Fracture Treatment

The general aim of early fracture management is to control hemorrhage, provide pain relief, prevent ischemia-reperfusion injury and remove potential sources of contamination (foreign body and nonviable tissues). Once these are accomplished, the fracture should be reduced and the reduction should be maintained, which will optimize the conditions for fracture union and minimize potential complications.

The goal in managing fractures is to ensure that the involved limb segment when healed, has returned to its maximal possible function. This is accomplished by obtaining and subsequently maintaining a reduction of the fracture with an immobilization technique that allows the fracture to heal and at the same time provides the patient with functional aftercare.

Treatment Options

ORIF: The objectives of ORIF include adequately exposing the fracture site, while minimizing soft tissue stripping and obtaining a reduction of the fracture. Once a reduction is achieved, it must be stabilized and maintained.

Kirschner wires or K-wires are commonly used for temporary and definitive treatment of fractures. However K-wires resist only changes in alignment; they do not resist rotation and they have poor resistance to torque and bending forces. K-wires are commonly used as adjunctive fixation for screws or plates and screws that involve fractures around joints.

Plates and screws are commonly used in the management of articular fractures. Plates provide strength and stability to neutralize the forces on the injured limb for functional postoperative aftercare.

Best Doctors and Cost

Dr Angad Kumar Choudhary is one of the most qualified and extensively trained Orthopedic Surgeon for treatment of bone fractures at Aarav Hospital. The cost of plaster application at Aarav Hospital is Rs. 5,000 while the cost of Open reduction or closed reduction would be in the range of Rs. 35,000 - 75,000. The hospital stay is 2-3 days and the patient is called to the hospital for followup 10-15 days after the surgery. If you have an individual health insurance policy then this surgery is covered after the waiting period which is normally 1 month. However if you are a beneficiary of company given policy then the surgery is covered from day one. Always go through the terms of your health insurance policy like room rent capping and co-payment to avoid any kind of financial shocks later on.