Fracture Management at GNH Hospital Gurgaon, India
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.
Fracture treatment vary in scope and are frequently subdivided into categories. Dr. Debashish Chanda and Dr. Naresh Pandita works as Orthopaedic trauma team at GNH Hospital, Gurgaon and depending on the extent of the injury they uses either nonoperative or surgical therapy.
Nonoperative (Closed) Therapy
At GNH Hospital in Gurgaon our Orthopaedic trauma team apply casting and traction (skin and skeletal traction) at the fracture site.
Orthopaedic trauma team at GNH Hospital in Gurgaon follows below given steps for surgical management of fractures:
Open reduction and internal fixation (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 wiresKirschner 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 ScrewsPlates 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.