Orthopedic Injuries & Fracture Care
From wrist and ankle fractures to hip fractures and joint degeneration, orthopedic conditions determine how we move. Modern fracture fixation and joint replacement aim at one goal: early, stable motion — because immobility is what steals function.
Overview
Bone heals — but only when fragments are held in the right position with the right stability. Plates, screws, and intramedullary nails are internal scaffolds that keep fragments aligned while biology does the healing, allowing early movement instead of months in a cast. In joints destroyed by arthritis, replacement substitutes the worn surfaces with implants that restore pain-free motion. Osteoporosis makes fractures more likely and fixation more demanding, so bone health is part of every fracture plan, especially after a low-energy fracture.
Signs & Symptoms
- Pain, swelling, and deformity after injury
- Inability to bear weight on a limb
- Joint pain and stiffness that worsens with activity in arthritis
- Night pain in advanced joint degeneration
- A low-energy fracture (from standing height) — a signal to evaluate bone density
How It Is Diagnosed
X-rays diagnose most fractures and grade arthritis. CT clarifies complex or intra-articular fracture patterns for surgical planning. MRI reveals ligament, tendon, cartilage, and occult bone injuries. DEXA scanning measures bone density after fragility fractures.
Treatment Options
Non-operative care
Many stable fractures heal well in casts, braces, or boots with scheduled X-ray checks; physiotherapy restores strength and motion afterwards.
Internal fixation — plates and screws
Anatomically contoured locking plates hold fragments in position — especially valuable near joints and in osteoporotic bone — enabling early motion of the limb.
Intramedullary nailing
A nail placed inside the bone canal is the workhorse for long-bone fractures of the femur and tibia, sharing load so patients mobilize quickly, often bearing weight early.
Joint replacement
Hip and knee replacement reliably relieve pain of end-stage arthritis and restore function; implant choice and technique are tailored to age, anatomy, and activity.
Arthroscopy and sports procedures
Camera-guided keyhole surgery repairs menisci, ligaments, and cartilage with small incisions and focused rehabilitation.
Bone-health treatment
After fragility fractures, osteoporosis medication, calcium, vitamin D, and fall-prevention measures cut the risk of the next fracture — the most preventable orthopedic event.
When to See a Doctor
Deformity, inability to bear weight, or numbness after injury needs emergency assessment. Joint pain that limits walking, stairs, or sleep despite months of conservative care merits an orthopedic consultation.
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Frequently Asked Questions
How long does a fracture take to heal?+
Most fractures unite in six to twelve weeks, longer for large bones, smokers, or diabetics. Fixation does not speed biology — it holds alignment and allows the limb to move safely while healing proceeds.
Do plates and screws need to be removed?+
Usually not — titanium implants can stay for life. Removal is considered for irritation, infection, or specific functional reasons, typically not before the bone is solidly healed.
How long does a joint replacement last?+
Modern hip and knee implants commonly serve for decades, influenced by activity, weight, and bone quality. Registries track implant performance continuously, informing implant selection.
When can I walk after a hip fracture operation?+
Typically within a day or two — early mobilization is the explicit goal of modern fixation and replacement, because complications of bed rest are more dangerous than the surgery itself in older patients.
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