as long as precautions are taken, the risks should be minimal. It is important to consider whether removal is absolutely necessary. Wish...[Read More] Concerns About Retained Screws After ACL Repair Surgery: Pain and Complications
Choosing the Right Knee Brace for Tibial Fractures: Expert Advice
Tibial Fracture - Knee Hello Doctor: Regarding the choice of knee brace, my fracture is located in the knee. What type of knee brace should I choose? I would appreciate your advice, thank you!
Dr. Shi Qiming Reply:
We recommend that you visit an orthopedic outpatient clinic for evaluation by a physician, as the treatment will depend on the specific circumstances of the fracture.[Read More] Choosing the Right Knee Brace for Tibial Fractures: Expert Advice
Choosing the Right Knee Brace After a Fracture: A Guide for Recovery
Knee brace selection? Hello Doctor: I was in a car accident this January, which resulted in a fracture of my left tibia. Since the injury was between being operable or treatable with a cast, I chose to use a cast for natural healing. It has been nearly six months since the accide...
Dr. Shi Qiming Reply:
The treatment and healing time for tibial fractures vary depending on the location of the fracture. Generally, individuals with fractures that have not healed will experience pain when standing or walking for extended periods. The choice of knee brace should be determined based o...[Read More] Choosing the Right Knee Brace After a Fracture: A Guide for Recovery
Understanding Closed Fractures of the Proximal Tibia: Symptoms and Insights
I'm sorry, but I need specific content to translate. Please What is a closed fracture of the proximal tibia? I saw a doctor and my diagnosis states this. I experience pain when pressing above the knee and also during squats. I would like to inquire about this, thank you!
Dr. Zhang Shengben Reply:
A proximal tibial fracture refers to a fracture of the tibia near the knee joint due to trauma. A closed fracture is one where the fracture site does not communicate with the external environment. As for your symptoms, an X-ray and a clinical physical examination are necessary fo...[Read More] Understanding Closed Fractures of the Proximal Tibia: Symptoms and Insights
Comparing Intramedullary Nails and Fitbone for Tibial Fractures
Regarding intramedullary nailing for tibial fractures? Dear Director Hong, If there is a discrepancy in the length of the tibia in the lower limb, is the Ilizarov external fixation system for limb lengthening the only option? I have heard that in Germany, some doctors use the Fi...
Dr. Hong Ximing Reply:
Thank you for your question, which is very professional. Limb lengthening is generally performed using external fixation, and each method has its own advantages and disadvantages, as well as certain limitations, especially in adults or children. As for the intramedullary nail imp...[Read More] Comparing Intramedullary Nails and Fitbone for Tibial Fractures
Recovery Timeline After Tibial Fracture Surgery: When Can You Walk Normally?
Fracture Hello Dr. Zhou: I had a tibial fracture in March last year, and I had the six metal screws and plate removed on November 10 this year. How long will it take before I can walk normally?
Dr. Zhou Lizhi Reply:
Hello, netizen: If a lower leg fracture has completely healed after one year, the internal fixation devices can be removed. After removal, normal walking can resume due to complete healing. There will be screw holes in the tibia (six in total), which will heal in about three mont...[Read More] Recovery Timeline After Tibial Fracture Surgery: When Can You Walk Normally?
Do I Need Bone Grafting After a Severe Leg Injury?
Is there a need for bone grafting? Hello, doctor. I had a car accident in January 2006, resulting in a comminuted open fracture of my right calf, with both the tibia and fibula fractured. As of now, the bones have not healed. In March 2008, based on the doctor's recommendati...
Dr. Shi Qiming Reply:
According to what you mentioned, it may be a tibiofibular fracture. If the tibial fracture has not healed for over a year, a bone graft surgery using your own bone is preferable; if there is not enough, then artificial bone can be used. The duration of rehabilitation needs to be ...[Read More] Do I Need Bone Grafting After a Severe Leg Injury?
Accelerating Bone Healing: The Role of Ultrasound Therapy in Orthopedics
Ultrasound Bone Healing Acceleration System Hello Doctor, I had an open fracture of the right foot's metatarsal on January 18th, and I underwent surgery with intramedullary nailing about 10 centimeters below the knee. I had my cast removed on February 14th and returned for a...
Dr. Li Wenlin Reply:
Hello, in response to your question: 1. Bone fractures require various conditions for healing. The first is whether the fracture was managed correctly. Based on your description, the use of intramedullary nails and plaster cast fixation should be sufficient. The second factor i...[Read More] Accelerating Bone Healing: The Role of Ultrasound Therapy in Orthopedics
Post-Surgery Knee Pain After Tibial Fracture: What to Expect
Knee pain after tibial fracture surgery? Hello Doctor: In early November 2006, I sustained multiple closed, comminuted fractures of the tibia in my right lower leg (above the ankle and below the knee joint). After two months of casting, I underwent intramedullary nailing surgery ...
Dr. Shi Guozheng Reply:
It is necessary to check if the bone screws are protruding near the knee, which could irritate the bone or tendons and cause pain. Additionally, if a fracture has healed, the site of the break should not be painful, and there would be no need to rely on crutches for ambulation. C...[Read More] Post-Surgery Knee Pain After Tibial Fracture: What to Expect
Understanding Intramedullary Nail Issues in Orthopedic Surgery
Intramedullary nail issues? Hello Doctor: In June 2006, I experienced my first closed fracture of the right tibia and fibula, for which I underwent internal fixation surgery with bone screws and plates. Then, at the end of November 2006, I had a second closed and comminuted fract...
Dr. Li Wenlin Reply:
Hello, in response to your questions: 1. For tibial fractures treated with intramedullary nailing, it is true that some individuals may experience discomfort at the knee incision site, but this occurs in only about 10% of cases. There's no need to worry too much, and this ...[Read More] Understanding Intramedullary Nail Issues in Orthopedic Surgery
Understanding Recovery from Distal Fibula Fracture: What to Expect
Distal tibial fracture? Hello Dr. Wang, I fell from the 3rd floor to the 2nd floor. I was immediately taken to the emergency room, and the doctor said that the distal bone of my right calf is cracked (approximately 8 cm), but it is not broken. The incident occurred on September 2...
Dr. Wang Shouji Reply:
Mr. Gao: A non-displaced tibial fracture can generally be treated with cast immobilization. If the skin color has darkened and there is localized swelling and pain, as long as it is not worsening, it is usually not a concern. The cast typically needs to be on for at least 6-8 wee...[Read More] Understanding Recovery from Distal Fibula Fracture: What to Expect
Understanding Long-Term Effects of Ligament Tears After Injury
What are the sequelae after a ligament tear? Three months ago, I suffered a ligament tear and a tibial fracture due to a car accident. The bone has healed well, but my doctor has specifically advised me to pay attention to the recovery of the ligament. I am very concerned about t...
Dr. Shi Guozheng Reply:
First, it is important to identify which ligament is affected and the extent of the injury—whether it is a complete tear or an incomplete tear. If the injury is not severe, recovery typically takes about one and a half to three months. However, if it involves ligaments within the...[Read More] Understanding Long-Term Effects of Ligament Tears After Injury
Understanding Tibial Fractures in Children: Healing Time and Rehabilitation
Tibial fracture Hello, Director. My nephew, who is 3 years and 6 months old, suffered a tibial fracture in his left lower leg due to an accidental fall. During the visit, he was only placed in a cast because both the ankle and knee joints are immobilized and cannot move freely. C...
Dr. Shi Guozheng Reply:
In children, tibial shaft fractures are typically treated conservatively with casting. The immobilization period is approximately one month, during which time the fracture heals before the cast can be removed. Most cases have a good prognosis, and there is usually no occurrence o...[Read More] Understanding Tibial Fractures in Children: Healing Time and Rehabilitation