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Fracture Management in Nepal
Comprehensive fracture care from initial assessment through healing. Dr. Kshiteez Puri manages all types of fractures using evidence-based approaches tailored to each patient.
Fractures are among the most common orthopedic emergencies. Proper management is crucial for ensuring optimal healing, preventing complications, and restoring function.
The approach to fracture treatment depends on multiple factors including the location and pattern of the fracture, the patient's age and activity level, and associated injuries.
Dr. Kshiteez Puri provides comprehensive fracture care ranging from simple cast application to complex surgical fixation, with close follow-up throughout the healing process.
Types of Fractures Treated
Simple fractures: Clean breaks with minimal soft tissue damage, typically managed with casting or splinting.
Compound (open) fractures: The bone pierces the skin, requiring urgent surgical cleaning and fixation.
Comminuted fractures: The bone breaks into multiple fragments, often requiring surgical fixation.
Stress fractures: Hairline cracks from repetitive loading, usually managed with activity modification.
Treatment Approaches
Non-surgical management: Casting, splinting, bracing, and functional treatment for stable fractures with acceptable alignment.
Surgical fixation: Internal fixation using plates, screws, and intramedullary nails for unstable fractures or those requiring anatomic reduction.
External fixation: Temporary or definitive stabilization using pins and external frames for severe open fractures or polytrauma.
Treatment & Recovery Overview
Treatment Options
- •Casting and splinting
- •Surgical fixation
- •Physical therapy
- •Pain management
- •Bone healing monitoring
Recovery Outlook
Initial immobilization 4-8 weeks. Physical therapy begins after cast removal or when stable. Return to full activity typically 3-6 months.
Benefits
- ✓Restored bone alignment
- ✓Return to normal function
- ✓Pain relief
- ✓Prevention of long-term deformity
Risks & Considerations
- •Non-union (failure to heal)
- •Malunion (healing in poor position)
- •Infection (especially open fractures)
- •Nerve or blood vessel injury
- •Compartment syndrome
Alternative Treatments
Surgery is not always the first option. Depending on your specific condition, these alternatives may be appropriate:
Related Information
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Common Symptoms
Frequently Asked Questions
How long does a fracture take to heal?
Most fractures heal in 6-12 weeks. Factors affecting healing include the location, severity, age, nutrition, and smoking status.
Will I need surgery for my fracture?
Not all fractures require surgery. Simple, stable fractures with good alignment can be treated with casting. Surgery is needed for unstable, displaced, or open fractures.
What is the recovery process after fracture surgery?
Recovery involves initial immobilization, gradual mobilization, physical therapy, and progression to full weight-bearing as healing progresses on X-ray.
Take the Next Step
If you have suffered a fracture, prompt evaluation is essential for optimal healing.