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.
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Please suggest the best-recommended treatment for femur fracture.
Query: Hi doctor, I had a double fracture in the femur following an accident. In 24 hours, I got intramedullary nail insertion. But, it did not heal even after seven months. I have started walking on leg before a month to induce self heal, but nothing happened. Either bone graft or plate and nails, which ... Read Full »
Answer: Hi, Welcome to icliniq.com. This will not heal and so no point in waiting for it to heal. You need to get this intramedullary nail removed. The following treatment has to be done. Get the fracture site open, remove the fibrous tissue, get bleeding fracture surfaces and apply a plate and cercl... 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 »
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... Read Full »
I had surgery for a pilon fracture, and plates were inserted. How to fasten bone healing?
Query: Hi doctor, I have a pilon fracture type 3. I had surgery, and two plates were inserted. It has been nine weeks, but the bone has not healed yet. What can I do to heal the bone faster? Is there any therapy and medication, or supplements that I can take? Please advise. Read Full »
Answer: Hello, Welcome to icliniq.com. I thoroughly read your query and understand your concern. Fracture healing is a natural process, and every organ has unique healing times. Just like a skin cut where you can bring the skin edges together and keep them there by applying stitches but cannot make a wou... Read Full »
My mother had a humerus fracture, and the doctor advised an operation. Is it possible to treat this condition conservatively?
Query: Hi doctor, While coming out of the bathroom, my mother fell and had an arm fracture. We took an X-ray scan, and the doctor said the shaft of the humerus mid-third fracture and the bone was displaced. The doctor advised an operation and, for first aid, did a splint. Does it need an immediate operatio... Read Full »
Answer: Hi, Welcome to icliniq.com. It can be managed conservatively with plaster. Most humerus fractures are united. So the indication of surgery will be if there is no union after weeks. The only benefit of surgery is that the fracture will be fixed, and she can use her arm from the next day. But, in case... Read Full »
How much time will it take to recover from heel bone fracture?
Query: Hello doctor, I have fractured both my heel bones during a jump from a six feet gate during vacations. Now I am back to my workplace. As per the doctor, there is no need for the surgery and the conservative treatment will work. Both the heels are in the cast now for past one month and there is only ... Read Full »
Answer: Hello, Welcome to icliniq.com. Looking at the X-ray (attachment removed to protect patient identity) lateral view of both heels taken nearly six weeks from the injury there is still a gap visible at the fracture site and this will mean that the fracture is not fully united. More importantly, there... Read Full »
My mother has severe pain even after a distal radius fracture fixation. Will hot wax bath be helpful?
Query: Hello doctor, My 66-year-old mother had a distal radius fracture in her right hand two months back. She has diabetes, hypertension, hypothyroidism, ASD, and osteoporosis. The doctor performed a K-wire fixation and put a plaster of Paris cast from her fingers all the way up to her shoulder (just a li... Read Full »
Answer: Hello, Welcome to icliniq.com. Sorry to hear that the surgery and its outcome have not met your level of expectations. I would like to see the entire set of X-rays before I can comment on the healing of the fracture, as well as the timing of the removal of wires. Usually, the wires are removed ar... Read Full »
I accidentally put some weight on my injured ankle and it hurts. Please help.
Query: Hello doctor, I broke my ankle two weeks ago and had surgery. I went for a checkup after two weeks and the doctor took off the cast and put me in an airboot. But, when I was out, I accidentally put a bit of weight on the ankle with the boot on. It did not hurt that much at that time. After getting h... Read Full »
Answer: Hello, Welcome to icliniq.com. Since you put weight on it, you need to get a check X-ray done. Get an X-ray of the affected ankle joint in AP (anterioposterior) and lateral views and follow up. Continue the same medicines. Use a walker or crutches if you want. Sit in the bathroom and take ... Read Full »
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 »
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 »
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 »
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 »
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 »