Can a fracture be moved?

Written by Li Jie
Orthopedics
Updated on September 19, 2024
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Bone fractures, as the name suggests, refers to a crack-like fracture in a bone. Although it is a simple fracture and the bones are not obviously displaced, maintaining proper alignment is still important. However, a fracture does represent a change in the continuity of the bone. If effective repositioning and fixation are not carried out, displacement of the fracture can occur. Therefore, it is generally advised for patients to use a cast or a brace for external fixation. If the patient moves frequently without effective fixation, the crack fracture may develop into a displaced fracture. Once a displacement occurs, it can become complicated, potentially requiring surgical treatment. Therefore, patients with bone fractures are advised to rest and avoid vigorous activities, and to ensure effective repositioning and fixation.

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Written by Lv Yao
Orthopedics
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Will a bone fracture cause swelling?

A bone fissure is actually a type of fracture. It refers to the occurrence of a fissure fracture in the cortex of the bone, but the stability of the bone remains intact. A bone fissure can also present symptoms such as localized pain, swelling, and restricted movement. Following a bone fissure, there will be localized bleeding, and the surrounding soft tissues may also be damaged, contributing to swelling. Therefore, in the early stages of a bone fissure, it is advisable to immobilize and rest the affected area. Cold compresses can be applied to reduce local blood flow, thereby easing bleeding and alleviating swelling.

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Orthopedics
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Post-fracture sequelae

For the sequelae of bone fractures, usually, patients who have sustained a fracture will not have sequelae if they actively cooperate with treatment. However, if treatment is improper, a series of sequelae can easily occur, with the most common manifestations being the following. First, after the fracture, if there is no active and strict attention to rest, protection, and immobilization, later muscle traction can cause displacement at the site of the fracture, leading to deformity healing and affecting the patient's normal function. Second, after a fracture, due to prolonged inactivity, the joints may become stiff and the muscles may contract. When it becomes possible to exercise later, patients may exercise insufficiently due to fear of pain, resulting in very poor joint mobility, which affects the normal function of the patient. Third, for fractures in some special areas, such as a femoral tibial fracture, this may lead to avascular necrosis of the femoral head in patients.

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Written by Lv Yao
Orthopedics
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Can a bone fracture heal by itself?

A bone fissure is actually a type of fracture where there is a crack in the cortical bone, but the stability of the bone is maintained. Symptoms of a bone fissure can include pain, swelling, and limited mobility. Therefore, it should be treated like a fracture, for example, by properly immobilizing and resting the area which can promote the healing of the fracture. As long as proper immobilization and rest are ensured, a bone fissure can heal on its own. However, it is crucial to monitor the blood supply around the fracture and the swelling to avoid symptoms of compartment syndrome. It is also important to pay attention to the joints at the distal end of the affected limb to prevent joint stiffness after prolonged immobilization.

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Written by Cheng Bin
Orthopedics
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How to care for a bone fracture?

For patients with bone fractures, it is fortunate if there is no displacement. They must strictly use orthopedic casts or splints for external fixation. This effectively prevents the possibility of displacement at the fracture site and aids in the healing of the fracture. For patients with significant swelling, try to elevate the affected limb to facilitate venous return and reduce swelling. Use of non-steroidal anti-inflammatory and pain-relieving drugs, drugs that promote blood circulation and remove blood stasis, and drugs that promote fracture healing is appropriate. In terms of diet, nutrition should be enhanced, and spicy and irritating foods should be avoided, as well as smoking and alcohol, as these can affect the healing of fractures.

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Written by Cheng Bin
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How long does a bone fracture hurt?

Usually, for patients with bone fractures, it takes about one to two weeks of pain. This is because as time goes on, the local area enters the fibrous connection phase, which offers better stability, so the pain gradually subsides. For early-stage pain symptoms, if they are unbearable, one can still choose to treat them with medication. For instance, applying topical ointments that invigorate blood circulation and dissipate stasis, taking oral non-steroidal anti-inflammatory and pain-relieving drugs, and administering pain relief injections can all alleviate the pain symptoms of patients with bone fractures. Additionally, for patients with fractures, promoting rapid recovery of the fracture is very crucial, and strict rest and protection are key. (The use of medications should be under the guidance of a professional doctor.)