Bone fracture therapy

How is a bone fracture treated?

In order for the broken bone to heal, both bone ends must be put together so that they are in the correct anatomical position (reposition) - otherwise results in a movement restriction or a nodule - and between them no larger gap arises, otherwise no new bone tissue built becomes.

Bone healing takes some time in which the bone has to be immobilized (retention and fixation). This usually happens with simple fractures with a rigid bandage made of plaster or similar materials.

Surgery for complicated fractures

Complicated fractures are often operated, and the bone fragments are joined together with special wires, nails, screws and plates to restore the exact anatomical shape. Often, the interior of the bone is used to anchor extra thick screws. These metallic aids cause the bone to be stabilized afterwards so far that it can be loaded to a limited extent.

Especially for elderly patients with a femoral neck fracture, this rapid mobilization is often life-saving - in the past, many elderly patients died as a result of long bed-rest (for example, pneumonia) following a femoral neck fracture.

What are the complications?

If the bone fracture is not sufficiently sedated, the bone ends are not in firm contact with each other, or move back, the body can not build new bone tissue in the fracture site. He builds inferior tissue in the bone gap, which slowly converts to stable bone tissue.

This secondary bone healing can take up to two years. If left undone, it creates a so-called pseudarthrosis, that is, an unstable bone area that causes pain and restricted mobility. Especially with open fractures there is a risk of bone inflammation (osteitis, osteomyelitis), which requires a lengthy treatment and can lead to the fact that the bone does not grow together.

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