oPERATIONS FOR FRACTURED BONES
Majorly a fracture may occur due to a fall or due to any hit. and in medical terminology fractures are of three types, they are
Bone Fracture ?
Simple fractures & treatment :
A fracture can be detected by a physician by examining the area and taking an X-ray of the injury. If a fracture is diagnosed, treatment at a hospital may be required. Fractured bones must be set back in place and might be held with pins, plates, screws, or rods. A cast is applied to support and protect the healing bone. For smaller bone fractures such as the fingers or toes, a splint might be used instead of a cast. Medication can be prescribed to help manage any pain. Rehabilitation exercises are often recommended to maintain muscle function and promote blood flow.
If you suspect a fracture in the back, neck, or hip, or experience a bone that is exposed, seek immediate attention from an emergency room. If you are experiencing a simple fracture or are unsure if you’ve fractured a bone, contact Springfield Urgent Care. One of our physicians can examine the area for a proper diagnosis and refer you for further treatment if necessary.
comminuted fractures & treatment :
Based on your age, overall health, the severity of the injury and preference your care will be varied.
But no matter the treatment you get, the ultimate goal is to heal the injury, control your pain avoid issues and repair the function of the area.
your treatment may involve
Medications: to feel better and get relief from pain some medications will be suggested by doctors.
Surgery: you might need to have surgery if you have a comminuted fracture. This will help to put your broken bones in the original place. sometimes, doctors use metal rods or pins, called internal or external fixation, to hold your bone fragments together while they heal. this may go inside or outside of your body.
Traction: to treat comminuted fractures you might need to use a pulley, string, weight or metal frame to stretch your muscles and tendons around the broken bone. This will help the ends of your bones stay in position and heal properly.
Open fractures & treatment :
a compound fracture or open fracture is a fracture in which there is an open wound or break in the skin near the site of the fractured bone. Most often, this wound is caused by a fragment of bone breaking through the skin at the movement of injury.
most open fractures happen due to vehicle accidents, and gunshots and these patients may also have other injuries in the body.
Almost all open fractures will be operated in operation theatres. and it is very important to go for surgery as soon as possible so that your open wound will be cleaned out to help prevent infection. depending on your injury, the patient will be given regional or general anaesthesia during this procedure.
and the procedure can be done in two fixations i.e.., internally and externally.
Internal Fixation :
External Fixation :
In this procedure, the doctor places metal implants—such as plates, rods, or screws—on the surface of or inside the broken bone. The implants will maintain the position of the bone and hold it together while the fracture heals.
Internal fixation can be used to treat open fractures in which:
- The wound is clean,
- There is minimal skin or tissue damage, and
- The broken pieces of bone can be well aligned
It can be performed as an initial surgery or delayed if the soft tissues need to heal.
After internal fixation, your injured limb will be immobilized in a sling cast or splint until the fracture heals. You will be given antibiotics for a period of time to help prevent infection. During the healing process, your doctor will check the wound to make sure there are no signs of infection.
If your wound and broken bones are not yet ready for a permanent implant, your doctor may apply external fixation to your injured limb. Most severe open fractures are first stabilized with external fixation.
In this operation, the doctor inserts metal screws or pins into the bone above and below the fracture site. The pins and screws project out of the skin where they are attached to metal or carbon fibre bars.
The external fixator has the advantage of stabilizing the broken bone while your doctor cares for the wound. In some cases, the wound may need further debridement or skin and tissue grafting to cover the injured bone. With an external fixator in place, the patient can often get out of bed and be mobile despite the open wound.
In most cases, an external fixator is kept in place only until it is safe to perform internal fixation. Sometimes, however, an external fixator is used to stabilize the bones until healing is complete. It is then removed during a second procedure when the fracture is healed.