Orthopedic trauma conditions include fractures and dislocations as well as severe soft tissue injuries caused by traumatic events. Common orthopedic traumatic injuries include femoral and tibial shaft fractures, acetabular and pelvic fractures, spine and spinal cord injuries, hand and upper extremity injuries, foot and ankle injuries, among many others. Polytraumatized patients are those unique individuals with numerous skeletal and other primary organ system injuries, usually caused by high energy traumatic events. We coordinate the orthopedic portion of the patient's care with other subspecialties in order to optimize the clinical outcome.
We provide numerous orthopedic services including skeletal realignments and stabilizations using closed, percutaneous, external, and internal fixation techniques. Similarly, we treat associated soft tissue injuries using a variety of methods. Another of our services is advancing the orthopedic trauma education of physicians and medical personnel--locally, regionally, nationally, and internationally. We also provide innovative orthopedic trauma research, which further improves clinical care.
A bone fracture is a medical condition in which a bone is cracked or broken. It is a break in the continuity of the bone. While many fractures are the result of high force impact or stress, bone fracture can also occur as a result of certain medical conditions that weaken the bones, such as osteoporosis.
The word "Fracture implies to broken bone. A bone may get fractured completely or partially and it is caused commonly from trauma due to fall, motor vehicle accident or sports. Thinning of the bone due to osteoporosis in the elderly can cause the bone to break easily. Overuse injuries are common cause of stress fractures in athletes.Types of fractures include:
Our body reacts to a fracture by protecting the injured area with a blood clot and callus or fibrous tissue. Bone cells begin forming on the either side of the fracture line. These cells grow towards each other and thus close the fracture.
The objective of early fracture management is to control bleeding, prevent ischemic injury (bone death) and to remove sources of infection such as foreign bodies and dead tissues. The next step in fracture management is the reduction of the fracture and its maintenance. It is important to ensure that the involved part of the body returns to its function after fracture heals. To achieve this, maintenance of fracture reduction with immobilization technique is done by either non-operative or surgical method.Non-operative (closed) therapy comprises of casting and traction (skin and skeletal traction).
closed reduction is done for any fracture that is displaced, shortened, or angulated. Splints and casts made up of fiberglass or plaster of Paris material are used to immobilize the limb.
Traction method is used for the management of fractures and dislocations that cannot be treated by casting. There are two methods of traction namely, skin traction and skeletal traction. Skin traction involves attachment of traction tapes to the skin of the limb segment below the fracture. In skeletal traction, a pin is inserted through the bone distal to the fracture. Weights will be applied to this pin, and the patient is placed in an apparatus that facilitates traction. This method is most commonly used for fractures of the thighbone.
This is a surgical procedure in which the fracture site is adequately exposed and reduction of fracture is done. Internal fixation is done with devices such as Kirschner wires, plates and screws, and intramedullary nails.
External fixation is a procedure in which the fracture stabilization is done at a distance from the site of fracture. It helps to maintain bone length and alignment without casting. External fixation is performed in the following conditions: