What is a fracture?
Because of these, modern fracture treatment often consists of ‘internal fixation’ which means fixation using plates, screws or nails which are inside the body (as opposed to external fixation which is pins or wires outside the body).
As some fractures may result in deformity, poor function or post traumatic degeneration, your surgeon may recommend fixation. While some fractures may heal in a plaster or sling, there can be pain for several weeks while the fracture is unstable and fixing these allows earlier return to function and patients may elect to have treatment by internal fixation for this reason.
How is internal fixation done?
- Plate and screw constructs
- Nails or rods.
What are the surgical risks?
Damage to blood vessels, tendons or nerves
Stiffness of joints
Failure of fixation
Deep vein thrombosis
Complex regional pain syndrome
It is important to be informed that complete recovery may not be possible after some fractures, however, this is usually a lot better compared to leaving the fracture untreated.
Will the metalwork need to be removed?
Removal is usually straightforward (but not always!). Many of these can be done as a day case. There is a risk of infection, and the risk of injury to nerves and blood vessels is actually higher due to scar tissue being present from the previous operation. Very rarely, heroic attempts to remove fixation which is broken or buried deeply in bone causes more harm than good and is not worth the risk.
- Pathway for total hip replacement and resurfacing hip replacement
- Bearings for hip replacement
- Hip replacement in the young
DVT and PE
Fractures: An Overview
Fractures: Types and Treatment
Growth Plate Fractures
Helping Fractures Heal (Orthobiologics)
Foot and Ankle Fractures
Calcaneus (Heel Bone) Fractures
Lisfranc (Midfoot) Fracture
Stress Fractures of the Foot and Ankle
Toe and Forefoot Fractures
Falls and Hip Fractures
Hip Fracture Facts
Live it Safe: Prevent Broken Hips
Preventing Hip Fractures
Muscle Strains in the Thigh
Knee and Leg Injuries
Common Knee Injuries
Hamstring Muscle Strain
Fractures of the Proximal Tibia
Growth Plate Fractures
Patellar (Kneecap) Fractures
Pediatric Thighbone (Femur) Fracture
Shinbone Fractures Overview
Thighbone (Femur) Fracture
Tibia (Shinbone) Shaft Fractures
Anterior Cruciate Ligament Injuries
Collateral Ligament Injuries
Combined Knee Ligament Injuries
Patellar Tendon Tear
Posterior Cruciate Ligament (PCL) Tear
Quadriceps Tendon Tear
Osgood-Schlatter Disease (Knee Pain)
Runner's Knee (Patellofemoral Pain)
Shoulder, Arm, Elbow Fractures
Distal Humerus Fractures
Elbow Fractures in Children
Forearm Fractures in Children
Fracture of the Shoulder Blade (Scapula)
Olecranon (Elbow) Fractures
Radial Head Fractures
Hand and Wrist Fractures
Distal Radius Fracture (Colles' Fracture)
Sprains, Strains and Other Injuries
Sprains and Strains: What's the Difference?
Sprains, Strains and Other Soft Tissue Injuries
Care of Casts and Splints
How to Use Crutches, Canes and Walkers