Fracture surgery process

If the fracture is serious, timely surgical treatment is required. This operation cannot be delayed. Once the surgical treatment is delayed, fractures may occur and poor reduction may cause complications for the patient. Especially for patients with more serious fractures, local anesthesia or general anesthesia is required. During this operation, the doctor needs better skills. Let us briefly understand the process of fracture surgery.

Fracture surgery process

The patient is given general or local anesthesia, and the surgical incision is made over the fracture area. During the operation, the bones are repositioned, and bone plates, screws, intramedullary nails, and compression plates are temporarily or permanently installed in the bones to fix the bones according to the actual situation.

Ligate or electrocoagulate the broken blood vessels in the fracture area. If a large amount of bone is missing, especially if there are large gaps between bones, a bone graft may be considered so that the patient can recover more quickly. If bone grafting is not done, the bones can be stabilized by:

1) Inserting multiple bone screws into the bone;

2) Internal fixation with bone plates and screws;

3) Insert a long intramedullary nail into the bone.

In some cases, after surgery to fix the bones, microsurgery is required to repair damaged blood vessels and nerves. The skin was sutured routinely after surgery.

Contraindications

1. If the injured person is in poor general condition or has complications of shock, he must be rescued first, and surgery can only be performed after the shock is stabilized and the general condition improves.

2. If there is a life-threatening injury to important organs such as the head, chest or abdomen, it must be treated first, and the treatment of the fracture takes a secondary position. Temporary external fixation can be performed first, and the fracture can be treated after the condition stabilizes, or non-surgical treatment can be used to achieve the best reduction possible.

3. There is an open wound at the fracture site for more than 8 to 12 hours.

Postoperative care

1. After open reduction and internal fixation, various types of plaster are generally used for external fixation. After the plaster fixation is completed, the patient should not be moved until it is dry and hard.

2. Raise the injured limb and closely observe the blood circulation of the limb and the movement of the fingers and toes. If there are any abnormalities, the causes should be identified quickly and dealt with in a timely manner. If the external fixation is too tight, it should be loosened immediately; if there is nerve compression, the compression should be relieved as soon as possible.

3. Under guidance, encourage patients to perform functional exercises of the muscles and joints of the injured limb.

4. Remove the negative pressure drainage tube 24 to 48 hours after surgery. The stitches are removed 10 to 14 days after surgery.