Patient: About one week after surgery, there is a slight ringing sound from the fixed plate when I move my arm, just like the ringing sound from the joint when I move it, but no pain. V-shaped osteotomy, Y-shaped titanium alloy plate internal fixation Is it normal to have a noise? The X-ray also shows that the fixation is normal. Patient: I had surgery on October 22nd, and I didn’t have a cast at the beginning of the surgery. 3 or 4 days after the surgery, the doctor heard that there was a noise, but I didn’t think it was a problem; at the follow-up appointment, the attending doctor said it was probably a mechanical noise, so I had a cast put on yesterday, but after the cast was put on, there was still a slight noise occasionally. Thank you! Wang Aiguo: The rattling sound comes from the tendon sliding on the plate, it will be fine in general. Patient: Thank you, Professor Wang. Wang Aiguo: You are welcome, wish you a speedy recovery. Patient: Dr. Wang, I still have a question: What is the disease: Osteotomy for elbow inversion deformity correction It has been two months since the osteotomy for elbow inversion deformity correction surgery. Why can’t I see the cottony stuff in the film taken on 2009-11-1 in the film taken on Dec. 23? Is it possible that the bone is not connected? My surgeon told me to keep the cast on for a month and then review it again, but I am already very worried. What steps can I take now? Thank you very much. Wang Aiguo: The flocculent shadow is a projection shadow of an object that is wrapped around the outside and is not relevant. There is no sign of healing at the fracture site, but I can’t say that it is both bone disjointed now. It takes time for the bone to heal, at least about six months. Patient: Thank you very much! Patient: Professor Wang’s recovery is always detailed and timely, I am very grateful! Wang Aiguo: Don’t be polite, I hope I can be of help and do my part. Patient: Professor Wang, I remember just after the surgery because of the unbearable pain, the doctor gave a shot of Dulcolax, and briefly took some small white pain relief tablets in the next few days. A week after the surgery, I had another day of hormones like dexamethasone because of a generalized drug rash. I wonder if these have an effect on my slow bone healing? Happy New Year. Wang Aiguo: This is caused by drug allergy, hormones will affect the bone metabolism, but a small amount of hormones will not affect the bone healing, rest assured. I wish you a happy new year. Patient: Yes, I feel much less stressed. Wang Aiguo: Okay, you’re welcome, and I wish you a speedy recovery. Patient: Professor Wang, my doctor said that if my bones delay healing, my elbow joint may stiffen. Aiguo Wang: Timely functional exercise, no violence, and continuous force to flex and extend the elbow joint. Patient: Professor Wang, when you say “in time”, do you mean that you can remove the cast and do functional exercises even before the bone heals? Wang Aiguo: Didn’t you use a plate for internal fixation? The purpose of internal fixation is to exercise early. If the doctor is worried about the instability of the internal fixation, the cast should be used for a longer period of time, but it is not necessary to keep the cast until the bone heals. Patient: Yes, the internal fixation has been done, that is, there is no scab production and the bone is empty between the ends, so can I exercise too? You can see the x-ray I took on December 23rd. If I can exercise, I am afraid that the joint will become stiff and then the bone may not heal and the joint may become stiff. Thank you. Wang Aiguo: As long as the internal fixation of the bone is stable, you can exercise, the force is not so much that it affects the healing of the bone, and if bone discontinuity occurs, it has little to do with exercise. Patient: Okay, thank you~ Wang Aiguo: You are welcome, wishing you a speedy recovery. Patient: Professor Wang, thank you for your continuous enthusiastic guidance and the kindness of the doctor, which has given me a lot of security. Now I have returned to my hometown, recuperating and exercising my joints. Whether I can recover normally or not, I am very grateful to you. I wish you and your family a happy and safe holiday season as the New Year approaches. Wang Aiguo: You are welcome, thank you for your blessings, and I wish you a speedy recovery, a happy family and a happy New Year.