How to immobilize a fracture

Written by Dai Ru

Orthopedics

Updated on September 25, 2024

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Fractures, based on the method of fixation, can be divided into external fixation and internal fixation. External fixation can further be divided into various methods, commonly including plaster fixation, small splint fixation, external fixator brace fixation, orthotic fixation, and traction fixation, among others. Internal fixation, depending on the type of internal fixation device used, can be divided into steel plate screw fixation, simple compression screw fixation, intramedullary nail fixation, etc. Regardless of the type of fixation, the main purpose is to maintain the stability of the fracture and promote fracture healing.

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Written by Li Jie

Orthopedics

1min 24sec

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How is a fracture treated?

The treatment of fractures involves three main principles: reduction, fixation, and functional exercise. First and foremost, a perfect reduction is required after a fracture. If the alignment of the fracture is not satisfactory, the fracture may require either closed or open reduction. After a successful closed reduction, if the fracture position is stable, fixation should be considered. Generally, following a successful closed reduction, a local application of a cast or splint can be done for external fixation. If the results of closed reduction are not satisfactory, surgical open reduction may be needed. In such cases, internal fixation, possibly with steel plates, steel pins, or intramedullary nails among other methods, is necessary. These first two points cover the need for reduction and effective fixation—including both external and internal fixation. After proper fixation, the fracture can gradually heal. During the healing process, active functional exercises are needed to prevent muscle atrophy and joint adhesion. To avoid disuse of the limb, muscle atrophy after removing the cast, whether it be a leg or an arm, functional exercises are imperative. Thus, the three principles of fracture treatment are reduction, fixation, and functional exercise, requiring professional care by medical experts in accredited hospitals.

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Written by Lv Yao

Orthopedics

33sec

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Post-fracture sequelae

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 Cheng Bin

Orthopedics

55sec

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Principles of Fracture Treatment

Usually, the treatment principles for patients after a fracture are mainly reflected in the following aspects: First, it is necessary to actively reposition displaced fractures, as continuously misplaced fractures can easily lead to nonunion or malunion later on. It is crucial to actively perform manual repositioning or consider open reduction and internal fixation surgery. Second, strict rest and immobilization must be adhered to, as these provide the best conditions for fracture healing. During the treatment period, patients can take non-steroidal anti-inflammatory analgesics and medications that promote fracture healing. Third, once callus formation begins in the later stages, diligent functional exercises are necessary. (Please use medications under the guidance of a doctor)

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Written by Dai Ru

Orthopedics

44sec

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How to immobilize a fracture

Fractures, based on the method of fixation, can be divided into external fixation and internal fixation. External fixation can further be divided into various methods, commonly including plaster fixation, small splint fixation, external fixator brace fixation, orthotic fixation, and traction fixation, among others. Internal fixation, depending on the type of internal fixation device used, can be divided into steel plate screw fixation, simple compression screw fixation, intramedullary nail fixation, etc. Regardless of the type of fixation, the main purpose is to maintain the stability of the fracture and promote fracture healing.

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Written by Guan Yu Hua

Orthopedic Surgery

53sec

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How long should one stay in bed with a rib fracture?

Rib fractures are mostly caused by trauma, such as direct or indirect force. Radiographic examination can basically confirm the diagnosis. A single rib fracture generally requires no intervention or special treatment, just immobilization is sufficient. However, strict bed rest is necessary. Typically, immobilization for about four weeks is needed until callus formation occurs. During this period, you should avoid deep breathing, heavy breathing, or coughing, and stay away from cooking fumes and smokers. Such irritative coughing might cause pain. A rib fracture will likely also result in intercostal neuralgia, which can be very troublesome and prolong the pain. However, fractures generally fully heal within eight to ten months. They can gradually heal without issues, but it is best to rest in bed for a month.