What happens if a fracture is dislocated prematurely?

What happens if a fracture is dislocated prematurely? Many fracture patients overestimate their recovery ability. Before the fracture is fully healed, they rush into a large amount of work, which prevents the fracture site from getting rest and causes healing deformities. Some fracture patients are too worried about their condition and dare not undergo rehabilitation training, which causes adhesion during healing. In fact, it is incorrect to remove the crutches too early or not to remove the crutches at all.

There are three stages of fracture healing:

1. Hematoma organization period: Within 1-2 weeks after the fracture, the fracture ends are initially connected by granulation tissue.

2. The initial callus formation period: 2-3 weeks after the fracture, the fracture ends are connected by fibrous callus.

3. Callus plasticity period: It usually takes 1-2 years, during which the bone structure is continuously reshaped and optimized to meet the needs of normal human activities.

Common human bone fracture healing time: Fracture healing has its own rules. Bones in different parts are subject to different stresses or tensions, and the load levels and functional requirements are also different.

Systemic factors affecting fracture healing: For fracture patients with underlying diseases such as malnutrition, diabetes, osteoporosis, etc., the fracture healing time is significantly longer than that of the normal population.

In clinical practice, the following criteria are mainly used to determine whether a fracture has reached the healing standard.

1. No local tenderness or longitudinal percussion pain;

2. No abnormal activity in the local area;

3. X-rays show that the fracture line is blurred, with continuous callus passing through the fracture line;

4. Functional assessment: when external fixation is removed, the upper limbs can hold 1 kg horizontally for several minutes, and the lower limbs can walk continuously for 3 minutes without movement, not less than 30 steps;

5. If the fracture site does not deform after 2 consecutive weeks of observation, the first day of observation is the date of clinical healing. The measurements of items 2 and 4 must be made carefully, with the principle of preventing deformation or re-fracture.

Conservative treatment: 1. Plaster or splint fixation.

Plaster fixation: 2. Bone traction or skin traction fixation.

Surgical treatment:

1. Advantages of surgical internal fixation: firm fixation; good fracture reduction; adjacent joints can be mobilized early, and the patient is more comfortable after surgery; it has a better effect on complex fractures. Disadvantages: high cost; surgical trauma, and a higher chance of infection than patients receiving conservative treatment; some patients require two surgeries to remove the internal fixation.

2. Advantages of surgical external fixation: It can be used for open fractures or patients with poor skin and muscle conditions; it can be used for osteotomy and limb lengthening. Disadvantages: high cost; slightly poor reduction effect, and the fracture may be displaced; some patients require two surgeries for internal fixation treatment.