Is a comminuted fracture of the hip bone serious?

Written by Guan Jing Tao
Orthopedics
Updated on September 27, 2024
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The answer is definitely yes. A comminuted fracture of the hip bone can affect the stability of the pelvic ring, thus absolute bed rest is necessary, and surgical treatment may be needed when required. Especially in middle-aged and elderly people, early ambulation after surgery can help avoid various complications that can arise from prolonged bed rest, such as three to six months, or even more than half a year, which could exacerbate complications in the elderly and even be life-threatening. Therefore, comminuted fractures of the hip are relatively severe and require active surgical treatment. Post-surgery, appropriate bed rest is also needed, and it is advisable to use a pulsating air mattress to prevent potential complications like pressure sores, and appropriate body massages should be performed to prevent the occurrence of lower limb venous thrombosis. Additionally, turning and patting on the back should be performed to prevent dependent lung pneumonia.

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Written by Cheng Bin
Orthopedics
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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.

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Written by Wang Cheng Lin
Orthopedics
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Why can't it rotate five months after a comminuted fracture of the humerus?

Five months after a comminuted fracture of the humerus, the inability to rotate is due to the lack of early functional exercise post-fracture, leading to severe adhesions in the joint and upper arm muscles, which significantly restrict rotation. This condition can be gradually recovered through later functional exercises, slowly tearing apart the adhered muscles, and increasing the range of motion of the humerus. It is recommended that patients seek rehabilitation treatment in the physical therapy department of a hospital. Additionally, various physiotherapy methods can be used to improve local blood circulation, promote muscle healing, relieve joint and muscle stiffness, and methods such as electrotherapy and magnetotherapy can also be applied to assist in improving the rotational capacity.

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Written by Wang Cheng Lin
Orthopedics
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Is a comminuted fracture of the iliac bone serious?

Iliac fractures are assessed based on the severity of the fracture. Generally, there are two types of iliac fractures. The first type is a linear fracture. If this linear fracture does not involve the joint surface and is a simple, non-severe linear fracture, a plaster cast can be sufficient for complete recovery, usually within about two months. The second type is a comminuted fracture, where the fracture ends affect the joint surface; in such cases, surgical treatment may be required to restore the smoothness of the joint and stabilize the fracture pieces, with a recovery time generally ranging from two to three months. Therefore, a comminuted patellar fracture is generally very serious and typically requires surgery. This is because comminuted patellar fractures are likely to lead to the most common form of post-traumatic arthritis, resulting in pain during activity later on.

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Written by Na Hong Wei
Orthopedics
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Is a comminuted patellar fracture serious?

Patellar comminuted fractures are usually quite severe because once the patella is shattered, it can no longer guarantee a smooth cartilage surface. Moreover, the more severe the fragmentation, the harder it is to restore smoothness. If the smooth surface is not well restored, certain conditions can arise. The first is post-traumatic arthritis, the second is patellar chondromalacia, and the third is patellofemoral arthritis. Therefore, patellar comminuted fractures usually require open reduction and internal fixation surgery. In this surgery, it is crucial to align the cartilage surface of the patella as accurately as possible, making the joint surface as smooth as possible, and then fasten it securely with wire loops or tension bands. If the patellar fragmentation is particularly severe, and it's impossible to restore the integrity of the cartilage surface, it may be considered to remove the patella. If feasible, a prosthetic patella can be installed. If not, the ligaments and joint should be repaired, and then functional exercises should begin three to four weeks post-surgery, although this method of surgery typically results in weakness in extending the knee on the affected side.

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How long does it take for a comminuted tibial fracture to heal?

The healing time for comminuted fractures of the tibia generally takes about three months, but it still depends on the method of treatment. Generally, there are two methods for treating a comminuted fracture of the tibia: The first method is conservative treatment, which involves using casts or braces to immobilize the affected limb. Generally, the healing time for this method is about three months. The second method is used when there is significant displacement at the fracture site, such as obvious shortening, rotation, or deformity, which then requires surgical treatment. After surgery, the healing time may take about three to four months. Additionally, severe comminuted fractures can disrupt the blood circulation at the fracture site, leading to poor local circulation and a condition called delayed union, where healing might take about six months. Another scenario involves extremely severe disruption of the blood circulation at the fracture site, leading to nonunion where the fracture ends do not heal together at all. Generally, this requires about a year of observation. If after one year the fracture ends still haven't healed, a second surgery might be necessary. However, for most comminuted fractures of the tibia, the general healing time is about three to four months.