Fracture Treatment and Surgery
Fracture Treatment and Surgery
Fracture treatment and surgery depend on several factors, including the type and location of the fracture, its severity and the patient’s overall health. Here are some key points about fracture treatment and surgery:
Many fractures can be treated without surgery, especially if the bones are still properly aligned and stable.
Immobilization: Splints, casts, or braces may be used to immobilize the fractured bone and promote proper healing.
Reduction: Some fractures may require manual realignment (reduction) before immobilization. This can be done by a healthcare professional using closed reduction techniques (manipulation without surgery) or by traction (applying a pulling force to the affected area).
Surgery may be necessary in certain situations, such as:
Open Fractures: Fractures where the bone breaks through the skin, increasing the risk of infection.
Displaced Fractures: Fractures where the bone fragments are significantly out of alignment and unlikely to heal properly without surgical intervention.
Joint Fractures: Fractures involving the joint surfaces that may require surgical realignment and fixation.
Fractures with Blood Vessel or Nerve Damage: Fractures that disrupt blood supply or cause nerve damage may require surgical intervention to restore function.
Surgical techniques for fracture treatment include:
Open Reduction and Internal Fixation (ORIF): In this procedure, the fracture fragments are realigned surgically and internal fixation devices such as screws, plates or rods are used to stabilize the fracture.
External Fixation: External fixation involves the use of pins or screws inserted into the bone above and below the fracture, which are then connected to an external frame to hold the bones in place.
Intramedullary Nailing: This technique involves inserting a metal rod (nail) into the hollow center of a long bone to stabilize the fracture.
Bone Grafting: In cases where there is a significant bone loss or non-healing fractures, bone grafts may be used to promote bone regeneration and healing.
Following fracture surgery, a period of immobilization is often required to allow for proper healing.
Physical therapy and rehabilitation play a crucial role in restoring strength, mobility and function to the injured area.
Rehabilitation may involve exercises, range-of-motion activities and gradual weight-bearing or functional activities under the guidance of a physical therapist.