Post-fracture sequelae

Written by Lv Yao

Orthopedics

Updated on September 19, 2024

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After a fracture, the potential sequelae depend on the location of the fracture and the chosen treatment method. For example, fractures involving joint surfaces can lead to traumatic arthritis after treatment. Similarly, femur fractures can lead to the formation of lower limb thrombosis after surgery and the fracture itself. Some fractures near joints might also affect the range of joint motion after treatment. Therefore, the type of sequelae after treating a fracture depends on both the location of the fracture and the treatment approach chosen.

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Written by Lv Yao

Orthopedics

1min 1sec

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How to exercise with a patellar fracture?

After a patellar fracture occurs, through immobilization or surgical treatment, it's possible to actively contract the quadriceps early on to strengthen muscle exercise and avoid muscle atrophy. Ankle pump exercises can also be performed, which are beneficial for the contraction of the calf muscles in the lower limbs, can help prevent thrombosis, and aid in the recovery of function. After the removal of external fixation or once the wound has healed, one can actively flex the knee joint. For example, by sitting at the edge of the bed with the knee naturally hanging, the knee joint can be flexed to 90 degrees. If there is difficulty in bending, one can push the healthy limb backward against the injured limb to help bend the knee joint. For exercises exceeding 90 degrees, one can lie flat on the bed, then flex the hip joint while holding the thigh of the injured limb with both hands, and allow the knee joint to naturally bend through gravity. This exercise can help restore the flexion and extension functions of the knee joint.

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Written by Cheng Bin

Orthopedics

44sec

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Symptoms of clavicle fracture

Typically, patients with a clavicle fracture will exhibit localized swelling and pain, along with subcutaneous bruising. There is limited shoulder lifting ability and pressing on the area can cause severe tenderness. There may also be palpable grinding or sensation of the bones rubbing together, and abnormal movement at the fracture site. These are common clinical symptoms of a clavicle fracture, and a diagnosis can be confirmed with a standard X-ray. In cases of severe misalignment of a clavicle fracture where manual reduction fails, it is necessary to actively pursue surgical treatment with open reduction and internal fixation, typically using Kirschner wires or steel plate screws for internal fixation.

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Written by Na Hong Wei

Orthopedics

1min 25sec

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Nasal bone fracture, nasal septum fracture, what kind of injury is this?

What type of injury is a nasal bone fracture and a nasal septum fracture? According to the forensic appraisal regulations concerning the nasal area, there are three situations that can be identified as minor injuries and two situations that can be identified as slight injuries. The three situations for minor injuries are: first, comminuted fracture of the nasal bone; second, linear fracture of the nasal bone where the displacement is very obvious; third, nasal trauma that significantly changes the appearance and function of the nose, which can be identified as a minor injury. The two situations for slight injuries are: first, a simple, nondisplaced nasal bone fracture; second, nasal bleeding after trauma. Therefore, if a nasal bone fracture is combined with a nasal septum fracture, it should be a comminuted fracture and can be identified as a minor injury. If it is solely a nasal septum fracture, it depends on whether it is a comminuted fracture or whether the displacement is obvious. Additionally, the impact of the nasal septum fracture on nasal function must also be considered. Thus, nasal bone fractures and nasal septum fractures require specific analysis based on the details of the injury to determine the type of harm. A slight injury can definitely be determined, but whether it qualifies as a minor injury depends on the specific circumstances.

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Written by Cheng Bin

Orthopedics

48sec

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How long before a rib fracture stops hurting?

Regarding the question of how long it takes for rib fractures to stop hurting, usually, for patients with rib fractures, the pain gradually subsides after about two weeks. This is because around two weeks is the period when the fracture site reaches the fibrous connection stage, making it relatively stable, which therefore alleviates the pain. For patients with rib fractures in the early stages, if the diagnosis is clear, severe pain can be relieved by orally taking non-steroidal anti-inflammatory drugs or by receiving pain relief injections. Additionally, it is crucial to closely monitor the vital signs of patients with rib fractures, as rib fractures often occur alongside lung contusions and the accumulation of fluid or air in the chest cavity. (Please use medication under the guidance of a doctor.)

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Written by Zhang Ying Peng

Orthopedics

40sec

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How long to stay in bed with a rib fracture?

Rib fractures are very common clinically. After a rib fracture, it is necessary to rest in bed, immobilize, and reduce activity, otherwise excessive pulling of the ribs will cause pain. Generally, the bed rest period is about 10-14 days. Generally, after two weeks of treatment, the ribs will form fibrous connections and no longer cause severe pain. After two weeks, appropriate activity out of bed can be resumed. At the same time, oral antibiotics can be taken to prevent infection, as well as medications that promote blood circulation and remove blood stasis to enhance the absorption of the hematoma.