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Trauma & Fracture

Trauma is defined as a sudden incident causing physical injury. It is a broad term describing all types of injuries affecting the muscles, tendons, ligaments, joints, nerves, blood vessels, or bones that most commonly occur during sports, exercise, or any other physical activity. Trauma may be a result of accidents, poor training practices, insufficient warm-up and stretching exercises, or from use of improper gear. The term is wide-ranging and may include sprains, strains, minor fractures, dislocations, or serious broken bones with a direct threat to the patient’s life.

Causes of Trauma

Some of the common causes of trauma include:

  • Motor vehicle collision
  • High-impact sport injury
  • Slips and falls
  • Assaults
  • Gunshot wounds
  • Industrial accidents

Symptoms of Trauma

Trauma to the soft tissues and bones may accompany several potential symptoms, such as:

  • Tenderness
  • Swelling
  • Bruising
  • Bleeding
  • Numbness
  • Severe pain
  • Inability to bear weight
  • Inability to lift or turn the injured part
  • Pins and needles sensation
  • Bone sticking out of the skin

Diagnosis of Trauma

To diagnose the problem, your doctor will review your medical history and details of the accident along with performing a thorough physical examination to check for tenderness, inflammation, pain, range of motion, and weight-bearing ability. Further, imaging tests such as X-rays, CT and MRI scans will be ordered to confirm the diagnosis.

Treatment for Trauma

The treatment for trauma injuries includes both non-surgical and surgical methods. Non-surgical methods are the initial line of management and include:

  • Restriction of movement of the injured part through splints, braces, etc.
  • Heat or cold treatment that may relieve pain and accelerate the repair process
  • Exercise and physical therapy to help in stretching and strengthening the injured muscles
  • Medication such as anti-inflammatory drugs and analgesics

In cases where non-surgical methods are not effective, a surgical approach may be required to reduce fractured bones, or repair or reconstruct torn ligaments and tendons. Some of the surgical methods employed include:

  • Open reduction and internal fixation: In this approach, an incision is made over the fractured bone to expose the fracture. The fragments of bone are realigned and stabilized with metal wires, screws, pins, and plates. The incision is closed and dressed, and the affected bone is placed in a splint, shoe, boot, or cast to promote healing.
  • Percutaneous screw fixation:For some types of fractures, reduction can be achieved with a closed manipulation of the affected bone using X-ray. The bone can either be pushed or pulled to set it into place without making a large incision. This method, called percutaneous fracture fixation, can be performed with one or more small incisions instead of the traditional large incision, through which the implants are fixed.
  • Arthroscopy:This is a minimally invasive surgery where a flexible fiberoptic tube with a high-intensity light and camera attached at the end, called an arthroscope, is used to view the affected joint and guide miniature instruments to remove fragments of torn ligament, bone, or cartilage from within the joint.
  • Reconstruction:Torn ligaments can be surgically repaired with sutures or replaced with a graft, which can be another ligament and/or tendon retrieved from another part of the body.
  • Fusion: In cases of severe injury, damaged bones are fused together so that they heal into one single bone. This limits movement in the joint.
  • Joint replacement: This involves the surgical reconstruction and replacement of damaged joints, using artificial body parts, or prosthetics.

A fracture is a medical condition in which a bone is cracked or broken. It is a break in the continuity of the bone. While many fractures are the result of high-force impact or stress, bone fractures can also occur because of certain medical conditions that weaken the bones, such as osteoporosis.

A fracture may be complete or partial and is commonly caused by trauma due to a fall, motor vehicle accident or sports injury. Thinning of the bone due to osteoporosis in the elderly can also cause bones to break easily. Overuse injuries are a common cause of stress fractures in athletes.

Types of fractures

  • Simple fracture: The fractured pieces of bone are well aligned and stable.
  • Unstable fracture: The fragments of the broken bone are misaligned and displaced
  • Open (compound) fracture:A severe fracture in which the broken bones protrude through the skin. This type of fracture is more prone to infection and requires immediate medical attention.
  • Greenstick fracture: A fracture unique to children, where one side of the bone is broken while the other is bent

Fracture Healing

Our body reacts to a fracture by protecting the injured area with a blood clot and callus or fibrous tissue. Bone cells begin forming on either side of the fracture line. These cells grow towards each other and eventually close the fracture.

Medical Therapy

The objective of early fracture management is to control bleeding, prevent ischemic injury (bone death) and to remove sources of infection such as foreign bodies and dead tissues. The next step is the reduction of the fracture and its maintenance. It is important to ensure that the involved part of the body returns to its function after the fracture heals. To achieve this, fracture reduction and immobilization are achieved by either a non-operative or surgical method.

Non-operative (closed) therapy uses casting and traction (skin and skeletal traction).

Casting

This is done for any fracture that is displaced, shortened, or angulated. Splints and casts are made of fiberglass or Plaster of Paris (POP) and are used to immobilize the limb.

Traction

This method is used for fractures and dislocations that cannot be treated by casting. There are two methods of traction: skin traction and skeletal traction.

Skin traction involves attachment of traction tapes to the skin of the limb segment below the fracture. In skeletal traction, a pin is inserted through the bone and attached to ropes. Weights are applied, and the patient is placed in a traction apparatus. This method is commonly used for fractures of long bones.

Surgical Therapy

Open Reduction and Internal Fixation (ORIF)

This is a surgical procedure in which the fracture site is exposed while a reduction of the fracture is done. Internal fixation is done with wires, plates, screws, and nails.

External fixation

This is a procedure in which the fracture stabilization is done outside the body using rods screwed into the bone above and below the fracture that exit the body and are attached to a stabilizer device that may be adjusted. It helps to maintain bone length and alignment without casting.

External fixation is performed in the following conditions:

  • Open fractures with soft-tissue involvement
  • Burns and soft tissue injuries
  • Pelvic fractures
  • Comminuted (shattered) and unstable fractures
  • Fractures having bony deficits
  • Limb-lengthening procedures
  • Fractures with infection or non-union (fails to heal)

Rehabilitation

Fractures may take several weeks to months to heal completely. You should limit your activities even after the removal of the cast or brace so the bone becomes solid enough to bear stress. Rehabilitation programs involve exercises and a gradual increase in activity levels until the process of healing is complete.

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    Our Doctors

    Dr. Mangal Parihar

    MS Orthopaedics, MBBS
    Speciality Orthopedist, Joint Replacement Surgeon
    Consulting Room 202
    Consultation
    Timing
    Monday, Wednesday and Friday
    3 pm - 8 pm

    Dr. Anand Parihar

    MD - Radiodiagnosis, DMRD, MBBS
    Speciality Radiologist
    Consulting Room 201
    Consultation
    Timing
    On Appointment

    Dr. Maya Parihar Malhotra

    MD - Pathology
    Speciality Pathologist
    Consulting Room 201
    Consultation
    Timing
    On Appointment

    Dr. Divya Ahuja

    DNB Orthopedics
    Speciality Orthopaedics
    Consulting Room 203
    Consultation
    Timing
    Tuesday and Thursday,Saturday
    4pm - 7pm ,1pm - 4pm

    Dr. Chetan Anchan

    MS-Orthopedics, Trained in Orthopedic Oncology from Tata Memorial Hospital
    Speciality Orthopaedics
    Consulting Room 201
    Consultation
    Timing
    On Appointment

    Dr. Sunil Arora

    MS - Orthopaedics, MBBS
    Speciality Orthopaedics
    Consulting Room 205
    Consultation
    Timing
    Monday to Saturday
    11am - 1 pm

    Dr. Prasad Chaudhari

    MS - Orthopaedics, DNB - Orthopedics
    Speciality Orthopaedics
    Consulting Room 204
    Consultation
    Timing
    On Appointment

    Dr. Kaustubh Durve

    MS -Orthopedics, MRCS (UK)
    Speciality Orthopaedics
    Consulting Room 004
    Consultation
    Timing
    On Appointment

    Dr. Hitesh Kubadia

    DNB - Orthopedics
    Speciality Orthopaedics
    Consulting Room 002
    Consultation
    Timing
    On Appointment

    Dr. Abhishek Kini

    DNB Orthopedics/Orthopedic Surgery, MBBS
    Speciality Foot & Ankle Surgeon
    Consulting Room 202
    Consultation
    Timing
    Wednesday
    7pm - 8pm

    Dr. Parag Lad

    Diploma Orthopedics, FCPS - Orthopedics
    Speciality Hand Surgeon
    Consulting Room 003
    Consultation
    Timing
    Wednesday
    3.30pm to 5pm

    Dr. Kunal Makhija

    MS - Orthopedics
    Speciality Joint Replacement
    Consulting Room 005
    Consultation
    Timing
    Tuesday, Thursday and Saturday
    3pm - 4pm

    Dr. Sheetal Mohite

    MS - Orthopedics, Fellowship in spine
    Speciality Spine
    Consulting Room 205
    Consultation
    Timing
    Wednesday, Saturday
    5:30pm - 7pm, 10am - 11am

    Dr. Pradip Nemade

    MS - Orthopedics, DNB - Orthopedics
    Speciality Arthroscopy & Trauma
    Consulting Room Ground floor, Room no.3
    Consultation
    Timing
    Monday, Wednesday and Friday
    6pm - 7 pm

    Dr. Chasanal Rathod

    MS - Orthopedics, Fellowship in Pediatric Orthopedics
    Speciality Pediatric Orthopedics
    Consulting Room Ground floor, room no. 1
    Consultation
    Timing
    Mondays
    3pm - 5pm

    Dr. Dipit Sahu

    MS - Orthopedics, Fellowship in Shoulder Surgery
    Speciality Orthopedics
    Consulting Room 005
    Consultation
    Timing
    On Appointment

    Dr. Milind Sawant

    MS - Orthopedics, FRCS Trauma & Orth
    Speciality Joint Replacement
    Consulting Room 203
    Consultation
    Timing
    Saturday
    2pm - 3pm

    Dr. Amandeep Singh Gujral

    DNB - Orthopedics, Fellowship in Spine Surgery
    Speciality Spine
    Consulting Room 204
    Consultation
    Timing
    Tuesday and Thursday
    7pm - 8pm

    Dr. Raghuprasad Verma

    MS - Orthopedics, Fellowship in Spine Surgery
    Speciality Spine
    Consulting Room 201
    Consultation
    Timing
    On Appointment

    Dr. Swaroop Hegde

    MD - General Medicine and Endocrinology
    Speciality General Medicine
    Consulting Room 204
    Consultation
    Timing
    On Appointment

    Dr. Antima Jain

    BPT - Bachelor of Physiotherapy
    Speciality Physiotherapist
    Consulting Room 004
    Consultation
    Timing
    Monday to Saturday
    8am to 1pm

    Dr. Kusumlata

    BPT - Bachelor of Physiotherapy, MPT
    Speciality Physiotherapist
    Consulting Room 004
    Consultation
    Timing
    Monday to Saturday
    5pm - 9pm

    Dr. Kanchan Suvasia

    BPT - Bachelor of Physiotherapy
    Speciality Physiotherapist
    Consulting Room 004
    Consultation
    Timing
    Monday to Saturday
    4pm - 7pm

    Dr. Sauramibika Tiwari

    BPT - Bachelor of Physiotherapy
    Speciality Physiotherapist
    Consulting Room 004
    Consultation
    Timing
    Monday to Saturday
    9am - 2pm

    Dr. Suman Bijlani

    MBBS, MD - Obstetrics & Gynaecology, DGO, FCPS - Mid. & Gynae
    Speciality Gynecologist
    Consulting Room 203
    Consultation
    Timing
    On Appointment

    Dr. Preeti Jobalia

    DGO - Obstetrics & Gynecology
    Speciality Gynecologist
    Consulting Room 003
    Consultation
    Timing
    On Appointment

    Dr. Shilpa Shah

    DNB - Obstetrics & Gynecology
    Speciality Gynecologist
    Consulting Room 001
    Consultation
    Timing
    On Appointment

    Dr. Vidula Daundkar

    MS - Obstetrics & Gynecology
    Speciality Gynecologist
    Consulting Room 201
    Consultation
    Timing
    On Appointment

    Dr. Ashutosh Kharche

    MD - Radiodiagnosis, Fellowship in Vasclular & Interventional Radiology
    Speciality Vascular Surgeon
    Consulting Room 203
    Consultation
    Timing
    Tuesday and Friday
    8pm - 9pm

    Dr. Amit Sahu

    MD - Radiodiagnosis, Fellowship in Vasclular & Interventional Radiology
    Speciality Interventional Radiology
    Consulting Room 205
    Consultation
    Timing
    On Appointment

    Dr. Satish Chougale

    MD - Anesthesiology
    Speciality Anesthesiology
    Consulting Room 002
    Consultation
    Timing
    On Appointment

    Dr. Sayali

    Diploma in Anesthesiology
    Speciality Anesthesiology
    Consulting Room 003
    Consultation
    Timing
    On Appointment

    Dr. Sheetal

    Speciality Anesthesiology
    Consulting Room 005
    Consultation
    Timing
    On Appointment

    Dr. Suratkal

    MBBS, DNB Nephrology
    Speciality Nephrologist
    Consulting Room 201
    Consultation
    Timing
    Monday, Wednesday and Friday
    11am - 1pm

    Dr. Ashish Agrahari

    MD Pathology
    Speciality Pathologist
    Consulting Room 203
    Consultation
    Timing
    On Appointment

    Dr. Akshay Deshpande

    MCH - Plastic & Reconstructive Surgery
    Speciality Plastic & Reconstructive
    Consulting Room 204
    Consultation
    Timing
    On Appointment

    Dr. Amit Patil

    MBBS, MCh - Plastic Surgery, MS - General Surgery
    Speciality Plastic & Reconstructive Surgery
    Consulting Room 004
    Consultation
    Timing
    On Appointment

    Dr. Tushar Jadhav

    DNB - Surgical Oncology
    Speciality Surgical Oncology
    Consulting Room 005
    Consultation
    Timing
    On Appointment

    Dr. Devashri Patil

    MS - ENT, Fellowship in Head and Neck Surgical Oncology
    Speciality Surgical Oncology
    Consulting Room 001
    Consultation
    Timing
    On Appointment

    Dr. Ankit Shah

    MDS & Fellowship in Head & Neck Surgical Oncology
    Speciality Surgical Oncology
    Consulting Room 201
    Consultation
    Timing
    On Appointment

    Dr. Dimple Chudgar

    DNB (Obstetrics & Gynecology), Fellowship in Reproductive Medicine and Endoscopic Surgery
    Speciality Obstetrics & Gynecology
    Consulting Room 204
    Consultation
    Timing
    On Appointment

    Dr. Sanjay Singh

    DNB (Orthopedics), Fellowship in Shoulder & Elbow
    Speciality Shoulder & Elbow Surgery
    Consulting Room 203
    Consultation
    Timing
    On Appointment

    Our Doctors

    Dr. Mangal Parihar

    MS Orthopaedics, MBBS
    Speciality Orthopedist, Joint Replacement Surgeon
    Consulting Room 202
    Consultation
    Timing
    Monday, Wednesday and Friday
    3 pm - 8 pm

    Dr. Anand Parihar

    MD - Radiodiagnosis, DMRD, MBBS
    Speciality Radiologist
    Consulting Room 201
    Consultation
    Timing
    On Appointment

    Dr. Maya Parihar Malhotra

    MD - Pathology
    Speciality Pathologist
    Consulting Room 201
    Consultation
    Timing
    On Appointment

    Dr. Divya Ahuja

    DNB Orthopedics
    Speciality Orthopaedics
    Consulting Room 203
    Consultation
    Timing
    Tuesday and Thursday,Saturday
    4pm - 7pm ,1pm - 4pm

    Dr. Chetan Anchan

    MS-Orthopedics, Trained in Orthopedic Oncology from Tata Memorial Hospital
    Speciality Orthopaedics
    Consulting Room 201
    Consultation
    Timing
    On Appointment

    Dr. Sunil Arora

    MS - Orthopaedics, MBBS
    Speciality Orthopaedics
    Consulting Room 205
    Consultation
    Timing
    Monday to Saturday
    11am - 1 pm

    Dr. Prasad Chaudhari

    MS - Orthopaedics, DNB - Orthopedics
    Speciality Orthopaedics
    Consulting Room 204
    Consultation
    Timing
    On Appointment

    Dr. Kaustubh Durve

    MS -Orthopedics, MRCS (UK)
    Speciality Orthopaedics
    Consulting Room 004
    Consultation
    Timing
    On Appointment

    Dr. Hitesh Kubadia

    DNB - Orthopedics
    Speciality Orthopaedics
    Consulting Room 002
    Consultation
    Timing
    On Appointment

    Dr. Abhishek Kini

    DNB - Orthopedics, Dip. Sports Medicine from IOC
    Speciality Foot & Ankle Surgeon
    Consulting Room 202
    Consultation
    Timing
    Wednesday
    7pm - 8pm

    Dr. Parag Lad

    Diploma Orthopedics, FCPS - Orthopedics
    Speciality Hand Surgeon
    Consulting Room 003
    Consultation
    Timing
    Wednesday
    3.30pm to 5pm

    Dr. Kunal Makhija

    MS - Orthopedics
    Speciality Joint Replacement
    Consulting Room 005
    Consultation
    Timing
    Tuesday, Thursday and Saturday
    3pm - 4pm

    Dr. Sheetal Mohite

    MS - Orthopedics, Fellowship in spine
    Speciality Spine
    Consulting Room 205
    Consultation
    Timing
    Wednesday, Saturday
    5:30pm - 7pm, 10am - 11am

    Dr. Pradip Nemade

    MS - Orthopedics, DNB - Orthopedics
    Speciality Arthroscopy & Trauma
    Consulting Room Ground floor, Room no.3
    Consultation
    Timing
    Monday, Wednesday and Friday
    6pm - 7 pm

    Dr. Chasanal Rathod

    MS - Orthopedics, Fellowship in Pediatric Orthopedics
    Speciality Pediatric Orthopedics
    Consulting Room Ground floor, room no. 1
    Consultation
    Timing
    Mondays
    3pm - 5pm

    Dr. Dipit Sahu

    MS - Orthopedics, Fellowship in Shoulder Surgery
    Speciality Orthopedics
    Consulting Room 005
    Consultation
    Timing
    On Appointment

    Dr. Milind Sawant

    MS - Orthopedics, FRCS Trauma & Orth
    Speciality Joint Replacement
    Consulting Room 203
    Consultation
    Timing
    Saturday
    2pm - 3pm

    Dr. Amandeep Singh Gujral

    DNB - Orthopedics, Fellowship in Spine Surgery
    Speciality Spine
    Consulting Room 204
    Consultation
    Timing
    Tuesday and Thursday
    7pm - 8pm

    Dr. Raghuprasad Verma

    MS - Orthopedics, Fellowship in Spine Surgery
    Speciality Spine
    Consulting Room 201
    Consultation
    Timing
    On Appointment

    Dr. Swaroop Hegde

    MD - General Medicine and Endocrinology
    Speciality General Medicine
    Consulting Room 204
    Consultation
    Timing
    On Appointment

    Dr. Antima Jain

    BPT - Bachelor of Physiotherapy
    Speciality Physiotherapist
    Consulting Room 004
    Consultation
    Timing
    Monday to Saturday
    8am to 1pm

    Dr. Kusumlata

    BPT - Bachelor of Physiotherapy, MPT
    Speciality Physiotherapist
    Consulting Room 004
    Consultation
    Timing
    Monday to Saturday
    5pm - 9pm

    Dr. Kanchan Suvasia

    BPT - Bachelor of Physiotherapy
    Speciality Physiotherapist
    Consulting Room 004
    Consultation
    Timing
    Monday to Saturday
    4pm - 7pm

    Dr. Sauramibika Tiwari

    BPT - Bachelor of Physiotherapy
    Speciality Physiotherapist
    Consulting Room 004
    Consultation
    Timing
    Monday to Saturday
    9am - 2pm

    Dr. Suman Bijlani

    MBBS, MD - Obstetrics & Gynaecology, DGO, FCPS - Mid. & Gynae
    Speciality Gynecologist
    Consulting Room 203
    Consultation
    Timing
    On Appointment

    Dr. Preeti Jobalia

    DGO - Obstetrics & Gynecology
    Speciality Gynecologist
    Consulting Room 003
    Consultation
    Timing
    On Appointment

    Dr. Shilpa Shah

    DNB - Obstetrics & Gynecology
    Speciality Gynecologist
    Consulting Room 001
    Consultation
    Timing
    On Appointment

    Dr. Vidula Daundkar

    MS - Obstetrics & Gynecology
    Speciality Gynecologist
    Consulting Room 201
    Consultation
    Timing
    On Appointment

    Dr. Ashutosh Kharche

    MD - Radiodiagnosis, Fellowship in Vasclular & Interventional Radiology
    Speciality Vascular Surgeon
    Consulting Room 203
    Consultation
    Timing
    Tuesday and Friday
    8pm - 9pm

    Dr. Amit Sahu

    MD - Radiodiagnosis, Fellowship in Vasclular & Interventional Radiology
    Speciality Interventional Radiology
    Consulting Room 205
    Consultation
    Timing
    On Appointment

    Dr. Satish Chougale

    MD - Anesthesiology
    Speciality Anesthesiology
    Consulting Room 002
    Consultation
    Timing
    On Appointment

    Dr. Sayali

    Diploma in Anesthesiology
    Speciality Anesthesiology
    Consulting Room 003
    Consultation
    Timing
    On Appointment

    Dr. Sheetal

    Speciality Anesthesiology
    Consulting Room 005
    Consultation
    Timing
    On Appointment

    Dr. Suratkal

    MBBS, DNB Nephrology
    Speciality Nephrologist
    Consulting Room 201
    Consultation
    Timing
    Monday, Wednesday and Friday
    11am - 1pm

    Dr. Ashish Agrahari

    MD Pathology
    Speciality Pathologist
    Consulting Room 203
    Consultation
    Timing
    On Appointment

    Dr. Akshay Deshpande

    MCH - Plastic & Reconstructive Surgery
    Speciality Plastic & Reconstructive
    Consulting Room 204
    Consultation
    Timing
    On Appointment

    Dr. Amit Patil

    MCH - Plastic & Reconstructive Surgery
    Speciality Plastic & Reconstructive Surgery
    Consulting Room 004
    Consultation
    Timing
    On Appointment

    Dr. Tushar Jadhav

    DNB - Surgical Oncology
    Speciality Surgical Oncology
    Consulting Room 005
    Consultation
    Timing
    On Appointment

    Dr. Devashri Patil

    MS - ENT, Fellowship in Head and Neck Surgical Oncology
    Speciality Surgical Oncology
    Consulting Room 001
    Consultation
    Timing
    On Appointment

    Dr. Ankit Shah

    MDS & Fellowship in Head & Neck Surgical Oncology
    Speciality Surgical Oncology
    Consulting Room 201
    Consultation
    Timing
    On Appointment

    Dr. Dimple Chudgar

    DNB (Obstetrics & Gynecology), Fellowship in Reproductive Medicine and Endoscopic Surgery
    Speciality Obstetrics & Gynecology
    Consulting Room 204
    Consultation
    Timing
    On Appointment

    Dr. Sanjay Singh

    DNB (Orthopedics), Fellowship in Shoulder & Elbow
    Speciality Shoulder & Elbow Surgery
    Consulting Room 203
    Consultation
    Timing
    On Appointment

    Our Vision & Mission

    Our Vision दृष्टिकोन:
    To improve the quality of life; free of deformities for our patients, at an affordable price while always treating them like a family.
    आमच्या रुग्णांच्या जीवनाचा दर्जा सुधारण्यासाठी त्यांस परवडणाऱ्या किंमतीत आरोग्य सेवा देणे. तसेच त्यांच्या सोबत नेहमी कुटुंबाप्रमाणे वागणे.

    Our Mission मोहीम:
    To provide the best, empathetic medical care to our patients. To help our patients make an informed choice in their treatment. To pass on the knowledge we have received to our collegues and to the next generation.
    आमच्या रुग्णांना सर्वोत्तम, सहानुभूतीपूर्ण वैद्यकीय सेवा प्रदान करणे. आमच्या रुग्णांना त्यांच्या उपचारांमध्ये माहितीपूर्ण निवड करण्यास मदत करणे. आम्हाला मिळालेले ज्ञान आमच्या सहकाऱ्यांना आणि पुढच्या पिढीपर्यंत पोहोचवणे.