How to treat an old fracture?

Written by Wang Cheng Lin
Orthopedics
Updated on September 10, 2024
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The concept of a bone fissure refers to a condition where the bone is not completely broken but is partially cracked, known as a fissure. The treatment for a bone fissure generally involves plaster fixation, typically for a duration of four to six weeks. However, an old injury refers to a chronic fissure that has been present for three weeks or more. If the fissure is three weeks old, it should continue to be immobilized with plaster, avoiding weight-bearing walking and activities. Plaster fixation can gradually allow the fracture ends to heal. If after four to six weeks, or even two months, the fracture ends have not healed, further surgical treatment may be required.

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Written by Li Jin
Orthopedics
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What should not be eaten with a bone fracture?

Patients with bone fractures should avoid consuming spicy and stimulating foods such as chili peppers, as well as high-fat, high-calorie foods like fatty meats, cream, barbecue, and fried foods. They should also avoid high-sugar foods like various sweet treats with high sugar content, and overly salty foods, as these can be detrimental to the healing of fractures. Additionally, it is advised that patients with bone fractures should not smoke or drink alcohol. Following a fracture, it is beneficial to include more high-quality protein and vitamin-rich foods in their diet, such as milk, eggs, beans, chicken, fish, various fresh vegetables, and fruits, as these foods are favorable for the recovery of bone fractures.

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Written by Lv Yao
Orthopedics
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What is the best treatment for a bone fracture?

A bone fissure, also known as a crack fracture, involves only a cortical crack, with no significant compromise to the bone's firmness and stability. Therefore, conservative treatment can be chosen for a crack fracture, using supports or external fixation to promote healing and recovery of the fracture. However, during the external fixation process, it is crucial to monitor the limb's blood circulation and sensation to prevent symptoms associated with high pressure in the basement membrane.

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Written by Cheng Bin
Orthopedics
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How long will a bone fracture hurt?

Regarding the question of how long the pain from a fracture lasts, in general, patients with fractures are usually in the fibrous connection phase about two weeks after the incident, at which point the fracture ends become relatively stable. This means there is no longer movement at the fracture ends that can irritate nearby nerves. Therefore, the pain usually starts to alleviate after about two weeks. Additionally, for early intense pain from the fracture, oral pain relievers can be taken to ease the patient's symptoms. Furthermore, it is crucial to ensure that the fracture site is well-rested and protected, as this is the best condition for the healing of the fracture. If immobilization is not strictly adhered to, premature activity or local muscle strain might occur, which could potentially lead to a misalignment at the fracture site.

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Written by Lv Yao
Orthopedics
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Can a bone fracture heal by itself?

A bone fissure is actually a type of fracture where there is a crack in the cortical bone, but the stability of the bone is maintained. Symptoms of a bone fissure can include pain, swelling, and limited mobility. Therefore, it should be treated like a fracture, for example, by properly immobilizing and resting the area which can promote the healing of the fracture. As long as proper immobilization and rest are ensured, a bone fissure can heal on its own. However, it is crucial to monitor the blood supply around the fracture and the swelling to avoid symptoms of compartment syndrome. It is also important to pay attention to the joints at the distal end of the affected limb to prevent joint stiffness after prolonged immobilization.

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Written by Wang Cheng Lin
Orthopedics
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How to treat a fracture?

Patients with bone fractures, due to the force applied causing partial fractures in the bone, do not necessarily represent a complete break and won’t exhibit noticeable symptoms of displacement or misalignment. Generally, patients with bone fractures only require a plaster cast for immobilization, typically for about four weeks. After a month, you can visit the hospital to get an X-ray to check for osseous union at the fracture ends. If the fracture ends have achieved osseous union, then normal activities and weight-bearing walking can be resumed. Thus, for bone fractures, simply applying a plaster cast for immobilization for four weeks is sufficient.