Internal Fixation For Fractures
Most simple fracture can be resolved by casting and immobilizing the bone. However, fractures in which the bone is widely separated or broken into numerous pieces may require open reduction and internal fixation. Below, we’ll look at the uses and types of internal fixation for fractures.
Fracture Basics
Dr Marans MD
A fracture occurs when a bone sustains a break or crack. Most fractures are relatively limited. For example, athletes might develop stress fractures, or hairline fractures may occur after trauma. On the other hand, some fractures are complex, featuring breaks in multiple parts of the bone or a complete separation between two parts of the bone. In some cases, part of the bone may puncture the skin.
Fractures can cause severe conditions if left untreated, including compartment syndrome. Therefore, prompt intervention is essential.
Internal Fixation for Fractures
Complex fractures may require open reduction and internal fixation. As opposed to simple casting and immobilization, internal fixation for fractures which are complex is associated with better outcomes and reduced hospital stays.
During this process, the physician sterilizes and opens up the area around the broken bone. Then, the doctor sets the bone in its proper position (open reduction). The bone is then fixed in its appropriate place using screws, rods, or plates (internal fixation).
The implants used in internal fixation are:
- Plates – Internal splints that hold the bone together. Attached to the bone with screws.
- Screws – Most common internal fixation device. Can be used alone or in conjunction with other devices. Come in a variety of sizes and shapes to be used on different types of fractures.
- Rods – Inserted through the hollow center of a bone that contains marrow. Used to treat most thigh and shin fractures.
- Pins – Used for fractures where screws would be too large. Also used in conjunction with othe types of internal fixation.
After internal fixation for fractures, the patient stays in the hospital for 1-7 days. The bone will remain in a cast or otherwise immobilized for several weeks. After the cast comes off, the patient will receive physical therapy to regain strength and mobility.
What to Do After a Fracture
After sustaining a fracture, seeking medical treatment immediately is essential. Symptoms of fractures include severe pain, inability to move a body part, and visibly or palpably deformed bone. In severe cases, part of the bone may stick out. Once the patient is in the hospital, treatment will proceed rapidly. Internal fixation is usually performed on the same day as the fracture was sustained.
Dr. Marans is the best doctor providing internal fixation for fractures in the Orange County area. Dr. Marans would be happy to meet with you about your fracture or other orthopedic problem. To schedule a consultation with Dr. Marans, please click below and enter your information or call OC Orthopedic at 714.979.8981.