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Leg fracture- Tibia and Fibula

Option 1. Nail fixation This is the gold standard treatment of choice for fractures of Tibia (middle) Pros:a. Small incisionb. Less bleedingc. Quicker recovery and return to normal activitiesd. Early weight bearing and walking can be allowed Cons:a. May require a second surgery for implant removal Still confused about something? Call now +91 759 60…

Knee fracture- Upper Tibia

Option 1. Plate and screw fixation Pros:a. Early knee movement can be givenb. Quick recovery and return to regular activities Cons:a. May require a second surgery for implant removal Option 2. Screw fixation This can only be performed in simple split type of fractures Cons:a. Patient can start walking only after a few weeks Option…

Knee fracture- Patella

Option 1. Wire fixation (TBW) This is the gold standard treatment for two part patella fractures. Pros:a. Early movement of knee can be doneb. Quick recovery and return to regular activitiesc. Patient can start walking earlier Cons:a. May require a second surgery for implant removal Still confused about something? Call Now +91 759 60 62…

Knee fracture- Lower Femur

Option 1. Plate and screw fixation This is the gold standard treatment for distal femur fractures involving knee joint Pros:a. Early knee bending and rehabilitation can be doneb. No risk of damage to knee cartilage (compared to distal femur nail) Cons:a. Scarb. May require a second surgery for implant removal Still confused about something? Call…

Middle Femur fracture

Option 1. Nail fixation Pros:a. Smaller incisionb. Less bleedingc. Patient can start walking earlierd. Quicker recovery and rehabilitation Cons:a. May require a second surgery for implant removal Option 2. Plate and screw fixation Pros:a. Can be performed with basic OT setup Cons:a. Bigger incision and more bleedingb. Slower recoveryc. Patient can start walking only after…

Hip fracture- Trochanteric Femur

Option 1. Nail fixation (PFN) Pros:a. Small incisionb. Patient can start walking earlierc. Quick recovery and earlier rehabilitationd. Biomechanically it is a more superior construct Option 2. Nail fixation (PFN A2) Pros:a. Small incisionb. Patient can start walking earlier Option 3. Plate and screw fixation Pros:a. Can be done in stable fractures Cons:a. Bigger incision…

Hip fracture- Neck of Femur

Option 1. Screw fixation This is the ideal surgery for young patients (less than 50 yr) with recent fracture (less than 2 days old) Pros:a. Small incisionb. Less amount of bleeding Option 2. Replacement This is the ideal surgery for patients aged more than 50 yr with old fracture (more than 7 days old) Pros:a.…

Finger fracture

Option 1. K wire fixation Pros:a. Early movement can be givenb. Quicker recovery and return to normal activitiesc. Can be performed as daycare surgery without hospital admission Cons:a. May not be possible to do in severely comminuted fracture Option 2. Finger strapping Pros:a. Can be done even in severely comminuted fractures Cons:a. Prolonged immobilisation may…

Hand fracture- Metacarpal

Option 1. K wire fixation Pros:a. Early movement can be givenb. Quicker recovery and return to normal activitiesc. Implant can be easily removed in clinic Cons:a. May not be possible to do in badly comminuted fractures. Option 2. Below elbow cast Pros:a. No need for implant removalb. Cons:a. Prolonged immobilisation may lead to stiffness of…

Wrist fracture- Lower Radius

Option 1. Plate and screw Pros:a. Early movement can be givenb. Quicker recovery and return to normal activities Cons:a. Scarb. May require second surgery to remove implant Option 2. Below elbow cast Pros:a. No scar Cons:a. Some stiffness of wrist may occurb. Slower recoveryc. May result in some residual deformity and bony bump Option 3.…