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Fracture Fixation Surgery

Expert surgical and medical interventions delivered with compassionate, patient-first care to help you regain your health and quality of life.

Overview

A severe bone fracture resulting from an accident, fall, or sports injury requires immediate, expert medical attention. While some broken bones can be healed with a simple plaster cast, complex fractures require surgical intervention to ensure the bones heal correctly and you regain full limb function.

**Fracture Fixation Surgery** (often called Open Reduction and Internal Fixation, or ORIF) is a specialized procedure where our trauma orthopedic surgeons meticulously realign the shattered bone fragments and hold them securely in place using medical-grade hardware like plates, screws, or intramedullary nails.

At Prakash Hospital, our 24/7 emergency trauma team is equipped to handle the most severe orthopedic injuries, providing rapid, precise surgical care to get you on the road to recovery as quickly as possible.

Why is it Done?

Surgery is absolutely necessary for certain types of fractures to prevent permanent disability, deformity, or non-union (where the bone fails to heal). We perform fixation surgery for:
  • Displaced Fractures: Where the broken ends of the bone do not line up correctly.
  • Comminuted Fractures: Where the bone is shattered into three or more pieces.
  • Open (Compound) Fractures: Where the broken bone pierces through the skin, requiring urgent surgery to clean the wound and stabilize the bone to prevent massive infection.
  • Joint Fractures: Fractures that enter a joint space (like the knee, elbow, or ankle), requiring perfect anatomical alignment to prevent early-onset arthritis.

What to Expect

Before the Surgery: In a trauma scenario, you will be stabilized in the ER. X-rays and CT scans will be rapidly taken to give the surgeon a 3D understanding of the fracture pattern.

During the Procedure: Under anesthesia, the surgeon makes an incision over the fracture site (Open Reduction). They carefully manipulate the bone fragments back into their exact anatomical position. Then, they use internal hardware (Internal Fixation) to hold the pieces tightly together. This could involve attaching a titanium plate with screws along the outside of the bone, or inserting a long metal nail down the hollow center of the bone (common for thigh and shin fractures).

After the Surgery: Your limb will be bandaged and sometimes splinted. You will be closely monitored for pain management and to ensure proper blood flow to the limb.

Risks & Benefits

The Benefits:

Surgical fixation provides immediate structural stability to the broken bone. This often allows patients to move the injured limb much earlier than if they were in a cast, preventing severe muscle wasting and joint stiffness, and ensuring the bone heals straight.

Understanding the Risks:

Risks include infection (especially high in open fractures), hardware failure (plates bending or breaking if too much weight is applied too early), nerve damage, and non-union (the bone refusing to heal despite surgery).

Recovery Profile

Bones take time to biologically knit back together.

While the metal hardware holds the bone in place, it is your body's biology that actually heals the fracture, which takes about 6 to 12 weeks. During this time, your surgeon will give you very strict instructions on "weight-bearing." You may not be allowed to put any weight on the injured leg, or lift anything with the injured arm, for several weeks.

Physical therapy will start early to keep the adjacent joints moving, and will intensify once the X-rays show the bone has fully healed.

Frequently Asked Questions

Will the metal plates and screws need to be removed later?

In most cases, the hardware is left in permanently and causes no issues. However, if the metal causes irritation under the skin, or in young growing children, a minor surgery can be done to remove it after the bone is 100% healed.

How long does a broken bone take to heal?

Most fractures take 6 to 8 weeks to achieve basic healing, and up to a year to regain full biological strength. Quitting smoking is the most important thing you can do to speed up bone healing.
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Prakash Hospital Pvt. Ltd. is a 100 bedded NABH NABL accredited multispecialty hospital along with a center of trauma and orthopedics. We are in the service of society since 2001.

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