Description about the Surgery
Fracture management of the upper limb involves the diagnosis and treatment of fractures affecting the bones of the shoulder, arm, elbow, forearm, wrist, and hand. Treatment options may include closed reduction, where the fractured bones are aligned without surgery, or open reduction and internal fixation (ORIF) for more complex fractures requiring surgical stabilization with plates, screws, or rods.
Different Types of Upper Limb Fractures
Fractures of the upper limb may include clavicle fractures, humerus fractures, radial and ulnar fractures, elbow fractures, wrist fractures, and hand fractures. These fractures may result from trauma, falls, sports injuries, or motor vehicle accidents.
Before Surgery
Before undergoing fracture management surgery, patients undergo a thorough evaluation, including physical exams and imaging studies (X-rays, CT scans, MRI) to assess the extent of the fracture and plan the appropriate treatment. Pre-operative instructions may include pain management strategies, immobilization with splints or casts, and instructions for activity modification.
During Surgery
During fracture management surgery, the surgeon may perform closed reduction under anesthesia to realign the fractured bones without making an incision. For complex fractures or those with displacement, open reduction and internal fixation (ORIF) may be necessary. The surgeon makes an incision over the fracture site, repositions the bones into alignment, and stabilizes them using surgical hardware.
After Surgery
After fracture management surgery, patients are closely monitored for complications such as infection, nerve injury, or vascular compromise. Post-operative care includes pain management, wound care, and monitoring for signs of healing or complications. Depending on the severity of the fracture and the stability achieved with surgery, patients may require immobilization with a splint or cast followed by physical therapy to regain strength, mobility, and function.
Rehabilitation
Rehabilitation after fracture management of the upper limb aims to restore range of motion, strength, and function while promoting bone healing and preventing stiffness. Physical therapy may include exercises to improve flexibility, muscle strength, and joint stability. The rehabilitation process is tailored to the individual patient's needs and the specific requirements of their fracture, with the goal of optimizing recovery and restoring full function of the upper limb.