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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

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!

2683 people found this helpful

Relation Between Vitamin D Deficiency And Bone Problems!

DNB - Orthopedics, Diploma In Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship In Rheumatology & Joint Dosorder
Orthopedist, Delhi
Relation Between Vitamin D Deficiency And Bone Problems!

When we speak of bone health, calcium is usually the hero of the story. However, by itself, calcium is not enough for healthy bones. Vitamin D is equally important for healthy bones and the prevention of orthopedic conditions.

What does Vitamin D do?
Vitamin D helps the body absorb calcium from the food being eaten. It also controls the calcium and phosphate levels in the body. This is critical for the growth and development of new bones. Vitamin D also controls how much calcium and phosphates are being expelled by the body. In this way, vitamin D helps strengthen the bones and improve overall bone health.

Vitamin D Deficiency
Vitamin D is not commonly found in food. It is present only in certain types of oily fishes, egg yolks and mushrooms. Most of the vitamin D we eat comes from fortified cereals, breads and dairy products. The sun is an important source of vitamin D but exposing yourself to too much sunlight could cause various skin problems. Thus, vitamin D deficiency is very common. When it comes to bone health, vitamin D deficiency can cause low-density bones. This, in turn, can cause rickets and osteoporosis. People with vitamin D deficiency are likely to suffer frequent fractures. Vitamin D deficiency can also cause skeletal deformities such as bow legs and a stooped spine.

Vitamin D and Osteoporosis
Osteoporosis is a musculoskeletal condition that is marked by low bone density. Studies have shown that people with osteoporosis have lower levels of vitamin D as compared to others. Some studies also suggest that fractures are more common in winter as compared to summer. The winter sun is often hazy and many days can go by without strong sunlight. Thus it can be inferred that people do not get their required quota of vitamin D from the sunlight in winters leading to a deficiency and aggravated osteoporosis-related fractures.

Who is most susceptible to bone conditions caused by vitamin D deficiency?
Vitamin D deficiency is a very common condition across the globe. Some surveys have claimed that approximately 30% of the global population suffers from vitamin D deficiency. People with dark skin, women and elderly people are most susceptible to this deficiency. People suffering from kidney diseases may also be affected by vitamin D deficiency. Vitamin D supplements are usually very helpful in combatting this deficiency. These can be taken by young children as well as adults.

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

4737 people found this helpful

Nonunion Fractures - Know What Are They!

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Nonunion Fractures - Know What Are They!

Both young and old are vulnerable to fractures. While the former gets them during intense physical activities, the latter experience fractures due to less bone density. Thus, quite common, they are, however, if you experience a persistent pain in the fracture spot even after undergoing treatment, you must visit your doctor without delay as it might be a case of nonunion.

Despite modern treatment methods that heal most fractures, sometimes new bone tissue doesn't begin to form and repair the broken pieces. This hindrance to the healing of bones is known as ‘nonunion.' Patients suffering from nonunion of fractures usually feel pain in the fractured area even after the fracture disappears and can last for months or years. In some cases, these pains may get triggered, if pressure is applied to the fractured area.

Why does a nonunion occur?
The three most important aspects of bone healing include stability, blood supply, and nutrition. If the broken bones that have been put together are moved out of place before they fully heal, it can lead to complications. Cases, where surgical fixation is involved, can be disrupted due to various reasons, including ineffective surgery which can happen due to unforeseen complications and can cause nonunion.

  • Limited blood supply to the fracture site can be caused due to a lack of or disruption of the body's healing cells. Blood supply to the injured area usually returns to normal during the healing period, but there might be medical complications that prevent fractured bones from healing.
  • Nutrition is the third biggest factor that can cause nonunion of fractures if the patient does not have a well-balanced diet and lacks essential vitamins, calcium, and proteins in the body. Dietary guidelines need to be followed to allow proper healing.
  • Other situational risk factors that may contribute to nonunion include age, diabetes, infections, anemia or use of tobacco and other forms of nicotine.

Treatment of A Nonunion

  • Depending on the situation, treatment is possible using both surgical and non-surgical methods. A bone stimulator may be used to treat a nonunion non-surgically. This small device helps send ultrasonic waves to stimulate healing, and through repeated usage of the device, it can help patients start healing.
  • Surgical treatment involves the usage of a bone graft that can help new bone (or bones) to grow in the affected area. Bone grafts are surgically planted, and they provide fresh bone cells and necessary chemicals that the body needs for healing. Surgeons make an incision and remove pieces of bone from different areas of the patient and transplant them into the affected area. Bone harvesting can be a painful process, but it does not affect the bodily functions or cause any cosmetic problems in any way to the patient.
  • In many cases, bone harvesting can be avoided by using allografts (bone grafts from cadavers) or other substitutes (known as osteobiologics) made of chemicals that can be fixated both internally and externally.
  • These methods kickstart the healing process and allow the fractured bones to heal and return the area to its normal and undamaged state.

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

3751 people found this helpful

Vertebroplasty (PVP) / Kyphoplasty - Approach To Management Of Vertebral Body Fractures!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Vertebroplasty (PVP) / Kyphoplasty - Approach To Management Of Vertebral Body Fractures!

As life expectancy is increasing so is the incidence of vertebral body (VB) fractures now being the commonest fracture of the body. PVP is an established interventional technique in which bone cement is injected under local anaesthesia via a needle into a fractured VB with imaging guidance providing instant pain relief, increased bone strength, stability, decreasing analgesic medicines, increased mobility with improved quality of life and early return to work in days.

In this era of minimally access surgery replacing open surgeries, PVP is a novel procedure & should be in the first line of management in place of conservatism or major spine surgery for painful uncomplicated compression fracture spine.

Morbidity & consequences of spinal fracture:

  • Traumatic VB is a painful condition requiring bed rest restricting daily activities markedly
  • Left untreated it can cause DVT, increase osteoporosis, loss of VB height, respiratory & GI disturbances, emotional & social problems secondary to unremitting pain, loss of independence with high cost of rehabilitation.
  • High risk of primary or consequential damage to neural, bony or disc element
  • Increased wedging, deformity & increase incidence of adjacent VB
  • Chronic pain of altered spine mechanics
  • Uncomfortable braces & sleep disturbance because of pain & discomfort with its sequels.
  • Cost of surgery and hospital treatment
  • Cost of implants
  • Phobia of surgery
  • Prolonged recovery period & Extensive rehabilitation
  • Changed spinal mechanics & transition syndrome
  • Major surgery & anesthesia with its own complications

Results / Outcome

  • PVP is a novel procedure with high benefit to risk ratio, which is highly underutilized in relation to the high prevalence of the vertebral.
  • Different studies show an immediate pain relief in (85 – 90)% of patients with low complication rate ranging from (1-5)% depending upon the type of lesion.
  • PVP does augment height of VB but ideal would be kyphoplasty
  • Patient is either off medicine or on reduced doses.
  • Patient feels so well that he almost forgets if he had VB
     

Percutaneous Vertebroplasty (PVP) is an emerging interventional technique in which surgical polymethyl methacrylate bone cement is injected under local anaesthesia via a large bore needle into a vertebral body (VB) under imaging guidance providing increased bone strength, stability, pain relief, decreased analgesics, increased mobility with improved QOL and early return to work. Started in 1984 by Galibert PVP is done in host of indications.

Senile osteoporotic compression remains the commonest Indication. Other indications are  Metastatic VB,  Multiple myeloma VB, VB haemangioma,  Vertebral osteonecrosis & for strengthening VB before major spinal surgery. The benefit has been extended to the traumatic stable uncomplicated VB compression (VCF)   which is commoner in younger age group with active life profile and prime of their career where strict bed rest and acute or chronic pain are unacceptable and they are more demanding for proactive treatment approach so as to be back to work ASAP.

Discovering the fact that VB is the commonest of body, its incidence >the hip, it becomes imperative to take it more seriously. With increasing life-span there is more of aged osteoporotic population, more so due to sedentary indoor lifestyle and post menopausal osteoporosis.  Diabetics, smokers & alcoholics are at higher risk of developing osteoporosis. I have seen such alcoholic patient developing six spine fractures in just three months time from a single fracture being on complete bed rest.

Quick fix of fracture spine makes patient walk back same day instead of bed rest of months together avoiding morbidity & mortality of prolonged bed rest, making bedridden patient walk, in a way bringing patient  back to normal life.

In this era of MAS replacing open surgeries, PVP is a novel procedure & should be in the first line of management in place of conservatism or major spine surgery for painful uncomplicated compression.

Morbidity & consequenses of spinal 

  • Traumatic VB is a painful condition requiring bed rest restricting daily activities markedly.
  • Left untreated it can cause DVT, increase osteoporosis, loss of VB height, respiratory &
  • GI disturbances, emotional & social problems secondary to unremitting pain, loss of independence with high cost of rehabilitation.
  • High risk of primary or consequential damage to neural, bony or disc elements.
  • Increased wedging, deformity & increase incidence of adjacent VB
  • Chronic pain of altered spine mechanics.
  • Uncomfortable braces & sleep disturbance because of pain & discomfort with its sequels.

Morbidity and complication of spinal surgery 

  • Cost of surgery and hospital treatment
  • Cost of implants
  • Phobia of surgery
  • Prolonged recovery period & Extensive rehabilitation
  • Changed spinal mechanics & transition syndrome
  • Major surgery & anesthesia with its own complications

Preparation & Procedure:
X-ray spine in a/p & lat view. CT is more informative of bone & morphology. MRI is good for soft tissue injuries. Ask for pedicle size in all dimensions and construct a 3D image aiming needle placement and cement filling in scan room itself as rehearsal of PVP. This reduces operative time & gives better results. Conventionally PVP is done by hammering the vertebroplasty needle through the bone. Here we use light weight drill to bore through the vertebra. It is important to set the needle at exact entry site & side with right trajectory aiming the defects.

In lateral view needle should go through middle of the pedicle going up to anterior 1/3 of VB. In P/A view the needle can be in midline or paramedian depending upon & if uni/bipedicular approach is planned. Approach varies as per location of vertebra, anterolateral in cervical, costotransverse/parapedicular in thoracic & transpedicular in lumbar vertebra.

Do bone biopsy if there is any doubt about lession. Do dye test (vertebral venography). Make cement more radiopaque by adding barium /or tungsten. Inject cement with 1or2 ml luerlock syringes strictly under fluoroscope in lateral view & cross checking in P/A view. Stop injecting either there is adequate filling or at the first sight of ectopic cement leak. Keep sample cement to see for hardening. Remove needle with rotational movement before cement hardens.

Pain relief is by virtue of different mechanisms postulated :

  • Cementing of fragments.
  • Thermal neurolysis of VB nerve ending due to heat of polymerization.
  • Washing away of nociceptor chemicals.
  • Neurolytic action of liquid monomer.
  • By allowing early ambulation decreasing pains of immobility & bed rest.

Complications 

  1. PVP is generally safe with low risk.
  2. Ectopic cement leak is frequent but generally inconsequential.

Outcome 

  1. PVP is a novel procedure with high benefit to risk ratio, which is highly underutilized in relation to the high prevalence of the vertebral
  2. Different studies show an immediate pain relief in (85 – 90)% of patients with low complication rate ranging from (1-5)% depending upon the type of lesion.
  3. PVP does augment height of VB but ideal would be kyphoplasty.
  4. Patient is either off medicine or on reduced doses.
  5. Patient feels so well that he almost forgets if he had VB

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

4342 people found this helpful

Fracture Pain - How To Deal With It?

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
Fracture Pain - How To Deal With It?

Breaking a bone no matter how small is painful. This pain is caused both by the actual break in the bone and the damage to surrounding muscles, ligaments, nerves and other soft tissue. There are three stages of pain caused by a fracture:

  1. Acute Pain: Pain that occurs immediately after a bone is fractured
  2. Sub-Acute Pain: Pain experienced while the one and soft tissues heal
  3. Chronic Pain: Pain experienced after the fracture has healed

Any kind of fracture can cause these types of pain. However, it is not essential for everyone who has had a fracture to experience all the three kinds of pain. Many people experience pain only when the fracture occurs but in few cases, a person may break a bone and not realize it. Each type of pain needs to be dealt with in a different way.

  1. Acute Pain: Acute pain reduces as the fracture heals. For this, the fractured bone must be reset in place and held together with a splint, brace or cast so as to immobilize it. In some cases, surgery may also be needed. Over the counter pain medication is often prescribed to help deal with this type of pain. The patient is also advised to rest the broken bone and avoid certain types of movement that could worsen the break. A broken bone takes a minimum of 6 to 8 weeks to heal. However, in cases of other conditions such as osteoporosis, this time period could be much longer.
  2. Sub-Acute Pain: As the injury heals, the sub-acute pain experienced reduces. Immobilizing a broken bone to help it heal causes the muscles and soft tissues around it to stiffen and weaken thus triggering this type of pain. Physical therapy can be very helpful in dealing with this type of pain. Along with strengthening the muscles and reducing stiffness, physical therapy also helps reduce inflammation and scar tissue. Physical therapy can be provided in many ways including exercises, electrical stimulation, ultrasounds, massage etc. It is important to remember that at this stage of treatment, the more the affected limb is used, the faster it will heal. However, it is advisable to avoid putting too much pressure on the bone.
  3. Chronic Pain: Some people may experience pain for several months and even years after a fracture has healed. This is usually caused by nerve damage or the development of scar tissue. Underlying conditions such as arthritis could also trigger this type of pain. Management of chronic pain varies from individual to individual. Treatment usually takes the form of medication, exercises and physical therapy. 

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

4474 people found this helpful

Popular Questions & Answers

Sir, I lost my tibia and fibula of left leg on 27 mar 18. About 6 to 7 cm bone are missing during open fracture. Tell me it is recoverable or not. What is recovery time.

Post Graduation, Masters in Orthopaedic surgery
Orthopedist, Nadiad
Yes of course it is recoverable. If your skin conditions over leg is good than it can be done in single stage platting with massive bone graft. N if it is not than multistage treatment required. Prior one takes around 3 month to walk. And last one ll takes around 6 month to walk.

After implant removal of intrameduallary nail from hand will my hands be plastered in a cast again for hole filling If so what is the recovery time.

ms orthopaedics, mbbs
Orthopedist, Noida
No plaster required. Recovery time is 1-2 weeks, during which you can do light work with your upper limbs. Post 2 weeks, you can start normal activities.

After an hip DHS surgery doctor prescribed me lizokef tablets and after taking this I have shortness of breath, dry mouth, no taste in tongue, burning in anal region, fatigue,etc is this all the side effects of this tablets.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Lizokef contains linezolid which is an antibiotic and can cause dry mouth and taste problems, but if you are having shortness of breath post surgery then please consult a cardiologist at once as it cannot be because of lizokef.
1 person found this helpful

I was operated 25 days back on hip with DHS and now there are few exercise told to do regularly, how long will it take for me walk normally without walker and at what durations will be the x rays repeated. An ayurvedic or homeopathy medicine to heal the fracture soon and without pain.

DNB - Orthopaedics, MBBS
Orthopedist, Ghaziabad
Hello, it usually take 3 months for the fracture to be united, only after that you can walk without walker, but do not leave walker until fracture heals completely in Xray, Xrays are usually done at monthly intervals, for any more query you can contact me through chat on Lybrate, Take Care.
1 person found this helpful

My collar bone is broken 4 weeks ago, But still I can not move my arm in full motion, When I tried to lift my hand on my own it starts paining. What should I do now?

M.S - Orthopaedics
Orthopedist, Mohali
Hi, Lybrate-user usually fracture take time to heal around 6 weeks in adult. For 4 weeks you were not moving your limb so it take time to get back to your original status and also you might require help of a physiotherapist. And get a new x ray to access the condition. Hope this sort your query for further assistance can contact anytime. Wish you a speedy recovery.

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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