Moolchand MedCity
Lajpat Nagar
Delhi
Tel: 91-9560202564
Fractures and Musculoskeletal Injuries
Complex fractures occur when bones break into several small pieces and the surrounding tissue is severely damaged. They are characterized by intense pain, trauma and possible displacement of bones and adjacent tissues. Complex fractures can occur due to many reasons such as fall from a height and motor vehicle accidents.
When a person is suffering from other diseases or injury, it further complicates the fracture and can make treatment and recovery more difficult.
Non-Surgical Treatment
Non-surgical treatment of fractures focuses on immobilizing the bone to allow natural healing. This approach includes using casts, splints, or braces to keep the fractured bone in proper alignment and prevent movement.
Reduction may be performed to realign the bone before immobilization if necessary. Patients are advised to rest and avoid weight-bearing activities. Physical therapy is often recommended to maintain muscle strength and range of motion during recovery. Pain management is achieved through medications and ice therapy.
Non-surgical methods are generally preferred for stable fractures or in patients for whom surgery poses a higher risk, promoting healing without invasive intervention.
Nailing of Fractures
Fracture management of long bones using closed reduction and nailing is a minimally invasive approach for stabilizing fractures.
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First, a closed reduction is performed to realign the bone without an open incision. Once proper alignment is achieved, an intramedullary nail is inserted into the bone's marrow cavity through a small incision. This nail acts as an internal splint, providing stability and maintaining alignment during healing. Screws may be placed at both ends of the nail to secure it and prevent rotation.
This method promotes early mobilization and faster recovery while minimizing soft tissue damage, making it effective for treating unstable or complex long bone fractures.
Plating of Fractures
Treating complex fractures with open reduction and internal fixation (ORIF) using a plate and screws aims to restore bone alignment and ensure stability for proper healing. The process begins with an open reduction, where a surgical incision is made to visualize and accurately realign bone fragments. Once the fracture is reduced, a metal plate is positioned along the bone, and screws are used to secure it, maintaining the alignment of the fractured segments.
This method is especially effective for fractures that are comminuted or displaced, where non-operative management would result in poor healing or malalignment. The plate and screws act as an internal splint, providing rigid fixation, which allows for early mobilization and reduces the risk of malunion or non-union.
Care is taken to minimize soft tissue disruption to reduce infection risks and preserve blood supply. ORIF with plates is essential for ensuring optimal functional recovery, especially in weight-bearing bones like the femur or tibia.
