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Fracture: Symptoms,Treatment, Procedure, Recovery and Side Effects

Last Updated: Oct 04, 2021

What is a fracture?

A fracture is a broken bone and requires immediate medical attention. First of all, stop the bleeding by applying pressure with a sterile bandage or clean piece of cloth. Do not try to realign the displaced bone yourself. Leave it to the professionals. Apply ice packs to relieve the pain and reduce swelling.

What are the 4 types of Fractures?

Depending upon the type of bone and its damage, there are different types of Fractures, but here are the 4 types of Fractures which quite common amongst Fracture patients:

  1. Stable Fracture:

    The damage of the bone affects the bone line up making it out of shape but in its significant place.

  2. Compound Fracture:

    In this case, the broken bone gets out of its alignment making an exit from the muscles to the surface of the skin. The bone may not be visible from the wound, but it has made a tear in the skin.

  3. Transverse Fracture:

    This type of Fracture does not get displaced from its original site but rather gets horizontally aligned with each other in the same place.

  4. Oblique Fracture:

    One of the most dangerous Fractures, this breaks the bone to such an extent that it will lose its stability to be straight and get dislocation at different angles.

How can you tell the difference between a sprain and a Fracture?

With the help of imaging testing like X-ray and MRI, a medical professional can determine the difference between the two.

Other than medical diagnosis, it is almost impossible to identify whether the injury is a Fracture or a sprain as they both show the same types of surface symptoms which include pain and swelling in the affected area.

What causes a fracture?

The cause of fracture can be injury, trauma or diseases that weaken the bones. If the pain in your affected area increases or goes through loss of functionality, it is a sign of fracture and must be thoroughly looked into. Some fractures can be treated by medications while others may need surgeries and therapies.

What is the treatment for a fracture?

The doctor will first make you go through a bone x ray to find out the exact position of the fracture and its severity. You may then, be prescribed with some over the counter medications like acetaminophen and ibuprofen. They help in reducing pain and inflammation. Immobilizing is really important to start the process of healing.

The treatment begins with setting a splint or cast to immobilize the affected area. If your bones are displaced, the doctor will need to manipulate and put the pieces back into their proper position before setting a splint or cast. You may need to use crutches or cane to keep weight off the affected area for a few weeks. In extreme cases, surgery may be needed to implant internal fixation devices like plates, rods or screw to help bones maintain a proper position while healing.

Who is eligible for the treatment?

If you have had a bone injury and are experiencing increased pain and swelling in the affected area, you must immediately seek medical help.

Who is not eligible for the treatment?

Some pains can be treated by consuming over the counter medications and applying anti inflammatory ointments or gels. Not every pain is fracture pain. Consult a doctor and get x ray before getting a splint or cast.

Does a Fracture hurt while healing?

Yes, during the healing process one may feel pain and swelling. Depending upon the stage and severity of the case, Fracture pain can be divided into three categories:

  1. Acute pain:

    May resemble a sudden sharp pinching pain within a short time span. Generally occurs right after the Fracture when your nerves start to send signals of damage. This will fade away once the healing process takes place. In case returns post-treatment, it is advisable to seek medical attention immediately.

  2. Sub-acute pain:

    It is often felt at the initial stages of Fracture treatment, which can extend its duration for weeks. As the bone heals the pain starts to fade away. It may escalate in case one puts pressure on the broken bone. It is also common during post-Fracture physical exercises.

  3. Chronic pain:

    Rare form of pain in case of Fracture as it occurs only in few patients. This happens in cases where the Fracture is healed but the trauma that causes the Fracture scares other parts of the body in the same region.

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Are there any side effects?

Keeping the affected area in a splint or cast for a few weeks may cause stiffness in muscles. This can be managed by regular exercises. It may even cause difference in the colour of your skin temporarily.

What are the post-treatment guidelines?

Go for physio therapy sessions after the cast or splint is removed. These sessions help you in regaining the mobility of your affected areas. Practice the exercises suggested by the therapist on your own as well.

Can you walk on a Fractured foot?

If the Fracture in the foot does not involve any damage to the soft tissues or nerve, one may be able to walk on a Fractured foot.

Even though it's possible, it is advisable not to do so as it put more pressure on the broken bone which can make the pain and injury worse.

How long does it take to recover?

The cast or splint is removed after 3-7 weeks, depending on the severity of your condition. It may take two to three weeks to regain the mobility after it is removed.

Can a Fracture heal by itself?

In minor cases where the Fracture is mild, it can heal itself because the genetic nature of the human body is designed to heal itself in case of any internal or external damage.

Even in the case of heavy damage, they will initiate the process of healing but if the damage is too much; It can cause life-threatening conditions if they do not get medical attention on time.

What are the 4 stages of Fracture healing?

After the diagnosis and application of optimum treatment has been initiated, the healing process will take place in 4 steps:

  1. Hematoma Formation:

    When a bone gets damaged, the blood and its vessels also get affected by the trauma. During the first week of post-Fracture, the hematoma present in the blood creates clots and forms a protective layer around the broken bone to start the process of natural healing.

  2. Fibrocartilaginous Callus Formation:

    At this stage, the hematoma layer on the broken bone starts to release natural chemicals which trigger the development of collagen-rich fibrocartilaginous networks around the broken edges. The process usually occurs in the second week post-Fracture.

  3. Bony Callus Formation:

    In the third stage of Fracture healing, the enzyme present in hematoma proceeds to endochondral ossification. And since the rupture in the blood vessels has been repaired by this stage, the blood will start to supply essential vitamins and minerals to initiate the process of calcification. The process generally gets started in the middle of the second week which can take 10-12 days to end.

  4. Bone Remodeling:

    Final stage of healing, which only includes the remodeling and placement of bone at its original site. This process also includes the restoration of muscles, vessels, and soft tissues that have also been damaged with the bone. In general cases, it can last up to 2-3 weeks, but in rare cases, it can take months or even years for the complete restoration.

What is the price of the treatment in India?

One session of consultation with a doctor may cost you between ₹500 - ₹900. The price of x ray is around ₹700 - ₹1500, depending on the area affected. The cost of treatment may come up to ₹3000 - ₹4000.

Are the results of the treatment permanent?

The results of the treatment are mostly permanent. In some cases, the condition may recur if you face injury in the same area again.

Which food is good for bone Fracture?

Foods that are beneficial during Fracture treatment are:

  • Protein:

    Foods like dairy, nuts, and seeds, animal products can help you boost your protein level and make your bone repair more efficient.

  • Calcium:

    One of the key components of bone formation, calcium-rich foods will speed up the recovery process. Apart from dairy products, consumables like broccoli, salmon, kale, turnips, etc are also good sources of calcium.

  • Vitamin D:

    Even though vitamin D does not have any direct effect on the overall healing process of bones, they are known to increase the efficacy of blood to carry and supply more calcium to the body. For those who are not able to get Vitamin D from the sun, they can add food items like swordfish, egg yolks, fortified yogurt, and orange juice to maintain their vitamin level.

  • Vitamin C:

    Another form of indirect helper, vitamin C boosts the development of collagen in the body which helps you repair your bones faster. Citrus fruits are enriched with vitamin C.

  • Iron:

    Blood cells are the regulators of every vitamin and mineral in our body. In some cases of Fracture one may lose blood which can hamper the process of healing. Consumption of iron-rich foods like poultry products, whole-grain bread, dried fruits, and green leafy vegetables can increase the level of healthy blood cells making your body more efficient for the treatment.

What are the alternatives to the treatment?

There are no alternatives to mend the bones but you can relieve the pain with some home remedies. Take proper rest. Do not exert pressure on the affected areas. Put ice packs 3-4 times a day to reduce inflammation. Take care of your diet. Follow a nutritious and healthy diet so that your body is able to help the bones regain their strength.

Summary: Fracture can be described as a state of bone damage that causes abnormalities in its structure and strength. Its treatment usually involves the repair of the broken bone and the damage caused in the surrounding organs.

References

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Written ByDr. Sidharth Verma PDCC - Pain Management,MD - Anaesthesiology,DNB Anaesthesiology,MBBSOrthopaedics
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