Trauma and fracture surgery

Overview

Bone break or fracture is a pretty common problem. This may result from an accident injury or sudden jerk that may end up dislocating or breaking a bone. At such times, the most important thing is to make sure that the bone returns and heal properly in its original problem. There are various ways to approach this problem and your doctor has to be trusted to decide the best depending upon the severity of the break and the location. While some bones would require an invasive fracture surgery, others may simply require a cast. Moreover, even the person should put efforts in fracture care for better and quicker results.

Hip Fracture Surgery

There are three types of hip bone fracture surgery that you can choose from,
  • Total hip replacement: All parts of the joints are replaced with artificial parts like metal, ceramic or plastic.
  • Partial hip replacement: In this top of the thigh bone is replaced with ceramic or metal.
  • Hip repair: This stabilizes the broken bones with screws, rods or plates. This is done for people who have suffered a fracture to properly align there bones.
During the surgery, doctor will give general or regional anesthesia and make small incisions over the broken bone. The pieces of bone will then be aligned and secured by nails, screws, pins etc. Finally the incisions will be closed with stitches and staples.

During hip fracture surgery recovery, your doctors will give pain killers and put your hip on cushions to keep it in place. You might also be given urinary catheter and a compression pump on your leg

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Ankle Fracture Surgery

For ankle fracture surgery, a surgical tool to operate the affected area is inserted through a small
incision. This procedure is used to treat a no. of ankle conditions, like,

  • In case of presence of debris in your ankle from torn ligament or broken bone chip.
  • To repair a ligament damage due to sprained ankle

Most people choose this over open surgery as it’s quicker, leaves lesser scares and fewer complications.
Potential risks involved are,

  • Infection
  • Bleeding
  • Nerve Damage

Leg Fracture Surgery

The lower leg is divided into two parts; tibia (thicker of the two) and fibula (thinner). For fibula fracture, a firm bandage is used generally. But, for tibia fracture, a plaster case or a leg fracture surgery is necessary.

Before starting a bone fracture surgery, a series of pre-operative assessments are required like X-rays, blood report, ECG etc to determine the extent of the injury. Later, the patient is given a general or spinal anesthesia and the fracture is exposed with incisions in the skin. Finally the fracture is fixed with screws, plates or an external support frame.

Spinal Fracture Surgery

Spinal fracture surgery totally depends upon the type of fracture. In case of neurological injury, doctors have to determine how stable or shifted spine is. While handling any spinal surgery, a surgeon would have the following pre-decided goals in mind,
  • Reducing neurological complications
  • Restoring the spinal alignment and stability
  • Providing the required rehabilitation
Now, to stabilize and restore the alignment of the spine, surgeon will try to create an environment where fractured vertebrae and adjacent vertebrae fuse together. Over the course of 6-9 months when such fusion is happening, surgeon will use a bone graft to stimulate the bone growth. To increase this stability, surgeon will also use the spinal instrumentation wires, cables, rods etc. These will be removed once the bones are fully fused.

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