A fracture may also require internal fixation with pins, nails, metal plates, or screws to stabilize the alignment. Open fractures are highly contaminated and must be débrided and copiously irrigated in the operating room.
Comminuted open fracture pictures manual#
Closed reduction is performed by manual manipulation of the fractured bone so that the fragments are brought into proper alignment no surgical incision is made. Fractures heal with normal bone, not with scar tissue.
Fracture healing is truly a process of regeneration. Later it will be treated by reduction, which means that the broken ends are pulled into alignment and the continuity of the bone is established so that healing can take place. Immediate first aid consists of splinting the bone with no attempt to reduce the fracture it should be splinted “as it lies,” which means supporting it in such a way that the injured part will remain steady and will resist jarring if the victim is moved. This content is written, edited and updated by hand surgeon members of the American Society for Surgery of the Hand. © 2015 American Society for Surgery of the Hand Occasionally, additional treatment or surgery is needed. Severe wrist fractures can result in arthritis in the joint. Comminuted fracture When a bone is broken into more than two pieces, it is called a comminuted fracture. These types of fractures require immediate medical attention because of the risk for infection. Even then, some patients may have stiffness or aching. Open fracture When a fractured bone breaks the skin, it is called an open fracture. It is not unusual for recovery to take months. Recovery time varies and depends on a lot of factors. Hand therapy is often helpful to recover motion, strength and function. Your hand surgeon will have you start moving your wrist at the right time for your fracture. Recoveryĭuring recovery, it is very important to keep your fingers moving to keep them from getting stiff. Your hand surgeon will discuss the options that are best for your healing and recovery.
In these cases, a bone graft may be added to help the healing process. Sometimes the bone is so severely crushed that there is a gap in the bone once it has been realigned. A small camera might be used to help visualize the joint from the inside. Pins, screws, plates, rods or external fixation can all be used (Figure 2). Other fractures may benefit from surgery to put the broken bones back together and hold them in correct place.įractures may be fixed with many devices. If the fracture is not too unstable, a cast may be used to hold a fracture that has been set. Your age, job, hobbies, activity level, and whether it is your “dominant” handĪ padded splint might be worn at first in order to align the bones and support the wrist to provide some relief from the initial pain.Type of fracture, whether it is displaced, unstable or open.Treatment depends on many factors, including: This can cause an increased risk of infection in the bone. An open fracture occurs when a fragment of bone breaks and is forced out through the skin. These severe types of fractures often require surgery to restore and hold their alignment. Fractures that break apart the smooth joint surface or fractures that shatter into many pieces (comminuted fractures) may make the bone unstable. Some fractures are more severe than others. In unstable fractures, even if the bones are put back into position and a cast is placed, the bone pieces tend to move or shift into a bad position before they solidly heal. Some “displaced” breaks (which need to be put back into the right place, called “reduction” or “setting”) also can be stable enough to treat in a cast or splint. “Non-displaced” breaks, in which the bones do not move out of place initially, can be stable. This is called a distal radius fracture by hand surgeons (Figure 1). Although a broken wrist can happen in any of these 10 bones, by far the most common bone to break is the radius. The wrist is made up of eight small bones which connect with the two long forearm bones called the radius and ulna. A wrist fracture is a medical term for a broken wrist.
0 kommentar(er)
