Is a pelvic comminuted fracture serious?

Written by Cheng Bin
Orthopedics
Updated on September 19, 2024
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For comminuted pelvic fractures, the condition is very serious, demonstrating that the external force involved was quite significant. It causes a disruption in the continuity and integrity of the bone. The patient will exhibit localized pain and swelling, and restricted movement in the affected area. Pressing on the area will produce a distinct bone crepitus or feel, and there might be extensive subcutaneous bruising. For comminuted pelvic fractures, the primary treatment is usually surgical. It is essential to conduct thorough preoperative examinations to exclude any surgical contraindications, and then proceed with the open reduction and internal fixation surgery under general anesthesia.

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Written by Cheng Bin
Orthopedics
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Sequelae of comminuted fracture of the humerus

Regarding the sequelae of comminuted fractures of the humerus, in clinical practice, if treatment for humerus comminuted fractures is proactive and patients diligently engage in functional exercises without any nerve damage, most patients will not experience any sequelae. However, if treatment is improper, a series of sequelae can often occur, mainly reflected in the following aspects: First, if there is accompanying nerve damage that is very severe, it can cause patients to experience sensory disturbances or motor function impairments. Second, poor repositioning of comminuted fractures can lead to nonunion or malunion of the fracture, affecting normal functions of the patient. Third, long-term immobilization in the later stages can cause joint stiffness. When patients eventually start exercising, fear of pain may lead to insufficient exercise, resulting in very poor joint mobility, thereby affecting normal functions.

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Written by Lv Yao
Orthopedics
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Is a comminuted fracture of the tibia serious?

A comminuted fracture of the tibia is defined as a fracture where there are three or more fracture fragments, termed a comminuted fracture. The severity of a comminuted fracture of the tibia depends on the location of the fracture. If the fracture is located at the epiphyseal end, where there is abundant blood supply, healing may occur more quickly. However, if the fracture is accompanied by surrounding soft tissue injuries, the healing process can be very slow. If the fracture occurs in the middle to distal third of the bone, where the blood supply is more limited, healing can be slower compared to simple transverse fractures, and the prognosis may vary depending on the choice of treatment method.

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Written by Su Zhen Bo
Orthopedics
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Why are elderly people prone to fragility fractures?

In clinical settings, elderly individuals commonly experience comminuted fractures, primarily due to their reduced levels of physical activity, which can lead to the loss of proteins, calcium, minerals, and moisture in the bones. This reduces bone strength and density, and if they have osteoporosis, bones can easily break into pieces when subjected to external force. Therefore, it is crucial to apply proper treatment methods promptly after a comminuted fracture occurs. This can involve manual reduction, external fixation, or surgical treatment such as open reduction and internal fixation. Postoperatively, treatments like electrotherapy and physical therapy, along with oral calcium supplements and bone-healing medications, can facilitate recovery. Nutritionally, it is beneficial to consume foods rich in proteins and calcium to aid in the healing of fractures.

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Written by Na Hong Wei
Orthopedics
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How long does it take to walk normally after a comminuted patellar fracture?

If the surgery is performed without any issues, you can start normal knee flexion and extension exercises about three days after the surgery. Then, about a week later, you can begin walking with the aid of crutches. At six weeks post-surgery, you should return to the hospital for a follow-up. If there is continuous callus formation along the fracture line, you can walk normally. However, you need to be cautious at this time, as the fracture healing is not very solid, and it is best to avoid vigorous activities. Activities like running and jumping should be postponed until about three months later. Therefore, for patellar comminuted fractures, you can generally walk normally between six to twelve weeks after the surgery.

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Written by Cheng Bin
Orthopedics
43sec home-news-image

Is a pelvic comminuted fracture serious?

For comminuted pelvic fractures, the condition is very serious, demonstrating that the external force involved was quite significant. It causes a disruption in the continuity and integrity of the bone. The patient will exhibit localized pain and swelling, and restricted movement in the affected area. Pressing on the area will produce a distinct bone crepitus or feel, and there might be extensive subcutaneous bruising. For comminuted pelvic fractures, the primary treatment is usually surgical. It is essential to conduct thorough preoperative examinations to exclude any surgical contraindications, and then proceed with the open reduction and internal fixation surgery under general anesthesia.