How is a fracture treated?

Written by Li Jie
Orthopedics
Updated on September 24, 2024
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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 Cheng Bin
Orthopedics
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Symptoms of fractures

Patients with fractures typically exhibit marked pain symptoms locally, accompanied by local swelling and limited movement. Some patients may also present with fever as a clinical symptom. There might be clear signs of bone crepitus and a sensation of bone rubbing on palpation. In severe cases, deformities or abnormal movement may occur, which are common clinical symptoms of fractures. For the diagnosis of fractures, it is necessary to actively take a regular X-ray. For some occult fractures, it is essential to conduct a CT scan and three-dimensional reconstructive CT to confirm the diagnosis.

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Written by Li Xin
Pediatric Orthopedics
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What does a fracture feel like?

The feeling of a fracture, first and foremost, the most important clinical manifestation is pain. Of course, the intensity of the pain is related to the type of fracture. Generally, incomplete fractures or greenstick fractures are not as painful, but if the fracture is displaced, comminuted, or other types, the pain is more pronounced. The second manifestation is swelling; the area of the fracture will show obvious swelling and become quite enlarged. The third is tenderness, which means that touching or pressing on the area will result in noticeable pain. Fourth, there is a significant restriction of movement in the joints adjacent to the fracture site.

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Written by Li Jie
Orthopedics
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How to care for a rib fracture

For a rib fracture, first, the patient should pay attention to rest. Local effective and secure external fixation should be done. You can tie a chest band or a rib fixation band on the affected area to stabilize the fracture, which can effectively relieve pain and is beneficial for the healing and growth of the fracture. Then, in terms of diet, it is important to consume high-protein, high-energy, high-nutrient, low-fat, and easily digestible food, such as fish, milk, eggs, lean meat, shrimp shells, and some fresh vegetables. These foods are rich in nutrients and also contain a lot of calcium, which helps the healing of fractures. This is the method of recuperation for a rib fracture.

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Written by Cheng Bin
Orthopedics
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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 Li Jie
Orthopedics
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Symptoms of rib fracture

After a rib fracture, the main symptom is pain. This is because the intercostal nerves located in the rib area are very rich, making the pain quite intense. Especially when the patient coughs or sneezes, and when the abdominal pressure increases, the pain can get quite severe. Also, when the patient changes their position, such as moving from sitting to lying down, or from lying down to sitting up to standing, the pain is very apparent. Additionally, another sign that may appear is local crepitus or a sensation of bone rubbing. That is, when pressing with a hand, one might feel the rubbing of the fractured bone and hear a crackling sound under the hand. Moreover, a rib fracture could lead to the accumulation of fluid or air in the chest cavity. If there is fluid or air in the chest cavity, it can be accompanied by difficulties in breathing and poor respiratory function, shortness of breath, and other related symptoms. These are some common symptoms of rib fractures.