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Does my open femur fracture need immobilization after surgery?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I had an open femur fracture recently. They performed open reduction with internal fixation. When I saw my second x-ray (after surgery), a large, fractured piece moved out of position. They did not immobilize my leg, and I had severe blood loss after the surgery, and it took them five days to notice. I am questioning the hospital for their aftercare of the surgery.

Answered by Dr. Anuj Gupta

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Would you please attach pre-operative and post-operative x-rays?

Patient's Query

Hello doctor,

Thank you for answering. I am attaching the pre and post-operative x-rays and sorry for the late reply. I do not have high hopes for my recovery and rehabilitation as it has been almost two months. The doctors tell me not to worry and say there is progress, but this is very hard for me to believe.

Answered by Dr. Anuj Gupta

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I have gone through your x-rays (attachments removed to protect patient's identity). First of all, it is not a simple fracture, but a badly comminuted fracture, and I should appreciate that it is nicely done. But in such a comminuted fracture, there is always a chance of non-union. I think two months is relatively short for a fracture like this to heal. Consider somewhere around six months to look for signs of healing. If not, we have to take a call if bone grafting needs to be done or not.

Patient's Query

Hi doctor,

Thank you for answering. The surgeon was pretty sure a second operation was necessary. He allowed me to bear weight on that leg, but I was scared to do anything with it. I think there are loose bone fragments in my leg, but they cannot confirm it. I still do not understand why they did not immobilize it to keep everything together for healing.

Answered by Dr. Anuj Gupta

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

Well, immobilization does not help after six weeks. Also, complete immobilization delays healing as the blood supply reduces, and many other factors are there. So whatever your doctor is suggesting is fine.

Answered by Dr. Anuj Gupta
Medically reviewed by Dr. Sneha Kannan
Published At December 6, 2021
Reviewed At April 9, 2024

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Anuj Gupta is an Orthopedic Surgeon who is specially trained in spine surgery. He completed his MBBS from The Sri Aurobindo Institute of Medical Sciences, Indore, and MS in Orthopedics at Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur. He did his DNB at Chatrapathi Shahu Ji Maharaj University. Currently, he is working in Triveni Ortho and Spine Center, Delhi, with work experience of 13 years. He has also done short training in spine surgery from the University of California, San Francisco, and Mount Sinai hospital, New York. He has also completed a fellowship in pediatric orthopedics from a renowned hospital in the USA.

This doctor is not available for online consultations on the platform anymore.

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