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Overview

Bone Fracture: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Bone structure is a partial or a complete break in your bone. Fracture mostly acknowledged as broken bone takes place with the change in contour of any bone.  The basic symptoms of bone fracture are abnormal swelling, high pain or deformity in the structure. You won’t be able to move the injured part of the body. Often in severe cases, you might experience bone poking inside your skin. Basically bone fracture takes place if you get hurt severely or even slip and hit something heavy. Bone can also get fractured if you fall down from height like while climbing a tree, or slipping down from stairs. There are various categories of bone fracture that includes complete and incomplete bone fracture and compound and simple bon structure. Complete fracture indicates that the bone got snapped in two or moreparts whereas incomplete fracture is where the bone gets a crack but do notface a complete breakage.

On the other hand, compound fracture is where the bone tries to break through the skin of the patient. For simple bone fracture, the bone undergoes breakage but does not penetrates through the skin. The treatment often requires  surgery and long term medication.Even in some cases, psychotherapy is also required to recover completely.

How is the treatment done?

If you experience symptoms that indicate bone fracture in any part of your body, do not avoid it. Go to doctor right away and he would prescribe you to undergo a X ray test. The X ray report will provide the exactcondition of the bone and its injuries. Depending on the report of your X ray, the doctor would decide whether to conduct a surgery or using immobilizer, slings would do the needful. In can of surgery, devices like rods, plates and even screws are utilised. On the other hand, in case of cases that do not require surgery, they are advised to use sling that would not allow any movement of broken arm and let it heal eventually. After surgery, the patients are advised to take complete rest for few weeks so that the patient gets habituated with the external object in the body. However, the surgery is completely dependent on the health conditions of the patient. For instance, high blood sugar and pressure highly influences the surgery. Without normal sugar and blood pressure, surgery conducted is highly vulnerable to risk and may lead to adverse situations. Often closed reduction is done in case of misplacement in the alignment. In this case, a general anaesthesia is done and a cast is placed to hold the bone in that alignment. However, depending on the patient nature of the case, the external objects to be inserted are chosen. These objects are required to remove after a certain period of time like 2 or 3 years when the fracture is cured. Along with that, the patient needs to be under medication that would escalate the curing process.

Who is eligible for the treatment? (When is the treatment done?)

There remains so such eligibility for bone fracture. It may take place to people of any age structure. Often children get their bone fractured while playing and on the other hand middle aged and old aged people even meet accidents and severe fracture may lead to surgery. However, the treatments are conducted in respect to the age of the patient like hildren recovers faster than teenagers and middle aged patients. Again, conducting surgery for old aged patients often turns risky.

Are there any side effects?

If you seem to meet an accident and get your bone fractured, you will either be prescribed to use slings or undergo surgery depending on the intensity of the injury. After getting your surgery done, you might face several side effects.

Some of these are over swelling, pain or even bruising. Added to that, you may face complications while conducting surgery for bone fracture that is rare and that would include bleeding, blood clots, and severe allergic reactions for patients who suffer from anaesthesia. You also remain vulnerable to infections if you had complications during the surgery.

What are the post-treatment guidelines?

After you are done with the surgery of your fractured bone, you must follow few strict rules in your daily life.  Along with that, you must maintain a frequent coordination with the doctor and continue medication. It is extremely necessary to abide to these rules otherwise it may lead to adverse effects.

You are not allowed to pull heavy things like rearranging furniture, carrying luggage bags etc. You are advised not to take up much physical work and make your daily tasks easier.

How long does it take to recover?

The recovery span is entirely dependent on how severe the fracture is. In case of small cracks, it gets recovered within 2 to 3 weeks. However, children recover faster within 3 weeks whereas teenagers and middle aged people takes around 6 weeks to attain full recovery. In some cases of severe injury full recovery takes around 10 weeks.

What is the price of the treatment in India?

The average cost of bone fracture treatment in India ranges from 700 INR to 500000 INR. It basically depends on the severity of the condition.

Are the results of the treatment permanent?

The results of the treatment on bone fracture is permanent only if you follow the post-surgery regulations. Along with that, proper medication and psychotherapy is required to adopt.

What are the alternatives to the treatment?

Some alternative treatment for bone fracture is to avail Ayurveda process of medication that are entirely prepared from natural products. Even home remedy like using turmeric, constant use of ice, black caraway and sesame seeds and castor seeds acts as a catalyst in the recovering process. A complete rest is essential during this time.

Safety: Very High Effectiveness: High Timeliness: Relative Risk: Very Low Side Effects: Very Low Time For Recovery: Low Price Range:

Popular Health Tips

Limb Length Discrepancy - Making Uneven Legs Even!

MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Arthroplasty, Advanced Life trauma Support, Diploma In Sports Injuries
Orthopedist, Delhi
Limb Length Discrepancy - Making Uneven Legs Even!

With the advancement in the medical field, we are blessed to have doctors who specialize in various fields. We have cardiologists who specialize in the treatment of the heart, orthopedics who specialize in treating disorders that are related to the development and growth of muscles, skeleton, and joints in children and neurologists that determine treatment for the brain. Spine and limb deformities mainly occur in children as their bodies are still growing and they react differently to disorders, infections and injuries. Some of the deformities of the limb and spine that are treated by orthopedics include clubfoot, scoliosis, and limb length discrepancy.

Limb Length Discrepancy
Limb length discrepancy is referred to as a deformity when the legs and arms differ in their length. The difference in the length of legs and arms in several cases does not cause any change in the quality of life or in its functioning. However, in certain cases when there is an extreme difference in the length of the legs and the arms, the health of the patient is affected to a great extent. Limb length discrepancy is also caused due to injury to the leg, bone disease or due to bone infections that occur during growth. Depending on the severity of the injury or bone disease it becomes very difficult for the individual to even walk. In certain cases, when the condition is not very severe, then to help the patient to walk comfortably a shoe lift is suggested. It is only in extreme conditions that orthopedics suggest limb length surgery mainly to correct the discrepancy.

Limb Lengthening Surgery
Future proof and innovative solutions are provided these days to the patients for bone reconstruction. The surgery for limb lengthening is performed in many countries all over the world and by professional orthopedics. The patient is at first put under anesthesia after which a large slit is made in the legs, all the way through. The leg bone is sawed, after which a supporting bracket is placed which the patient needs to wear for nearly a year or till the completion of the procedure.

The area of the bone that is fractured is widened every week by the patient by inserting a key into the bracket and by turning it a little. Healing of the bone happens over time and two inches can be added to the height of the patient in six months. The bracket used during the surgery for the legs are very bulky and it is very important that the patient does not put more pressure on them. Immense pain is caused during this time as the limbs are bound to crutches. Hence, proper care should be taken to avoid more stress on the limbs.

Bow Legs - Why Do Children Suffer From Them?

MBBS, MS - Orthopaedics, DNB - Orthopaedics
Orthopedist, Pune
Bow Legs - Why Do Children Suffer From Them?

This is a very common condition seen in toddlers. When the legs are brought together then there is a gap at the level of the knee. It happens because of inward bowing of thigh bone or tibia. The deformity may appear to increase on standing.

Daily requirement of calcium

The optimal primary nutritional source during the first year of life is human milk. Premature infants have higher calcium requirements than full-term infants while in the nursery. These may be met by using human milk fortified with additional minerals or with specially designed formulas for premature infants. Around 6 months of age when weaning foods are started, food items rich in calcium should be added. Readymade formulas are fortified with calcium but one must remember that the bioavailability of calcium from human milk is greater than that from infant formulas or cow's milk. Hence breastfeeding should be encouraged. In children age 2-8 years the daily requirement is around 800 mg/d. In children 9- to 18-year-olds the daily requirement is 1,200-1,500 mg/day.

Some of the common items that are rich in calcium are.

Food Item Quantity Amount of Calcium in each serving
Milk 1 cup (240 ml) 300 mg
Cheddar cheese 1.5 oz (42 g) 300 mg
Spinach cooked 1/2 cup (90 g) 120 mg
Sardines or salmon with bones 20 Sardines (240 g) 50 mg
Sweet potatoes 1/2 cup (160 g) 44 mg

Vitamin D:

Babies younger than 1-year-old need 400 IU of vitamin D a day. Kids older than 1 year need 600 IU or more of vitamin D a day. Our bodies make vitamin D when our skin is exposed to the sun. The recommended exposure to sunlight is at least 30 min every day. There are various fortified food items that have vitamin D. Also medicines are available which can provide the daily requirement of Vitamin D

Physiological genu varus. In most of the toddlers, the legs are curved inwards. They should improve over a period of time. The legs should straighten by 2 yrs. The child should be investigated if the deformity is severe; the deformity is only in one leg, if the child complains of pain and if the child appears unusually short. In case you have a concern or query you can always consult an expert & get answers to your questions!

2460 people found this helpful

Knee Anatomy - Better Understanding Helps Prevent Knee Injuries!

MBBS, MS - Orthopaedics, M.Ch - Orthopaedics, MCh - Trauma and Orthopeadic Surgery
Orthopedist,
Knee Anatomy - Better Understanding Helps Prevent Knee Injuries!

The knee joint is the meeting point of several bones. The knee bone's connected to the thigh bone at knee joint. The thigh bone or femur is the longest bone in the human body and it sits directly above the knee. Below the knee joint lies the shinbone or tibia down to the ankle. Tibia is partnered with the fibula, which runs along the outside of the leg. The kneecap also called as patella lies in between, protecting the knee joint. When the leg bends, the patella moves on the front part of the femur.

Knee Joint Compartments

Arthritis affects the ends of the bones, or spots where the bones in the knee joint move against each other. The joint capsule is a thick ligamentous structure that surrounds the entire knee that contains synovial membrane which provides nourishment to all the surrounding structures. The synovial fluid produced by the synovial membrane lubricates the knee joint. The capsule itself is strengthened by the surrounding ligaments.

Cartilage in the knees



Cartilage covers up the knee joint's ends thus keeping the bones from rubbing together and creating friction. This makes cartilage critical to keeping the knees pain-free when one is running, walking bending or squatting. There are two types of cartilage in the knee joint. Meniscus cartilage makes up the crescent-shaped disks on the inside and outside of the knee between the femur and tibia. Meniscus cartilage works like a shock absorber, providing cushion to the joint when walking to running. Joint or articular cartilage covers the bones of the knee, making smooth and friction free movement.

Cartilage is about eighty percent water when we are young, and can lose water content over time to drop to about seventy percent. The knees are filled with fluid that helps to keep the cartilage smooth and slippery. If this fluid is too much can stretch out the joint and less can lead to friction between the bones.

Hence, it is imperative to know how the parts of the knee joint work together, as it is the first step one can take to maintain or restore knee health.

Foods That Help You Recover From Fractures!

MS - Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Orthopedics & Orthopedic Surgery
Orthopedist, Hyderabad
Foods That Help You Recover From Fractures!

A fall or an injury is among the most common causes of a fracture. For a fracture to heal; the bones must be set in the correct position and a cast may need to be worn so as to hold them in place. This allows the bones to grow new tissue and bridge the break. The food you eat can help you speed up this process. Some of the best foods to build strong bones and help a fracture heal are:

  1. Milk: Milk is one of the richest sources of calcium and vitamin D. It is also rich in proteins. These three elements are crucial to building strong bones. Proteins help the body release amino acids which in turn come together and create new tissue for the bones. Calcium is, of course, the building block of our bones. However, it is vitamin D that enables the body to absorb this calcium and utilize it. If you do not like the taste of milk, you could substitute it with yogurt. This dairy product is considered equally rich in proteins, calcium and vitamin D. In addition, it also contains amino acids such as glutamine and lysine that helps the bones absorb calcium.
  2. Kale: Kale is known as a superfood. One of the reasons for this is the amount of calcium it contains. Kale is one of the few vegetables that are rich in this mineral. Thus, lactose intolerant people can get their required calcium from this vegetable. Kale can be eaten raw or cooked. Kale can also be juiced. However, to benefit fully from the vitamins and minerals in this vegetable, it is best to eat it raw.
  3. Spinach: Spinach is another green leafy vegetable that is rich in calcium. It also contains zinc. Zinc helps stimulate the chemical reactions needed to bind calcium and other minerals together to create new bones. In addition, spinach is also a rich source of vitamin K. While this vitamin does not play a direct role in healing bones, it helps speed up the healing process.
  4. Broccoli: Broccoli is a cruciferous vegetable that is rich in vitamin K1. This is very beneficial to your overall health and bone health. Vitamin K1 aids in the mineralization process of fusing broken bones together and building new bone tissue. Thus, it helps the bones set correctly.
  5. Citrus Fruits: Fruits such as oranges are chock-full of vitamin C. This nutrient helps build a strong immune system and aids in the fracture healing process. Vitamin C also helps the body create collagen that surrounds the broken bones and allows it to heal faster.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4168 people found this helpful

Knee Replacement - Is Second Surgery Actually Required?

Fellowship in Joint Replacement, M S Ortho, DNB (Orthopaedics)
Orthopedist, Chandigarh
Knee Replacement - Is Second Surgery Actually Required?

Of all the joints in the body, the knees probably see the maximum wear and tear. In cases of severe osteoarthritis, or injuries which destroy the knee joint, a total knee replacement surgery may be advised. This procedure involves the replacement of diseased cartilage and bone in the knees with artificial materials.

In cases of osteoarthritis and other such degenerative conditions, this procedure is performed only when the adjacent joints such as the hips are strong and healthy. Before the procedure, you may be advised to discontinue any blood thinning and anti-inflammatory medication. Your doctor will also conduct blood and urine tests to check for signs of anaemia, abnormal metabolism and infections. You may also be asked to lose weight if you are on the heavier side to reduce the pressure on your knees.

A total knee replacement surgery is usually performed under general anaesthesia. The lower end of the femur bone or thigh bone and the upper end of the tibia or calf bone are removed and replaced with a metal shell and plastic piece respectively. In some cases, a plastic ‘button’ may also be placed on the surface of the knee cap. If the posterior cruciate ligament in intact it is left as is or it is replaced by a polyethene post to stabilise the joint and prevent the calf from slipping backwards.

In most cases, a patient is discharged after 3-5 days of hospitalisation following the surgery. Post-surgery, it takes about a month for the patient to experience notable improvements. For optimal results, total knee surgery must be followed by physiotherapy and regular exercise. This helps prevent scarring and keeps the muscles strong enough to maintain joint stability. Exercising can also reduce recovery time. However, not all exercises are advisable. Avoid running, jumping, climbing stairs and contact sports which have a high risk of knee injury. Swimming is highly encouraged as it boosts endurance and muscle strength without putting any pressure on the joint.

In some cases, a second surgery may be required in cases of total knee replacement to fix fractures, loosening or complications of the artificial joint. As with any other surgical procedure, a total knee replacement surgery also has risks. Some of these are:

  1. Formation of blood clots that can cause shortness of breath, chest pain and shock
  2. Urinary tract infection
  3. Nausea and vomiting
  4. Knee pain and stiffness
  5. Nerve damage
  6. Internal bleeding in the knee
  7. Increased risk of infections

In case you have a concern or query you can always consult an expert & get answers to your questions!

2685 people found this helpful

Popular Questions & Answers

My right hand 5th metacarpal bone got fractured on may 10th got visited doctor orthopedic doctor after 10 days he applied ball bandage +given medicine for 20 days. After 20 days doctor removed ball bandage, and said healed the fracture. Recommended to visit after 15 days with medication Even after healing my hand still deformed. When I visit doctor examined my hand said it was not properly applied ball bandage due to this it was not healed correctly. Bone healed cross. If to correct this to be carried to be surgery. I want to get it correct what to do. Is it right to get it correct by surgery or not?

MBBS, Membership of The Royal College of Surgeons (MRCS), FRCS (Orth.) - UK, MCh (Ortho)
Orthopedist, Bhopal
Lybrate-user ji. It will difficult to comment on this without seeing X-rays. Also decision of surgery will based on if you have any pain and functional deficit (ie How much your hand is bothering you in day to day activities). Metacarpal fractures even if they unite with some angulation usually do not give functional problems.

I had an accident 2 years ago and had fractured my right thigh and knee. Would you please suggest how far should I walk daily and what type of exercise should I refer to stay fit and healthy?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
If your fracture has united well, then you can gradually return to usual activities. Take guidence from a qualified physiotherapist.
1 person found this helpful

I got fractured 3 years ago in left hand. And still My left hand is weak. And recently I have joined Gym so When I push up or do any set not able to lift weights like right hand. So what should I do for this problem.

MBBS, MS - Orthopaedics
Orthopedist, Hyderabad
First confirm with x-rays whether the fracture has completely united. If its united then you can start with minimal weights gradually increasing the weights over a time. It will regain the original strength.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Know More About Facial Injuries
Hello friends, I am Dr Anubhav Gupta. I am a consultant of cosmetic and plastic surgeon. Today I am going to talk about a very common topic, that is Facial injuries. Now this is something which we see very common in our day to day life. Face is comprising of a lot of structures; the skin, there is the subcutaneous tissues, there are muscles, then there is bone underneath it. So when we talk about facial injuries, we can divide them broadly into two types:

One is the simple injuries and
The complex facial injuries.
Now the simple injuries are the one, which we see like, our kids, they fall in the house, and they have cuts, and they have continuous lacerated wounds.

The complex facial injuries are seen when there are road traffic accidents, where there are deep cuts right up to the muscle and there are fractures of these bones.

So these are the common types of injuries related to face. Now the question which next comes to our mind is, what to do?

So in case of facial injuries, what is required to be to be done is, whenever such injuries happen, we need to apply some pressure on that, so that the bleeding stops. And if you are concerned about good scars and better looking sutured wounds, then you should consult a plastic surgeon to get it sutured. And in any case, it has to repaired, it has to be stitched. This is how the management of simple injuries is done.

But in case of complex injuries, they require advanced management, wherein not only a plastic surgeon but also a neurosurgeon and many other surgeons are involved because these injuries are usually not isolated injuries. They occur with head injuries also, and many times there are injuries to other parts of the body also. So it is better to take the patient to a better hospital. So in such injuries, what we usually do is, once the patient is stabilised, such injuries, for example a fractures, requires fixation.

Fixation means, is very similar to fracture of the hand or the limb, there is plating and screws and clamps and plasters and related things. The principles are similar for all these things also. So we use very fine, titanium plates for fractures.

The common fractured parts are the upper maxilla, or the lower maxilla or the mandible. The importance in such facial injuries, there are two priorities:-

One is , the patient should be able to eat, even after these injuries and fractures. Because once these bones are fractured, it becomes very difficult to eat so the main priority is that the patient should be able to eat even after these injuries.
The second thing is, the lower part of the eye. So, there should be no problem in the vision, as well as the cosmetic outcome. So these bones are put back together anatomically by plating and fixation. So that the patient can lead a normal life, i.e, having a normal vision, and is able to eat properly.
So these are the principles required for practical fixation of complex facial injuries.

Now, to know more about these types of injuries you can get in touch with me on Lybrate. Thank You.
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