Complex Trauma/Fracture Surgery

Fractures of the pelvis, upper and lower extremities, and post-traumatic orthopedic conditions can be treated with surgical and nonsurgical procedures, depending on the condition. Common nonsurgical treatments include: Immobilizing devices such as casts, splints, braces, and traction.

Complex Fractures. A broken bone is considered a complex fracture when the break is more severe than a routine fracture. Damage usually includes injury to multiple bones, joints, ligaments, and tendons and requires intensive treatment and rehabilitation.

A traumatic fracture is caused by some type of accident, fall, or other kind of force. A pathologic fracture is a broken bone caused by disease, such as osteoporosis or cancer.

Accidents can cause serious injuries all over the body, shattering and/or breaking multiple bones, often in several places. Treatment of these "complex” or “high energy” fractures is complicated. Helping these patients is not just a simple matter of repairing a broken bone.

Types of Complex Trauma/Fracture Surgery

Intra Articular Fractures [Around The Joint]

Articular shoulder fractures can be divided into glenoid fractures, following a high-energy direct blow on the joint, and glenoid rim fractures, following traumatic dislocations. Intra-articular fractures and subluxation/luxation Intra-articular fractures cause a roughened, irregular or incongruent articular surface, depending on the location and fragment displacement. A fracture line extending into the joint is usually visible.

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Trauma to the shoulder is common. Injuries range from a separated shoulder resulting from a fall onto the shoulder to a high-speed car accident that fractures the shoulder blade (scapula) or collarbone (clavicle). One thing is certain: everyone injures his or her shoulder at some point in life. The shoulder also has one articulation, which is the relationship between the scapula (shoulder blade) and the chest wall.

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An olecranon fracture is a break in the bony "tip" of the elbow. This pointy segment of bone is part of the ulna, one of the three bones that come together to form the elbow joint. It can break easily if you experience a direct blow to the elbow or fall on an outstretched arm. A fracture can be very painful and make elbow motion difficult or impossible. In most olecranon fractures, however, the pieces of bone move out of place when the injury occurs.

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Wrist fractures are diagnosed using a combination of diagnostic studies, such as X-rays, and a physician examination. It is necessary to perform an X-ray of the wrist, often from several angles, to assess bones. In more complex injuries or in cases where X-rays do not give adequate information, an MRI or CT scan may be required. It is not unusual to have associated injuries, such as ligament tears, associated with a wrist fracture.

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Fractures are serious orthopedic injuries, usually resulting from significant trauma. Acetabular fracture surgery realigns and stabilizes the displaced joint surfaces while allowing the patient to avoid traction and prolonged bedrest. Acetabular fractures can result from falls, automobile accidents or other traumatic events. The fracture causes pain in the hip area and the inability to walk without assistance.

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Fractures of the thighbone that occur just above the knee joint are called distal femur fractures. The distal femur is where the bone flares out like an upside-down funnel. Distal femur fractures most often occur either in older people whose bones are weak, or in younger people who have high energy injuries, such as from a car crash. In both the elderly and the young, the breaks may extend into the knee joint and may shatter the bone into many pieces.

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The most common sites for bone fractures are the wrist, ankle and hip. Treatment includes immobilising the bone with a plaster cast, or surgically inserting metal rods or plates to hold the bone pieces together. Some complicated fractures may need surgery and surgical traction. Acute ankle fractures are one of the leading pathologies disturbing ankle congruence.

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