Fractures Treatment in Gurgaon
Welcome to Young Bones Clinic
What are bone fractures?
Our bones are usually healthy and strong, and they sustain us with movement. However, due to some form of force on the bone, vitamin A deficiency, low bone density, or being old, bone fractures can occur.
A fracture is defined as a break in the continuity of the bone. Fractures can range from a small crack in the bone to a bone broken in 2 or more pieces.
Bone fractures can lead to tears in blood vessels that carry nutrients to the bone which will cause some problems. But our body has some inbuilt mechanism to repair bone fractures.
What are the types of fractures?
The fracture pattern describes the type of fracture line:
1. Transverse Fracture
In a transverse fracture, the fracture line is almost perpendicular to the long axis of the bone. Such a fracture is usually caused by bending force resulting from a moving object's direct blow or by the bow striking a resistant object.
2. Oblique fracture
In an oblique fracture, the fracture line is oblique and makes an acute angle with the bone's long axis. Such a fracture is caused by a bending force that has a component along the bone's long axis.
3. Spiral fracture
In a spiral fracture, the fracture line runs spirally in more than one plane. Such a fracture is caused by an indirect rotational or twisting force. With increasing energy transfer, the spiral fractures may have butterfly fragments.
4. Comminuted fracture
A comminuted fracture is a fracture with multiple fragments. It is seen in high energy injuries and in cases where the crushing force acts along the bone's long axis.
5. A segmental fracture
In a segmental fracture, there are two fractures in one bone but at different levels leading to a free segment in between.
6. Impacted Fracture
An impacted fracture is caused when the broken ends of the bone are compressed together by the force of the injury. For example, a depressed fracture of the heel bone after a fall from a height. It also includes valgus impacted fractures of the femoral neck.
Types of fracture displacement
The fractures are often classified based on the position of the distal fracture fragment:
The Un-displaced fracture
An un-displaced fracture is a fracture that is complete but has not moved from its original position.
Minimally displaced fracture
A fracture that has shifted the bone very little from its original position is said to be minimally displaced.
The displaced fracture
When the bone is significantly displaced from its original position, then it is called a displaced fracture.
Classification of fractures with regards to their relationship with the environment:
1. Open Fractures
A fracture in which the bone is visible through the skin is called an open fracture.
2. Closed Fractures
A closed fracture is a fracture wherein the bone is not visible through the skin.
Causes of Fractures?
- Trauma: A fracture occurs when there is an application of strong direct force on the bone, which happens when the person falls on the ground or meets with a motor vehicle accident or when tackling while playing ground sports.
- Osteoporosis: It is a disorder that weakens bones and makes them more likely to break.
- Overuse: Repetitive motion can tire muscle and put more force on the bone. This can result in a fracture.
How is a fracture diagnosed?Our pediatric orthopedic Dr. Ratnav Ratan will first do a physical examination and then suggest tests to locate the fracture and the condition of the surrounding area.
- X-Ray: The X-Ray is usually the first investigation and it shows where the fracture is and how it looks.
- Magnetic resonance imaging (MRI): An MRI is a test that shows a more detailed image of the bone. It is usually used for smaller fractures or stress fractures.
- Bone scan: An agent is injected that binds in the area of the fracture where bone turnover is higher than normal.
- CT Scan: It is a Computer Tomography scan which is a three-dimensional imaging test that uses a combination of X-rays and computer technology to produce images horizontally and vertically, of the body.
Symptoms of fracture:
- Intense pain is the first symptom of the fracture. The pain is persistent with the movement in the affected area.
- There is a loss of function and movement in the damaged area and persisting pain while moving the damaged area.
- The limb may look shorter, twisted, or bent.
- Swelling at the fracture site is a very common symptom.
- If the fracture is open, you can see fragments of broken bones in the wound. These fractures cause bleeding since the skin is punctured.
Treatment of fracturesA fracture requires emergency treatment at the clinic/hospital. Specific treatment after physical examination will depend on:
- Medical history
- The extent of the condition
- The ability of the patient to tolerate specific medication or procedure.
At Young Bones Clinic, our goal of the fracture treatment is to control the pain, heal the affected bone, prevent complications, and restore normal use of the fractured area.
Treatment of the bone fracture include:
Splint/CastPlasters or fiberglass casts are used to protect and support fractured or injured bones and joints. They help restrict the injured bone’s mobility and keep the bone intact until it gets healed fully.
MedicationOur surgeon might suggest medications to relieve the pain and eliminate vitamin deficiency.
External Fixation procedure
External fixation is a procedure that involves placing metal pins, or screws, into the broken bone above and below the fracture area. The pins or screws are connected to a metal bar outside the skin. It holds the bones in the proper position while they heal.