When you experience a bone break (also known as a fracture), it’s important that the bone can heal properly in its original position.
There are several treatments for a broken bone, and the one a doctor recommends is based upon several factors. These include how severe the break is and where it is.
While some bones can heal by wearing a cast, others may require more invasive treatments, such as bone fracture repair.
Bone fracture repair is a surgery to fix a broken bone using metal screws, pins, rods, or plates to hold the bone in place. It’s also known as open reduction and internal fixation (ORIF) surgery.
Bone fracture surgery is used when a broken bone doesn’t or wouldn’t heal properly with casting or splinting alone.
Improper healing that requires ORIF surgery can occur in cases when the bone fracture is open through the skin (compound fractures) and fractures that involve joints, such as wrists and ankles.
If bones that are surrounding the joints can’t be repaired, a person’s functional mobility could be severely impacted.
Bone Fracture Healing
Our body reacts to a bone fracture by protecting the injured area with a blood clot and callus or fibrous tissue. Bone cells begin forming on either side of the bone fracture line. These cells grow towards each other and thus
close the fracture.
Medical Therapy
The objective of early fracture management is to control bleeding, prevent ischemic injury (bone death) and to remove sources of infection such as foreign bodies and dead tissues. The next step in fracture management
is the reduction of the fracture and its maintenance. It is important to ensure that the involved part of the body returns to its function after fracture heals. To achieve this, maintenance of fracture reduction with
immobilization technique is done by either non-operative or surgical method.
Non-operative (closed) therapy comprises casting and traction (skin and skeletal traction).
Skin traction involves attachment of traction tapes to the skin of the limb segment below the fracture. In skeletal traction, a pin is inserted through the bone distal to the fracture. Weights will be applied to this pin, and the patient is placed in an apparatus that facilitates traction.This method is most commonly used for fractures of the thigh bone.
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External fixation is performed in the following conditions:
Fractures may take several weeks to months to heal completely. You should limit your activities even after the removal of cast or brace so that the bone becomes solid enough to bear the stress. Rehabilitation programs involves exercises and gradual increase in activity levels until the process of healing is complete.
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