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Orthopedic Surgeon in Jabalpur

What You Should Know About a Broken Bone Fixation on the inside


Fixing an internal fracture 

Broken bones need to be held in place and stabilized until they are strong enough to support the body's weight and movement. Doctors have used casts and splints for hundreds of years to support and keep bones in place. Due to the development of sterile surgery, doctors were able to set and fix broken bones inside the body. This made it less likely that an infection would happen.

Plates are like internal splints because they keep the pieces of broken bone from moving around. They are held in place on the bone by screws. After healing is done, the plates can be left in place or taken off (in exceptional cases).

Screws

Screws are used to fix bones inside the body more often than any implant. Even though screws are simple, there are many different types depending on the fracture type and how the screw will be used. There are various sizes and shapes of bones, so screws come in different diameters. Plates, rods, nails, and screws can all be used to keep a broken bone stable. After the bone has healed, the screws may be left in place or taken out.

Nails or Rods

The best way to hold the broken pieces together for some long-broken bones is to put a rod or nail through the hollow center of the bone, which usually has some marrow. As the break heals, screws hold the rod in place and keep it from getting shorter or turning. The rods and screws can stay in the bone after the healing process. This method is used to treat most femur (thighbone) and tibia (shinbone) fractures (shinbone).

(Left) This x-ray shows a broken thighbone that was fixed with intramedullary nailing. (Right) For this x-ray, the thighbone was held in place with plates and screws.

Wires/Pins

Wires can be used to put bones back together. They are often used to hold together pieces of bone that are too small for screws to fix. Most of the time, these devices are used with other types of internal fixation for small bone breaks, like those in the hand or foot. Most of the time, wires are taken out after a certain amount of time, but some fractures require staying in place forever.

Extraordinary Fixtures

An external fixator is used to hold the broken bones together. Minor cuts are made in the skin and muscle to put metal pins or screws into the bone. The screws and nails are attached to a bar that sticks out from the skin's surface. External fixators are different from casts and splints because pins are put into the bone. Casts and splints only provide support from the outside.

The bones are often held together with an external fixation when the skin and muscles are hurt.

Considerations

When internal fixation is used, the risk of infection is lower but not gone, thanks to sterile settings and improvements in surgical techniques. Think about how bad the break is, where it is, and how healthy the patient is overall.

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Dr. Jitendra Jamdar

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