Trauma – Fracture Treatment
A fracture is a brake in continuity of a bone. A bone may be completely fractured or partially fractured.
Types
- Simple fracture – Bones are fractured without involvement of skin
- Compound fracture -The skin is pierced by the bone or by a blow that breaks the skin at the time of injury. The bone may or may not be visible in the wound.
- Comminuted fracture – The bone shatters into three or more pieces.
Causes
- Trauma. A fall, a motor vehicle accident, or while sporting activity.
- Osteoporosis. It weakens the bones leading to fractures.
- Overuse. Repetitive motion has more force on bone resulting in stress fractures. These are common in athletes.
Symptoms
- Pain
- Swelling
- Bruising
- Deformity
- Restricted joint movements
Diagnosis
- X rays
- CT scan
- MRI scan
Treatment
- Cast Immobilization – once the broken bones are aligned cast is applied for minimum of 8 weeks depending on the fracture union
- Traction – is used to align the bones either in the form of skin or skeletal traction
- External Fixation – pins are placed into the broken bone above and below the fracture site. These pins are connected to a metal bars outside the skin. It is applied when the skin and other soft tissues around the fracture are badly damaged, until definitive surgery is planned
- Closed Reduction and Internal Fixation – Fractures are manipulated and aligned without opening the fracture site and fixing them with intramedullary nails, screws & wires
- Open Reduction and Internal Fixation – Fractures are manipulated and aligned with opening the fracture site and fixing them with plates and screws, wires
Complications
- Bleeding – mainly long bone and pelvic fractures leading to hypovolemic shock
- Infection – mainly in compound fractures
- Fat embolism – mainly in long bone fractures
- Delayed union
- Non-union
- Malunion
About Doctor:
I am Dr. M Naveen Chandar Reddy, Orthopedic Surgeon with 10 years of experience.
I have done my post graduation in Orthopedics, (D’Ortho and DNB Ortho). I am a certified AO Basic and Advanced Trauma Professional. I have also done Fellowship in Hip & Knee Arthroplasty from world-renowned center Galeazzi Institute of Orthopedics in Milan, Italy under Prof. Dr Lugi Zagra, where I gained knowledge of performing complex Hip & Knee Replacements, currently practicing as a Trauma & Joint Replacement Surgeon at Sunshine Hospital, Gachibowli, Hyderabad. I was associated with Apollo Hospitals, Hyderabad (2009-2017) and Gleneagles Global Hospital, Hyderabad (2017-19).
I have extensive experience in managing simple, complex Trauma, Knee & Hip Replacement. I keep my self updated with present trends and advances in the field of Orthopedics by attending National & International conferences. I am a member of the AO International Trauma Society & ISKSAA.
I strongly believe that my attitude towards patients is the key to my success. Read More
