Fracture Management: Types, Treatment & Healing Time
By Dashvanth Healthcare Medical Team Β· Reviewed by our specialists Β· East Delhi
Types of Fractures
- Closed (simple): Bone broken but skin intact
- Open (compound): Bone protrudes through skin β medical emergency (infection risk)
- Stress fracture: Tiny crack from repetitive force
- Comminuted: Bone shattered into multiple fragments
- Greenstick: Incomplete fracture in children (bone bends)
- Pathological: Through a bone weakened by tumour or osteoporosis
First Aid for Suspected Fractures
- Do NOT try to straighten the bone
- Immobilise in the position found β improvised splint if needed
- Cover open wounds with clean cloth (do not push bone back)
- Apply ice wrapped in cloth to reduce swelling
- Seek emergency care immediately
Treatment Options
Conservative
Plaster cast or splinting for undisplaced, stable fractures β most common fractures in children and some adult wrist/ankle fractures.
Surgical: ORIF
Open Reduction and Internal Fixation (ORIF) uses plates, screws, nails, or wires to hold fragments in anatomical alignment. Required for displaced, unstable, or articular fractures.
Healing Times (Adults)
- Wrist (distal radius): 6β8 weeks
- Ankle: 6β8 weeks
- Tibia shaft: 12β16 weeks
- Femur: 4β6 months
- Spine (compression): 8β12 weeks
What promotes faster fracture healing?
Adequate protein (1.2β1.5g/kg/day), calcium, Vitamin D, no smoking (smoking delays healing by 25%), and following weight-bearing restrictions.
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