One year after the three malleolar fracture, the screws that appeared were not removed or the blind

In mid-September 2020, I fractured in the same position as you, and I had surgery in Jishuitan, Beijing. The doctor said that the fibula fixation nail must be removed by the hospital after 3 months, otherwise the walking movement will be restricted, and the operation will be done again if it is broken. The steel plate and fixing nails can be removed after at least 12 months.

The big nail was removed on November 25th. Now all of them are back to normal, just waiting for the end of the year to take the steel plate for internal fixation. So you need to ask a clear question, at that time the doctor said that in a year, you are sure whether you are talking about fixing a large nail on the fibula or fixing the steel nail inside the fixed steel plate.

Because the internal fixation of steel nails are all steel nails, fibula fixation nails are iron nails. Three months of bone healing before walking must be taken out for fear of walking on the break, and this nail will affect the range of motion of your feet. The steel nail is removed after a year.

Under normal circumstances, the proximal ankle should be taken out as soon as possible, it should be about half a year, he said that 1 year is too long, in fact, the purpose of taking it out as soon as possible is to be afraid of breaking nails! If your nail doesn't break, and there's nothing uncomfortable, it shouldn't be a big deal!

It's hard for anyone to say this, when you are discharged from the hospital, even if the doctor in the original hospital said that you would come for a follow-up, it was unfounded! You should compare it with the preoperative, the symptoms are not better, who has a better reputation between the hospital in the back and the one in the front? You can go to a professional medical appraisal agency to have a look!

It's hard to be a doctor.

Yes, the internally fixed nail should also be removed.

It does not affect the function, there is no discomfort, and it is okay not to take it.

Hurry up to the hospital to see, if it is traumatic arthritis, it is very troublesome, and it is easy to cause the ankle to be bad in the future, and the joint fracture can not be careless.

How old are you???

Can you be specific about your medical history?

The transverse lower tibiofibular screw should indeed have to be removed in 2 months, otherwise it will break off when you walk on the ground. It may also tell you, you don't remember, what you mean by the line inside is not exposed, I don't understand. If it's been a year, it's time to heal when you're not old, and you can remove the plates.

Just guessing, because you don't know what age your patient is.

Analyze what to do so much, and take out all the steel plate fixings.

The three malleolar fractures are caused by the greater force of the injury, and the blood supply in this place is poor, so the fracture heals as quickly as in other places, most fractures involve intra-articular fractures, and the biggest impact after surgery is the function of the ankle joint. You have now been four months after surgery, generally 3 months after surgery, the general fracture line has been blurred, there is no special situation (delayed healing of fractures) you can try to start weight-bearing walking with the help of crutches, ankle joint function exercise or the same back extension and plantar flexion activities as the original postoperative activities, can be compared with the unaffected joint.

Intensive exercise and symptomatic blood circulation and pain relief are required**. One year and 5 months, the internal fixation has not been taken, you can recheck the X-ray film, if the healing is good, you can take out the internal fixation, so that the impact on the joint, the activity restriction should be smaller, in addition to the joint stiffness, you can also take the internal fixation, when injecting anesthesia, the surgeon will be properly released, without surgery, at present, the main thing is to strengthen the flexion and extension exercise, pain can be used with some external Voltarin ointment, bone pain patch, oral ibuprofen capsules, Sanpainshu capsules, etc.

Analysis: Hello, because the steel nail has just been removed, it is equivalent to another injury, so the pain must be obvious.

Guidance: Therefore, it is recommended that you pay attention to rest, and you can apply appropriate warm compresses to the affected area, which is conducive to reducing swelling and relieving pain.

If there are no adverse reactions, it is fine, but it is not always a good thing to have a foreign body in the body.

Yes, as long as there are no problems and no adverse reactions, it's completely fine. Rest assured! ~

If the fracture heals, it should be taken, thunder and rain are not good for you, and the nails will break after a long time.

You can ride a bicycle and walk without taking a steel plate, just to be moderate, not strong exercise, take your time, walk and walk more heels will hurt, and there will be edema, because at the same time of fracture, the local blood vessels will also be damaged, affecting microcirculation, causing venous return disorders, and then causing edema, after a night, due to lying flat, or raising the legs, the reflux will be better, it will be swollen, cycling to exercise the foot muscles can, the danger is not to fall, pay attention to safety issues, appropriate walking is also possible, You can't force anything to exercise, you have to take your time, its practical escin saponins, Mai Luoning, infusion for a few days, it is better to improve venous reflux disorders, listen to the clinician, just advice, as soon as possible**.

There are a few suggestions you can try, one is for edema, you can bring an ankle brace to protect and compress, and it is estimated that the edema will be reduced. At the same time, give the ankle joint some support. The second is the exercise method, you can choose swimming, exercise the muscles without gravity at the same time the fracture site.

If the continuous callus growth is obvious after the reexamination, normal activities can be resumed.

It is not surprising that there is a little edema after the fracture, but it is relatively rare to have swelling 6 months after surgery. If there is a little swelling, it doesn't matter, and it is recommended to go back to the hospital for re-examination if the edema is obvious.

Is there a follow-up X-ray and CT Sent to see it?

Yes, you must not exercise vigorously Walking is no problem Riding a bicycle can only be ridden leisurely It must be appropriate Edema is definitely a manifestation of the fusion of body muscles with foreign objects I wish you a speedy ** Pay attention to your body Adopt it.

From the perspective of clinical experience, it takes three months for the fracture to heal at the bone of the fracture, and from the description, the fracture has been 6 months after surgery, and the time can be moved normally, but it can still be subject to the re-examination of the film. Combine the description in the question to answer your question specifically, the first question: first review the film, if the review shows:

The fractured end of the right trimalleolus has healed bonetically, so you can take a walk. Secondly, ask your surgeon if you have any damage to the cartilage of the ankle joint, if there is no injury, then you can ride a bicycle (if there is an injury to the cartilage surface of the ankle joint, cycling will aggravate the damage of the cartilage surface). Second question:

There are two possibilities for heel pain after a long walk. One is that the calf and ankle joints have not been moved for a long time, and long-term activity will damage the Achilles tendon, so the insertion point of the Achilles tendon will be painful. The second is that you have damage to the cartilage surface of the posterior malleolus, and long-term activity aggravates the damage to the cartilage surface, so the posterior ankle is painful.

As for edema, it is a swelling caused by obstruction of venous return (the description mentions that it will subside naturally after a night's rest). The third question: cycling is more effective for exercising the quadriceps muscles (i.e., thigh muscles); As for reducing the pressure on your feet, it is recommended to swim (exercise in a non-weight-bearing state).

Cycling can be used as a way to resume exercise later in the future, as it restores muscle strength in the lower limbs and moves the ankle joint. In addition, for later recovery exercises, you can also take the form of static squat and one-foot weight-bearing. As for whether cycling is dangerous for your fracture recovery?

It depends on the radiograph and the cartilage surface of the ankle. If the fracture has healed bony and there is no cartilage damage to the ankle surface, then cycling is not dangerous for your recovery. If the fracture does not heal bony or there is cartilage surface damage to the ankle, then cycling is not recommended. Thank you!

I have been sick with you for two years. I don't feel like there's a big problem.

It's still okay to take a walk or something, but try to avoid strenuous exercise so as not to affect your recovery later!

Analysis:

Hello, it is generally taken out in about 1 year. However, if there is an infection after the fracture is fixed, or if the internal fixation is loose or broken, the internal fixation should be removed immediately.

Guidance: The internal fixation should not be taken out too early, so as to avoid the fracture not completely healed and refracture occurs, nor should it be taken out too late, so as to prevent the fixation from being surrounded by the callus and increasing the difficulty of removal.