Trauma Orthopaedics
Specialty > Subspecialty > Trauma Orthopaedics
Trauma surgeries are complex and require expert supervision to treat neurological conditions. Owing to the criticality involved, it is important to have experts that are highly experienced and capable of performing surgery with complete precision.
The Department of Orthopaedics at Aayush Hospitals provides comprehensive neurological care, including diagnostic tests and treatments. With advanced facilities for neurology medicine and surgery our hospital is capable of performing complete diagnosis and treatment of orthopaedic conditions.
Our team includes orthopaedics, trauma surgeons, doctors, and nurses with years of expertise in the field. Moreover, our team provides a multidisciplinary approach to create customized and patient-centric treatment plan.
Equipped with state-of-the-art infrastructure, Aayush Hospitals is one of the best hospitals in Gujarat for orthopaedics.
When your bone is fractured and the pieces are not aligned properly or are unstable, they may need to be moved back in place and stabilized. This is done by resetting the bones. A common term for this “resetting” is called “reduction”. This may be performed by closed method (without an incision) or by open method (with an incision).
When treated with the “closed method”, your surgeon may use a splint or cast to temporarily immobilize the injury and allow the body to heal naturally. If the fracture location and severity do not allow a “closed method”, an open surgery would be performed.
One of the common ways of performing an “open surgery” is by “open reduction internal fixation (OIRF)”. During this procedure, the surgeon will create an incision, and re-align the bone either with a cast or with an implant. The implant is made of various metals including titanium or stainless steel. Most of these implants are designed in a way to stay in the body forever or can be taken out in some cases if it leads to pain in the future.
In addition, the implant may include metal plates, screws, rods, or nails, that fit inside the central portion of the bone and wires. These work as internal casts allow for the internal stabilization of bone.
External fixation is a method to stabilize fractures from the outside with the help of metallic pins, plates, or wires. During the procedure, the surgeon will fix metal screws, pin or plates, into the bone through small incisions into the skin and muscle. The pins and screws may be attached to a bar outside the skin.
In the majority of cases, this may be used as a temporary treatment for fractures until the stabilization of bone.
Open Reduction and Internal Fixation (ORIF)
Open reduction and internal fixation or ORIF is a surgery used to repair broken bones that need to be fixed together. During the surgery, your surgeon may use metal screws, pins, or plates, to fix your bones together.
Screws:
Screws are most commonly used during the surgery. The type of screw may depend on the fractured bone in question and the size of the bone. Once your fracture is healed, the screw may either be left inside or removed.
Plates:
Plates work in the same way as an internal splint and keep your bones in place. Your surgeon will use screws to attach plates to your bones. Once your fracture is healed, the plates may either be left inside or removed.
Rod or nails:
If you have a fracture along a long bone, your surgeon may use a rod or nail inserted through the centre of your bone to keep it in place. This is majorly used to fracture of thighbone or shin bone. Once your fracture is healed, the rod and nails may either be left inside or removed.
Pins or Wires:
If your bone is broken into small fragments, your surgeon may use wires to pin it back together. These are most commonly used for fractures in hands. Once your fracture is healed, the pins and wires may either be left inside or removed.
How Long Does It Take to Recover from ORIF Surgery?
Fractures take time to heal and complete recovery from the surgery may take around 3-12 months depending on your broken bone and its severity.
What Are the Risks Associated with the Surgery?
All surgeries carry some risks and so ORIF may also cause:
Infection.
Bleeding.
Nerve damage.
Blood clots.
A closed reduction refers to a non-surgical procedure that is done to set a broken bone without making an incision. It is usually done in mildly displaced fractures.
During this surgery, your surgeon will perform an X-ray to ensure that your bones are in the correct position. Once confirmed, he will immobilize the fracture with a cast or splint. You may be required to wear this cast for at least 4-6 weeks to allow your bone to heal. In case of severe fractures, you may be required to wear the cast for a longer time.
Bone grafting is a surgical procedure to promote the body’s natural healing process by either applying a substance between gaps for added support or stimulating tissue growth to fill gaps and restore bone strength and rigidity.
You may require a bone graft if your bones have not healed properly after a fracture.
What Happens During the Surgery?
During the surgery, your surgeon will:
Give you an anaesthesia.
Make an incision into the skin to access the bone in question.
Clean the bone and remove diseased tissue to prepare it for graft.
Apply the graft and secure in place with plates or screws.
Close the incision with stitches.
What Happens After the Surgery?
Gradually, the graft material fused with the surrounding bone tissue to grow. This may take months to a year. The period will depend on the size and location of your bone graft.
Amputation refers to the surgical removal of all or part of a limb.
Why Do You Need an Amputation?
You may require amputation, in case of:
Severe injury.
Cancerous tissue in the limb.
Gangrene or tissue death.
Frostbite.
Peripheral arterial disease.
Neuroma.
Diabetes.
What Happens During an Amputation?
During the procedure, your surgeon will:
Remove damaged tissue and crushed bone.
Smooth and uneven bone (if present).
Seal the blood vessels to prevent further bleeding.
Shape the muscles in a way to allows the end of the limb to be fitted with a prosthetic limb.
Place a sterile bandage over the wound.
Sew the stump immediately.
What Happens After an Amputation?
After the procedure, you may be required to stay in the hospital for a few days or up to a week. You may also require rehabilitation to get used to the new limb.
What Are the Risks Associated with an Amputation?
Amputation is a major surgery that may involve:
Bleeding.
Edema or swelling.
Infection.
Pain.
Muscle weakness.
Phantom limb pain; is a condition during which the nerves in your stump send pain signals to the brain.