Tibial fracture, Orthopedics FAQ

Understanding Pain and Recovery in ACL and Tibial Fracture Rehabilitation

Anterior cruciate ligament and tibial fracture issues? 1. I would like to inquire about the pain I experience after using the calf raise machine during my rehabilitation sessions. After completing the exercise, when I attempt to extend my calf upwards, I feel a sharp pain just be...

Dr. Xu Zhaoren Reply:
The rehabilitation you are undergoing is focused on rebuilding the strength of the quadriceps muscle, which may take anywhere from 6 months to over a year. It is important to not only perform the exercises during your rehabilitation sessions but also to continue training at home....

Understanding Recovery Challenges After ACL Tear and Tibial Fracture

Tibial plateau fracture associated with anterior cruciate ligament tear? Hello, I have a fracture at the junction of the ligament and the tibia, and when the ligament tore, it pulled off a piece of bone. I have a few questions regarding my recovery: 1. It has been three and a h...

Dr. Zhou Hongzhi Reply:
Xiao Lan: You should return to the hospital for an arthroscopic examination to assess the recovery status of your ligaments and bones.

Understanding Open Fractures and Ligament Tears: Treatment and Recovery

Fractures and ligament tears? Dear Doctor: I have an open fracture in my lower leg with ligament rupture. The bone has been stabilized with steel pins, but the position of the pins affects the suturing of the ligaments. Is it really necessary to wait two years to remove the pins ...

Dr. Chen Xingyuan Reply:
Dear Mr. Hsieh, Different injury conditions and locations may require different management approaches. Your description is not very clear, making it difficult to assess whether the treatment method is appropriate. I have encountered cases of proximal tibial fractures combined wi...

Understanding Persistent Bone Fracture Lines After Six Months of Healing

It has been six months, and the scar is still clearly visible? Hello Dr. Lee, Six months ago, I suffered a tibial fracture in the middle part of my left calf due to a car accident. I did not undergo surgery and instead had it immobilized with a cast for self-healing. After four ...

Dr. Li Wenlin Reply:
Hello: In response to your question, orthopedic surgeons do not rely solely on X-rays to treat patients with fractures. Based on your description, you may have a tibial fracture while the fibula remains intact, which is why a cast was applied. Clinically, since you are able to wa...

Understanding Comminuted Fractures: Healing Concerns and Recovery Tips

Comminuted fracture Hello, Doctor: My husband had a car accident in mid-November last year, resulting in a comminuted fracture of the right tibia and a clavicle fracture. He had steel nails and plates inserted (he is 36 years old). It has been over three months now, but the docto...

Dr. Shi Guozheng Reply:
Fractures of the tibia (shinbone) that are comminuted often lead to poor healing or nonunion, as the extent of the fracture typically results in damage to the surrounding soft tissues (skin, subcutaneous tissue, blood vessels, nerves, etc.) to varying degrees. Generally, if a tib...

Is Surgery Necessary for Tibial Fractures? Expert Insights on Healing Options

Is it possible to treat a fracture without surgery? Hello, Doctor. I suffered a tibial fracture in the middle of my left calf due to a car accident. Since the fracture is clean and the fibula is intact, my attending physician suggested that surgery is not necessary, and that I sh...

Dr. Shi Guozheng Reply:
If a fracture does not involve displacement, surgery is usually not necessary. If a cast has already been applied, it should be continued for about three months, during which time healing is expected to occur. Surgery for stabilization may be required only if the bone is misalign...

Does Walking Stimulate Bone Healing After a Fracture?

Does attempting to walk stimulate bone healing? Dear Director Shih, I have greatly benefited from reading your detailed responses regarding fracture issues. I have some questions to ask you, and I appreciate your time amidst your busy schedule! I sustained a tibial fracture in ...

Dr. Shi Guozheng Reply:
Your condition may require evaluation by a physician to determine if you can begin walking. If the fracture is non-displaced and remains stable after being cast, you may be able to attempt walking, but you must use crutches and avoid putting too much weight on the affected leg. G...

Understanding Knee Cartilage Damage: Treatment Options and Recovery

Knee cartilage Hello, three years ago I had a tibial fracture and a torn anterior cruciate ligament due to a car accident. I underwent three surgeries, the most recent one being a year ago. The doctor mentioned that the screws have loosened and the ligament is somewhat lax, so he...

Dr. Xu Zhaoren Reply:
Joint wear has caused traumatic arthritis; avoid vigorous exercise. Glucosamine is merely a dietary supplement, not a miracle cure.

Understanding Fibula Fractures: Importance, Recovery, and Treatment Options

Fibula fracture Right tibial plateau fracture is currently healing well, and there is a right proximal fibula fracture. The doctor mentioned that it is not significant since it is non-weight bearing and does not require fixation; if fixation is necessary, it would require surgery...

Dr. Shi Qiming Reply:
Hello: Proximal tibial fractures generally do not require reduction and internal fixation surgery. The tibia itself only accounts for 1/6 of the weight-bearing load, and its distal part is important for the ankle joint. The fibula can also serve as a source for bone grafting. The...

Strengthening My Left Foot After a Serious Fracture: Tips and Relief

My left foot? Hello, Doctor. I accidentally fell from the third floor while building a house and severely fractured my left leg. I did not have surgery or a cast. Now I am healed, but my leg feels very weak. What can I do to strengthen my leg? Also, my leg hurts every day; how ca...

Dr. Zhou Lizhi Reply:
A fall from the third floor is considered a major trauma, and the potential impacts may include 1. vertebral compression fractures 2. calcaneal fractures 3. knee and tibial fractures 4. hip fractures. A user experienced a tibial fracture and, after conservative treatment, develop...

Effective Rehabilitation Strategies for Knee Recovery After Tibia Fracture

Rehabilitation I previously suffered a tibial fracture due to a car accident. I am now able to walk, but my knee still cannot fully extend like a normal leg. The doctor advised me to elevate my leg and apply pressure to the mid-thigh area to help straighten the knee. I have been ...

Dr. Shi Guozheng Reply:
Inability to fully extend the leg may be due to quadriceps weakness. After a fracture, immobilization with a cast or surgery can lead to disuse of the muscles for a period of time, resulting in muscle strength reduction. With active training or rehabilitation, it is usually possi...

Understanding Rehabilitation Challenges After Tibial Fracture

Rehabilitation issues Hello, doctor: I suffered a tibial fracture over two months ago. I am currently able to walk, but my gait is still somewhat limping. The injured leg can bend normally (I can flex it freely), but it is still undergoing rehabilitation for full extension. Could...

Dr. Shi Guozheng Reply:
It takes about three months for a broken bone to heal, and experiencing some limping during this period is normal. Difficulty in straightening the limb will improve with rehabilitation. The presence of internal screws does not have any adverse effects. Pain will gradually decreas...

Is Swelling and Coldness Normal After Tibia Fracture Recovery?

excuse me? I previously had a tibial fracture in my lower leg. I had my cast removed last month. Due to work requirements, I have to stand a lot. My foot tends to swell and feels cold. The muscles in my calf have also become stiff. However, after applying heat at home and elevati...

Dr. Shi Guozheng Reply:
This is a normal phenomenon. The reason is that bones are a type of tissue filled with blood vessels and blood. When a fracture occurs, it interrupts the blood circulation. Therefore, it is necessary to wait until the fracture heals and the new blood vessels are reestablished bef...

Understanding Rehabilitation Challenges After Tibial Fracture: Key Insights

Rehabilitation issues? Dr. Shi: I had a car accident on December 7, 2004, which resulted in a tibial fracture. I had two pins inserted. The cast was removed on January 18, 2005. Currently, my doctor has instructed me to do rehabilitation at home. Over the past two weeks of rehabi...

Dr. Shi Guozheng Reply:
Tibial fractures typically take about three months to heal. After healing, weight-bearing activities should not cause any issues or pain. The temporary inability to flex the knee may improve with rehabilitation exercises. Applying heat can help relax the tendons and muscles, maki...

Understanding Rehabilitation After Tibia Fracture: Recovery Timeline and Tips

Rehabilitation issues Hello, doctor: I was in a car accident on December 7 and suffered a tibial fracture. I had my cast removed last week, but since then, I have been unable to fully extend or bend my leg. My entire leg feels very stiff. The outpatient physician advised me to do...

Dr. Hong Ximing Reply:
Dear Miss Hsiao-Yu, Thank you for your letter. After a tibial fracture is stabilized with a cast, it is common to experience joint stiffness and muscle atrophy. However, with rehabilitation, function can typically be restored within two to four weeks. As for the swelling, it wil...

Post-Surgery Recovery: What to Expect After Tibia Nail Removal

Postoperative muscle soft tissue? Hello Doctor: I would like to ask you some questions regarding the removal of the steel pins after a tibial fracture: 1. How many days of rest are needed after the removal of the steel pins? 2. After the removal of the steel pins, will there be s...

Dr. Shi Guozheng Reply:
In principle, tibial fractures typically heal within six months to a year. However, the removal of intramedullary nails should occur after one year, as reports indicate that some patients who had their nails removed within a year experienced re-fractures, while those who had them...

Understanding Recovery Challenges After Tibia Fracture Surgery

I'm sorry, but I need more context or content to provide a translation. Please provide the text you The doctor said I have a right tibial fracture. I was hit by a motorcycle while crossing the street on December 31, 2003, and went to the hospital. The doctor said I only had ...

Dr. Shi Guozheng Reply:
A 13-year-old with a tibial fracture should be expected to heal within two months. The fracture may have already healed. However, after being in a cast, there is a possibility of slight muscle atrophy, which can lead to weakness. Plantar pain may be due to periostitis, and it is ...

Understanding Tibial Fractures: Recovery, Surgery, and Rehabilitation Insights

Tibial fracture? Dear Dr. Chen, I previously sent you an email inquiring about some questions, but I have not yet received your response. Therefore, I couldn't help but send another email to seek clarification on the following issues: 1. It has been almost 7 months since m...

Dr. Chen Xingyuan Reply:
Dear users: Whether the fracture has healed can be determined by an X-ray examination. Although the strength of the bone remains weaker than the uninjured side before complete healing, it will not be soft. Generally, spinal anesthesia is commonly used during surgery, but the deci...

Understanding Bone Callus Formation After Tibial Fracture Recovery

Callus Dr. Chen: Hello, it has been three and a half months since my tibial fracture. On November 15th, I went to Kaohsiung Medical University for a follow-up examination to see if there is any callus formation. The X-ray showed some areas along the fracture line (since I have a ...

Dr. Chen Xingyuan Reply:
Dear Readers, The healing of fractures takes time. Initially, when bone growth begins, a hazy white appearance can be seen at the fracture site on X-rays. As time progresses, this hazy white area will become increasingly opaque, and eventually, the fracture line will disappear, ...

Understanding Tibial Fractures: Post-Surgery Recovery and Concerns

Tibia, fracture Hello Dr. Chen: Good day! I would like to ask you a few questions, if you don't mind. 1. For the removal of screws, do we need to reopen the same incision? 2. The swelling I currently have is concentrated around the inner and outer ankle of my foot. Is thi...

Dr. Chen Xingyuan Reply:
Dear Readers, The wound from the removal of the screws will generally be accessed through the original incision. If there was another incision made during your surgery to assist in the reduction of the fracture, which is known as an open reduction surgery, then that incision doe...

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