Can a pelvic comminuted fracture cause paralysis?

Written by Lv Yao
Orthopedics
Updated on September 04, 2024
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A pelvic fracture generally includes avulsion fractures, in which the pelvis remains stable, while other types of fractures tend to be comminuted fractures.

Whether paralysis occurs following such a fracture depends on whether there is nerve damage. If there is no significant nerve damage, paralysis is generally unlikely; however, if the fracture is accompanied by nerve damage, such as damage to the sacral nerves causing numbness and limited mobility, it may significantly impact function, especially of the lower limbs. Therefore, it is advised to seek treatment in the orthopedic department of a reputable hospital if a pelvic fracture occurs.

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Written by Na Hong Wei
Orthopedics
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How long after a patellar comminuted fracture can one start walking?

Patellar comminuted fractures generally require surgical treatment. If the surgery goes well, patients can start moving around with the aid of crutches one week after the surgery. Initially, changing positions is not allowed. Generally, patients can start by placing the toes on the ground two weeks post-surgery, followed by the middle part of the foot, and finally the heel. This progression occurs from two to six weeks after the surgery.

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Written by Lv Yao
Orthopedics
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How to treat a lumbar compression fracture

A comminuted fracture has occurred in the lumbar vertebrae, and the treatment method should be chosen based on the degree of displacement of the fracture, that is, the occupancy within the spinal canal and the extent of compression of the lumbar fracture. Generally speaking, if there is significant compression inside the spinal canal, and the height of the vertebral body of the lumbar spine is also greatly compromised, surgical intervention is necessary to restore the height of the vertebral body. If necessary, decompression inside the spinal canal should be performed to relieve pressure on the spinal cord, alleviate symptoms, and facilitate early functional recovery of the patient.

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Written by Na Hong Wei
Orthopedics
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How long does it take for a comminuted patellar fracture to heal?

If the patella is fractured into fragments, conservative treatment is usually not chosen, and surgical treatment is necessary. There are several surgical methods, but as long as the fixation is sturdy and the joint surface recovers well, normal life and work can generally resume in about six weeks. Typically, a follow-up at the hospital is needed in the fourth week or the twelfth week after surgery. If there are no issues at these check-ups, normal work and life can continue. However, the internal fixatives such as steel pins, wires, or memory alloy bone clamps should be removed within six months to a year post-surgery. It is generally recommended that the internal fixation devices be removed around thirteen months after surgery when the patella has healed well, and the knee joint function has been restored, allowing for a return to a normal life. So, for a comminuted patellar fracture, recovery to normal life typically takes about six weeks, and the internal fixation devices can be removed in about a year.

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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 Wang Cheng Lin
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How long will it take for a comminuted ankle fracture to heal?

Hello! You're asking how long it takes for a comminuted ankle fracture to heal. Generally, the healing time for a comminuted fracture in the ankle is about three months. Depending on your specific condition, you may need to have an X-ray to confirm if your ankle fracture has achieved bony union. If bony union has been achieved, you can then appropriately begin weight-bearing activities to promote blood circulation in the lower limbs and restore joint mobility. However, if the X-ray shows that bony union has not been achieved, it is absolutely crucial not to bear weight. Premature weight-bearing can cause the fracture ends to break again and shift, potentially necessitating a second surgery. So, generally speaking, the healing time for non-comminuted ankle fractures is also about three months, but it is essential to check the final X-ray to see if the fracture has healed.