Fracture Healing

Fracture healing is a complex process that takes place by two mechanisms: primary or direct healing and secondary or indirect healing. Direct healing involves the reduction of the fractured bone ends either through open reduction or internal fixation surgery. Indirect healing does not require reduction and some amount of motion and weight-bearing at the fracture site induces callus and secondary bone formation.

Recently Answered Questions Recently Answered Questions

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Can you please suggest me treatment for a PIP joint fracture?

Query: Hi doctor, I am a 21-year-old female. Last week, I was playing basketball and ended up jamming my finger. The next day, I went to the ER, and they took X-rays and said I had a possible PIP joint fracture around my volar plate. They said I had to go back in 10 days for more X-rays. Since then, the sw...  Read Full »


Dr. Atul Prakash

Answer: Hi, Welcome to icliniq.com. If the fracture (assuming it was there) was not seen on the first X-ray, then it is likely to be very small. Also, it indirectly means that there was no dislocation. I do not think in this circumstance that there will be any surgery indicated unless the joint is highly u...  Read Full »

The doctor suggested splinting or extension block pinning best for my little finger injury on my right hand. Which would be better?

Query: Hello doctor, I am a 37-year-old male. Five days back, I got hit by a cricket ball on the small pinky finger on my right hand. I am attaching the X-ray image and report. Right now, I have a splint. What do you recommend for my case? The doctor told me two options like Splint. Extension block pinnin...  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. I understand that the decision can be daunting as there are only statistics to play with, but it has no relevance to an individual case. With your fracture, the main issue is we can get the fracture to reduce in the splint, and though 60 % do well straight away, anothe...  Read Full »

Will a bone graft be beneficial for my non-union pelvic area?

Query: Hello doctor, How effective is a bone graft from the person's pelvic area for a non-union from a bunionectomy? This is regarding the first metatarsal of my left foot. I had two previous bone grafts for non-union after bunionectomy. The bone was not taken from my body. I have had bunionectomy in bot...  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. Autologous bone grafts which are procured from one's own bone are the best option wherever a graft is needed. Amongst the autologous bone grafts, the iliac (pelvic bone) grafts are the workhorse of all grafting procedures. These autologous grafts provide all the requir...  Read Full »

How long should I wear finger splint for a sprained finger and how long will it take to bend the finger after removing the splint?

Query: Hello doctor, My finger is sprained, and I am given a finger splint. Should I wear a finger splint day and night until my sprain improves? How long will it take me to bend my finger if I have a finger splint? Kindly answer. Thank you.  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. As long as it is just a sprain, you can remove the splint to wash your finger and even take the finger out of the splint at night but keeping it on is preferable. Also, if there is no fracture, then it will be better to move out of the splint as pain allows. Apply ice...  Read Full »

Kindly go through the MRI reports and suggest me a treatment for pain in the shoulders.

Query: Hello doctor, After I fell from my bike, sometimes, I have a little pain in my shoulder. I feel my shoulder is loose. I got an MRI of the shoulder done, and I am attaching the reports. Can I try physiotherapy for the pain? Or do I need to get a surgery? Please help.  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. I have seen the attached report (attachment removed to protect patient identity). The MRI film is more helpful than a report on its own. You reported a fall from the bike a few months ago, but you describe little as to what happened immediately after the injury. I nee...  Read Full »

Can a calcaneus fracture be treated with casting alone?

Query: Hi doctor, My 72 years old dad slipped while getting down from the top berth of a train, and he hurt his foot. We took him to a hospital and got an x-ray done. He was diagnosed with calcaneus fracture. The doctor has put him in a temporary cast, and he has advised reviewing after five days. Will thi...  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. The x-rays (attachment removed to protect patient identity) shows a non-displaced fracture of the calcaneum, and it can be treated in a plaster slab till the swelling goes down. Then a cast for four weeks. He can bear weight on that foot as pain allows, after three w...  Read Full »

I broke the tip of the fibula during an ankle sprain. Will it get healed?

Query: Hello doctor, I broke the tip of the fibula during an ankle sprain. The broken part is bean shaped. Will it heal properly? Will it cause any problem to me? I am on bed rest since ten days with a plaster on my ankle joint.  Read Full »


Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. I have seen the x-ray (attachment removed to protect patient identity). Yes, this is an avulsion fracture. This actually looks like an old fracture, as the margins are well rounded. But no doubt that you have a small fracture in the fibula, and that bean shaped bone an...  Read Full »

I wanted a second opinion to check if my fractured sacrum has fully healed.

Query: Hi doctor,Recently, I got a fracture in my sacrum. After taking rest for two months, the doctor advised me to do an MRI scan. The result showed that the stress fracture has got healed. But still, I have some numbness and pain in the area after doing exercise. My pain begins and ends very quickly. It...  Read Full »


Dr. Mohammed Shah Alam

Answer: Hi, Welcome to icliniq.com. I have gone through the attached image (attachment removed to protect patient identity). You do not have any fracture now. There is callus formation which suggests the healing process. To regain tensile strength, it takes some time for a month. I suggest you avoid sport...  Read Full »

I have a displaced clavicle fracture. Is surgery advisable after two weeks?

Query: Hi doctor, I have displaced clavicle fracture. My doctor told me that the surgery depends on my decision. It has been two weeks since I got the accident. Initially, I thought the fracture would heal itself. But, I do like to get surgery. Is it possible for me to have operation after a period of two ...  Read Full »


Dr. Akshay Kumar Saxena

Answer: Hello, Welcome to icliniq.com. Management of a clavicle fracture depends upon a few factors and surgery is indicated only if it falls in the category of indications. To tell you whether surgery is required or not, I will need your clinical pictures of the affected area and x-rays of the fractured cl...  Read Full »

I suffer from tibia fracture. How long will recovery take?

Query: Hello doctor, I am suffering from a tibia fracture. How long does it take to recover? When will I start walking again?  Read Full »


Dr. Akshay Kumar Saxena

Answer: Hi, Welcome to icliniq.com. Since you have only mentioned that you sustained a fracture in your tibia, it is actually difficult to tell regarding the healing time. I would like to know the exact location of your fracture and management that is done in your case. I would also like to see your recent...  Read Full »

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