Fractures – types and treatment

A bone can be completely or partly fractured and is usually caused by injuries due to falls, motor car accidents, or sports. Thinning of the bone may cause the bone to crack easily due to osteoporosis in the elderly. Injury from overuse is a prominent cause of stress fractures in sports.

TYPES OF FRACTURES

The types of fracture treated in the best orthopedic hospital in south Delhi are 

  • Simple fractures in which the broken parts of bone remain stable and well-aligned.
  • Unstable fractures misalign and displace fragments of the broken bone.
  • Greenstick fractures: This is an unusual injury in children involving breaking one side of the bone without any bone breakage.
  • Open (compound) fractures are serious fractures in which the skin is severed from fractured bones. This form of fracture is more vulnerable to infection and demands medical treatment immediately.

FRACTURE HEALING

With a blood clot and callus or fibrous tissue, our body responds to a fracture by covering the damaged region. On either side of the fracture line, bone cells start developing. Such cells develop towards each other and thus close the fracture.

MEDICAL THERAPY FOR FRACTURE

Early fracture treatment is aimed at controlling swelling, avoiding ischemic damage (bone death), and removing causes of infection, such as foreign bodies and dead tissues. The reduction of the fracture and its repair is the next step in fracture management. After the fracture heals, it is necessary to ensure that the involved portion of the body returns to its work. Maintenance of fracture reduction with immobilization procedure is carried out at the best orthopedic hospital in south Delhi either by non-operative or surgical procedures.

NON-OPERATIVE THERAPY FOR FRACTURE

Casting 

For any fracture that is displaced, shortened, or angulated, closed reduction is achieved. To immobilize the leg, splints and casts made up of fiberglass or plaster material from Paris are used.

Traction

For the treatment of fractures and dislocations which can not be handled by casting, the traction procedure is used. In specific, skin traction and skeletal traction are two methods of traction.

Skin traction requires the application of traction tapes below the fracture to the skin of the limb section. A pin is threaded into the bone distal to the crack of the skeletal traction. To this pin, weights can be attached, and the patient is placed in an apparatus that promotes traction. This method is used for fractures of the thigh bone.

 

SURGICAL THERAPY FOR FRACTURE

Reduction and Internal Fixation Open type

This is a surgical technique where the site of the fracture is properly exposed and fracture reduction is carried out. With equipment such as Kirschner wires, plates, and screws, and intramedullary nails, internal fixation is achieved in the best orthopedic hospital in south Delhi. 

External fixation 

External fixing is a process in which the stabilization of the fracture is performed at a distance from the fracture site. Without casting, it helps to preserve bone length and alignment.

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