A damaged bone should be carefully supported and stabilized and until it becomes strong enough to handle the weight of the body and movement.
If we talk about the last century, physicians were relying on splints and casts for supporting the broken bone from the outside. The introduction of sterile surgical procedures decreased the risk of infection, allowing the doctors to internally stabilize and set fractured bones.
During a surgical treatment to repair a fracture, firstly the bone fragments are repositioned or reduced into their normal alignment. They are held together using special implants, such as screws, plates, wires, and nails.
Internal fixation of the fracture allows shorter hospital stays, enabling the patients to resume their daily routine tasks and reduces the condition of nonunion (improper healing) and malunion (healing in improper position) of the injured bones.
Besides, complete medical history, your doctor may carry a proper physical examination for ensuring that you are fit for the procedure. In some cases, you may undergo diagnostic tests or blood tests.
Inform your surgeon if you are allergic or sensitive to any medications, tape, latex, and anesthetic agents.
Mention any on-going medications or supplements that you are consuming. Inform the doctor if you have any bleeding disorders or if you are consuming aspirin, any anticoagulant (blood-thinning) medications, or other medications affecting blood clotting. You will have to stop these medications before taking this treatment.
Generally, some fasting instructions are to be followed before the surgery.
Plates work as internal splints that will hold the injured or broken pieces of the bone together. They are generally attached to the bone with the help of screws. Plates might be kept in place after the complete healing, or they may be eliminated in some cases.
Screws are effective for internal fixation more often compared to any other implant. However, the screw is a simple device, there are various designs available based on the fracture type and how the screw will be used.
Screws come in multiple sizes for bones of different sizes. They may be used alone for holding a fracture, as well as combined with plates, rods, or nails. After the bone heals completely, the screws will be kept or removed.
For some fractures or injuries, specifically, those that break through the skin meaning open or compound fracture, or caused by a severe accident, surgery is required to align and stabilize the bones.
Your orthopedic surgeon will implant screws, wires, or plates in the damaged bone to hold the pieces of the fractured bone tightly in one place. This is done under general anesthesia.
During your bone healing process, your physician might examine your hand timely to ensure that the joint has not tightened or contracted. Once the bone is completely healed, the implants might be eliminated, or kept in place, depending on individual condition.
Generally, the fracture will be realigned without any kind of surgical process, by using manipulation. A splint, cast, or fracture-brace is then placed to immobilize the bones and hold them together in a place.
A cast ideally begins at the fingertips and is extended past the wrist, which is almost to the elbow. It must be worn for at least three to six weeks. Gentle hand exercises might be suggested after three weeks.
Additional X-rays may be required to make sure that the damaged bones remain in position and are healing properly.
After the surgery, you will be under observation in the recovery room. Once your pulse, blood pressure, body temperature, breathing are stable, you will be shifted to your hospital room.
Generally, in this treatment, it is necessary to stay in the hospital for a day or a few, post-surgery. It will depend on the severity, location, and type of condition. For complete recovery, it takes approximately six to eight weeks.
Our expert doctors will help you identify course of surgical treatment required. Medfin's team will help you with the required appointments and diagnostics.
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