Complex Fracture Repair

India has become an important country of medical tourism, especially for fracture repair surgeries because of availability of technologically superior facilities, highly qualified surgeons and at affordable costs. Indian Hospitals follow modern techniques and are well equipped as per international standards. Professionals performing orthopedic surgeries in India commonly go for training in other countries and possess considerable exposure while catering to people who have suffered from complex fractures. Moreover, the idea of surgery prices—being considerably lower than at Western countries, is another reason for attracting foreign patients

About fractures

A fracture occurs when a bone in the body breaks, cracks, or is completely severed. It can be brought on by disorders that weaken the bones, high-impact trauma, or overuse.

There are different kind of fractures as follows:

• Simple fracture: The bone is fractured, but the skin is not penetrated.
• Compound (Open) Fracture: An increased risk of infection results from a compound (open) fracture, where the bone fractures and pierces through the skin.
• Transverse Fracture: The bone is broken across in a straight line.
• Oblique Fracture: The break has a curved or sloping pattern.
• A comminuted fracture is one in which there are three or more broken pieces of bone.
• Greenstick fractures: Children frequently suffer from greenstick fractures, which are partial fractures where the bone bends and splits.
• Spiral Fracture: Usually brought on by a twisting force, the break spirals around the bone.
• A hairline (stress) fracture is a tiny fissure in the bone that frequently results from misuse or prolonged tension.
• Pathological Fracture: Occurs in bones that have been compromised by illness (such as cancer or osteoporosis).
• Compression Fracture: The bone is crushed, often seen in vertebrae.

Symptoms of fracture

• Pain: At the break site, there is immediate, intense pain.
• Swelling: Bruising and swelling surrounding the injured area.
• Deformity: A limb or joint that is visibly malformed or misaligned.
• Moving difficulty: The afflicted limb or joint is difficult or impossible to move.
• Sensitivity: The area feels sensitive and tender to touch.
• Crepitus: A grating sound or sensation produced when the fractured ends of bones scrape against one another.
• Bleeding: In compound fractures, there could be bleeding.

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Risk factors for fractures

• Age
• OsteoporosisHigh
• Sports injuries
• Previous history of fractures
• Bone Diseases
• Nutritional Deficiencies: Lack of calcium and vitamin D can weaken bones.
• Lifestyle Factors
• Medications: Chronic corticosteroid use can weaken bones. 
• Environmental Hazards: Obstacles, dim lighting, and slippery floors raise the possibility of fractures and falls at home or at work.

Procedure for fracture repair surgery: Before, during and after the surgery

• Medical Evaluation:  The surgeon will go over the patient's medical history, do a physical examination, and order any necessary imaging tests (MRI, CT scan, X-ray)
• Lab tests: Blood tests and other tests to see if the patient is healthy enough to operate on.
• Medication history: the surgeon may talk about any prescription and over-the-counter medications, as well as any supplements the patient may be taking. Prior to surgery, several drugs might need to be stopped.
• Fasting: In order to reduce the possibility of complications from anesthesia, patients are typically required to fast for at least 6 to 8 hours before surgery.
• Anesthesia Consultation: Consultation with the anesthesiologist to determine whether general or regional anesthesia will be employed.
• Consent: Signing a consent form following a discussion with the surgeon about the advantages, disadvantages, and possible consequences of the procedure.

Techniques used during the fracture repair surgery

There are different types of procedures that may be followed during the surgery: 

• Closed reduction and internal fixation
• In this procedure, the pieces of broken bone are repositioned into their natural positions.
• To support the bone, metal rods, screws, or pins are put through the skin.
• Open reduction and internal fixation
• To see and realign the broken bone pieces, an incision is made at the fracture site.
• The bones are held in place by screws, rods, or metal plates
• External fixation 
• The bone above and below the fracture location are fixed with screws or pins.
• To stabilize the bone, these pins are connected to an external metal frame.
• Intramedullary nailing
• A metal rod is put into the bone's marrow canal.
• To secure the rod in position, screws are positioned at both ends.

Steps for the procedure

• Anesthetic: To guarantee the patient is pain-free throughout the procedure, anesthesia is administered.
• Incision: If the treatment is an open reduction, an incision is made over the fracture site.
• Reduction: The broken bone pieces are realigned to their original positions.
• Fixation: The bones are held in position by metal objects such as plates, screws, rods, and pins.
• Closure: A bandage is placed over the incision and it is sealed with staples or sutures.
• Post-Procedure Imaging: To ensure correct alignment and fixation, X-rays or other imaging examinations are performed.

Recovery or bone fracture healing process

• Hospital Stay: Depending on the type of surgery and the severity of the fracture, patients may need to stay in the hospital for a few days.
• Pain Management: In order to control discomfort following surgery, painkillers are provided.
• Wound Care: Guidelines for maintaining a dry and clean surgical site in order to ward against infection.
• Physical therapy: A course of treatment designed to help the injured area regain its strength, mobility, and functionality.
• Follow-Up Appointments: Frequent trips to the surgeon to assess the healing process and extract staples or stitches.
• Activity Restrictions: To safeguard the mending bone, guidelines are provided regarding weight-bearing and activity levels.
• The length of recovery depends on the kind of fracture and the type of surgery, but it usually lasts between six weeks and six months.

Success rate of fracture repair surgery in India

The majority of patients who undergo fracture surgery in India report considerable improvements in function and pain alleviation, and the success rate is often high. The type of fracture, the patient's general condition, and compliance with post-surgery therapy can all affect the success rate.

Success Rate Overall:

• 90–95% of simple fractures
• 80–90% of complex fractures

Best hospitals for fracture repair surgery in India

• Fortis Memorial Research Institute, Gurgaon
• Fortis Vasant Kunj Hospital, New Delhi
• Medanta The Medicity, Gurugram
• Artemis Hospital, Gurugram
• Max Hospital,Delhi
• Apollo Hospitals Delhi

Best surgeons for fracture repair surgery in India

• Dr. Subhash Jangid
• Dr. Manoj Miglani
• Dr.  Ashok Rajgopal
• Dr. IPS Oberoi
• Dr. S. K. S. Marya
• Dr. Yash Gulati

FAQ

1. How much time does recovery take following fracture surgery?

• The length of recovery depends on the kind of fracture and the type of surgery, but it usually lasts between six weeks and six months.

2. When I have fracture surgery, will I require physical therapy?

• Physical therapy is frequently necessary to restore function, strength, and flexibility.

3. How can I avoid getting fractures again?

• A balanced diet high in calcium and vitamin D should be maintained, along with regular exercise, abstaining from smoking and excessive alcohol use, and taking fall prevention measures.

4. How to book or schedule an appointment for fracture repair surgery in India?

• We will assist you in getting expert advice and the best treatment from a panel of cardiac specialists. You can contact us via phone at +91-9289678787 or email us at care@getwellgo.com

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