Serving the North State since Community Involvement Learn more. Fracture and Stabilization What is a Fracture? There are a number of ways a bone may be fractured multiple pieces, length, across.
Common Causes Trauma: a physical injury, like a fall Osteoporosis: bone becomes fragile and more likely to break Overuse: repetitive motion can result in a stress fracture and it is common in athletes. Fracture Types Bones have the ability to somewhat bend when an outside force is applied, but if the force is too strong, the bone will break. Common types of fractures are: Open fracture: the bone breaks in a way that causes a bone fragment to pierce through the skin.
Stable fracture: the broken bones are slightly out of place. Treatment Broken bones have to be stabilized until it has the strength to handle movement and its own weight.
Implant Types Plates: Internal splints used to hold broken pieces of bone together. Screws are used to attach the plate to the bone. Screws: Most often used for internal fixation. Screws can be used to hold a fracture, as well as hold plates and rods. Screws are used at the end of the rods to keep the fracture from rotating or shortening.
Skin traction cannot pull with as much force as skeletal traction, so if traction is being used for more than a short time, usually skeletal traction is favored. Pins can be used to stabilize bones when a closed reduction is used to improve alignment, but a cast is insufficient to hold the bones in place. Pins are typically placed through the skin in a procedure called a closed reduction with percutaneous pinning CRPP. The pins are placed in the operating room, but can typically be removed in your healthcare provider's office and there is little discomfort in most pin removal procedures.
If there is discomfort, the removal can be performed in the operating room. External fixation also uses pins that enter the skin but are held together outside the body with a frame to maintain alignment.
External fixation can be an excellent option in cases of trauma as they can be applied quickly, they can be adjusted as needed, and they allow access to the skin and soft-tissue wounds. External fixation is often used with open fractures vs. External fixation can also be helpful when there is significant swelling that could make surgery too risky.
By temporarily immobilizing the fracture, the swelling can improve, and internal fixation can be considered at a later time. Open reduction with internal fixation ORIF means to surgically open the site of the fracture, align the bone fragments, and then hold them in place. The most common type of internal fixation are metal plates and screws, although there are many devices that can be used to stabilize different types of fractures.
ORIF is the preferred treatment for a number of different types of fractures:. Determining when a fracture should have surgery is a complex decision that must take into account many variables including the type, location, and severity of the fractures, as well as the expectations of the patient. In some situations, metal implants may have to be removed at a later date. Intramedullary IM rodding is a surgical procedure to stabilize a broken bone by inserting a metal rod in the hollow medullary canal of the bone.
This part of the bone where the bone marrow is can be used to hold the rod and allow for early movement and weight-bearing in some cases. IM rodding can be utilized for fractures of the lower extremity long bones that are not close to the joints bone ends. While this treatment can often allow for early movement, how soon one can resume walking after surgery often depends on the fracture type. Proper treatment can help move you along with your recovery to ensure a good outcome.
While fracture healing often seems slow, there are steps to ensure your healing of a broken bone. Make sure you follow your healthcare provider's instructions so that your broken bone will heal well! Dealing with joint pain can cause major disruptions to your day. Sign up and learn how to better take care of your body. Click below and just hit send! Stockman J.
Yearbook of Pediatrics. Journal of Wrist Surgery. Why are we still using pre-operative skin traction for hip fractures? International Orthopaedics. Foster K. We are working closely with our technical teams to resolve the issue as quickly as possible. Thank you for your patience. View the changes to our visitor policy » View information for Guest Services ». New to MyHealth? Manage Your Care From Anywhere. Activate Account.
Create a New Account. Forgot Username or Password? Fracture Fixation. Previous Section Next Section. Orthopaedics and Sports Medicine Clinic in Los Gatos Offering the Stanford Health Care experience with the convenience of a community clinic, we specialize in orthopaedic injuries and joint replacement.
Clinical Trials. MyHealth Login. Financial Assistance. Medical Records.
0コメント