![]() In cases where the skin and other soft tissues around the fracture are badly damaged, an external fixator may be applied until you can tolerate surgery. This device is a stabilizing frame that holds the bones in the proper position while they heal. The ideal timing of surgery can often be complicated. These injuries require stabilization through surgery. They can be extremely unstable injuries that often result in serious spinal cord or nerve damage. The pins or screws are connected to a metal bar outside the skin. Fracture-dislocations of the thoracic and lumbar spine are caused by very high-energy trauma. In this type of operation, the doctor places metal pins or screws into the broken bone above and below the fracture site. It is not typically used as a definitive treatment. Traction is usually used to align a bone or bones by a gentle, steady pulling action. Supracondylar Fracture refers to a crack along the lower tip of the humerus bone. A cast is commonly used to stabilize the knee during treatment. Patella Fracture occurs with fracture of the knee bone. This treatment is desirable for some, but not all, fractures. A nondisplaced oblique fracture is distinguished by the bone’s alignment remaining intact with an injury. The cast or brace allows limited or controlled movement of nearby joints. In this type of fracture, the bone shatters into three or more pieces.Ī plaster or fiberglass cast is the most common type of fracture treatment, because most broken bones can heal successfully once they have been repositioned and a cast has been applied to keep the broken ends in proper position while they heal. This type of fracture has an angled pattern. This type of fracture has a horizontal fracture line. The bone may or may not be visible in the wound. The skin may be pierced by the bone or by a blow that breaks the skin at the time of the fracture. The broken ends of the bone line up and are barely out of place. This type of fracture is particularly serious because once the skin is broken, infection in both the wound and the bone can occur. If the bone breaks in such a way that bone fragments stick out through the skin, or a wound penetrates down to the broken bone, the fracture is called an open fracture. If the force is extreme, such as that caused by an automobile crash or gunshot, the bone may shatter. If the bone's breaking point has been exceeded only slightly, the bone may crack rather than break all the way through. The severity of a fracture usually depends on the force that caused the break. ![]() However, if the force is too great, bones will break, just as a plastic ruler breaks when it is bent too far. doi:10.Although bones are rigid, they do bend, or give, somewhat when an outside force is applied. Surgical treatment of displaced isolated lateral malleolar fractures: incidence of adverse events requiring revision: a retrospective cohort study. Ankle fracture: open reduction and internal fixation. Management of posttraumatic ankle arthritis: literature review. Ankle fractures (broken ankle).Įwalefo SO, Dombrowski M, Hirase T, et al. doi:10.5435/JAAOS-D-17-00417Īmerican Academy of Orthopedic Surgeons. Management of isolated lateral malleolus fractures. ![]() For the vast majority of phalanx fractures, an acceptable reduction can be managed with non-operative treatment. Injuries can be located at the proximal, middle, or distal phalanx. doi:10.3238/arztebl.2014.0377Īiyer AA, Zachwieja EC, Lawrie CM, Kaplan JRM. Phalangeal fractures of the hand are a common injury that presents to the emergency department and clinic. Fractures of the ankle joint: investigation and treatment options. Goost H, Wimmer MD, Barg A, Kabir K, Valderrabano V, Burger C.
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