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

Written by Wang Cheng Lin
Orthopedics
Updated on September 30, 2024
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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.

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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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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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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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Post-traumatic sequelae of femoral head comminuted fracture

A comminuted fracture generally refers to a fracture with more than three fragments. When a comminuted fracture occurs in the femoral head, it is also a type of intra-articular comminuted fracture. Generally speaking, after the fracture is reduced and stabilized, there can be some damage to the joint surface as well, leading to unevenness of the joint surface and a higher chance of developing postoperative traumatic arthritis. There is also a possibility that the comminution of the femoral head fracture could affect the blood supply to the femoral head, leading to ischemic necrosis of the femoral head. After treatment for the fracture injury, there will inevitably be some impact on postoperative function. Therefore, after a comminuted fracture of the femoral head, the first sequelae to appear is usually traumatic arthritis, followed by ischemic necrosis of the femoral head, and thirdly, symptoms of restricted movement in the hip joint may occur.

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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.