Fracture Reduction: A guide to the risks and rewards of the surgery

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Fracture reduction might seem like a misleading term. It is a surgery used to align a fracture or dislocation rather than reduce or remove any part of the bone structure. When a fracture occurs, the bones are displaced. A fracture reduction surgery reduces this displacement by properly aligning the bones and placing the bone shards anatomically correctly.

A fracture reduction surgery is of two types – open reduction and closed reduction methods. The method is used based on the complexity of the fracture.

Closed Fracture Reduction

This the type of fracture reset that we are most familiar with. The orthopedic doctor will order a few imaging tests in order to determine the nature of the fracture. If the fracture is a clean one, then your doctor will reset it without opting for a surgery and keep it in a cast for a few weeks. This type of method is very popular with pediatric fractures as they have high remodeling potential.

Open Fracture Reduction

This type of reduction involves opening up the fracture surgically and reducing the displacement. There are several reasons why your surgeon will choose to opt for an open fracture reduction.

  • Open fracture reduction is opted for if closed fracture reduction does not work.
  • Fractures that are highly unstable and need more support to stay in position will need open fracture reduction.
  • Fractures that are displaced by more than 2mm.
  • Fractures that are large and have affected the functioning of muscles and ligaments to the extent that they have sustained some form of damage.
  • Fractures that involve the pelvis, femur or spine.
  • Open fractures

Prep for Surgery

It is important that you get all the details, like the best fracture reduction surgeons in Mumbai, it is also important that certain factors are taken care of. If you have any other medical conditions or trauma to other body organs, then those issues will have to be resolved first. Sometimes, an internal medicine specialist will be consulted along with the anesthesiologist in order to draw up the best surgical plan for you and your medical health.

You will be given antibiotics before the surgery in order to ensure that your immune system is bolstered against any infection picked up during the surgery.

Internal Fixation with Open Reduction

In such a case, the surgeon will first make sure that she has adequate access to the fracture site along will ensuring that there is minimum soft tissue damage. Once the fracture has been reduced, your surgeon will then stabilise the fracture in order to maintain the reduction. For this purpose, she can employ a number of fixation elements.

Kirschner wires or K-wires are used temporarily and in conjunction with plates or screws as K-wires provide poor stability against rotation. Plates and screws are the most commonly used, especially for articular fractures. They come in a variety of types depending on their functionality. Intramedullary nails are used as an internal splint that helps share the load with the bone. They also help reduce rotation.

Postoperative care involves the proper dressing of the wound as well as removal of the stitches. Some fractures require that it remain placed in a cast or splint. Post-surgery follow-up is important as is any physiotherapy in order to return to full mobility.

You can use online portals such as PSTakCare to compare doctors online especially to find surgeons of good repute who will perform fracture reduction surgery in Mumbai. Once you have seen the available fracture reduction surgeons, then you can use the same online platform to book your surgery.