Fractures are categorized into several types.

Written by Na Hong Wei
Orthopedics
Updated on March 28, 2025
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In short, fractures can be classified into the following types:

First, based on the integrity of the skin and mucous membrane at the fracture site, it can be classified into closed fractures and open fractures.

Second, based on the shape and degree of the fracture. It can be categorized into oblique fractures, transverse fractures, spiral fractures, comminuted fractures, greenstick fractures, impacted fractures, compression fractures, and bone injuries.

Third, based on the stability of the fracture ends, it can be classified into stable fractures and unstable fractures. Among unstable fractures, these include oblique fractures, spiral fractures, and comminuted fractures. Thus, fracture classification fundamentally falls into these major categories.

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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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Is the fracture serious?

A fracture is when the integrity and continuity of the bone is compromised, resulting in symptoms such as pain, swelling, limited mobility, and deformity. The severity of a fracture depends on the extent of bone displacement, the location of the fracture, and whether there is associated damage to vital organs, blood vessels, or nerves. If the fracture is a simple one with minor displacement, it generally is not very serious. Appropriate repositioning can be selected, followed by brace support or plaster cast external fixation to facilitate bone healing. If the fracture is accompanied by significant damage to important blood vessels, nerves, or organs, and there are multiple fractures, this type of fracture is considered more serious. It could lead to shock from bleeding caused by the fracture, which can be life-threatening.

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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.

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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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When does new bone grow after a fracture?

A fracture refers to the destruction of the integrity and continuity of bone, presenting symptoms such as localized pain, swelling, restricted movement, and deformity. Appropriate treatment should be chosen based on the extent of displacement and whether there is associated damage to significant blood vessels or nerves. Bone healing is a prolonged process. About two weeks post-injury, there will be an increase in osteoclast activity at the site, clearing away the necrotic ends of the fractured bone, thereby stimulating the formation of new bone. Approximately four to six weeks later, there will be a significant proliferation of osteoblasts, leading to the formation of new bone callus. Thus, new bone growth begins around four to six weeks after the fracture.