How to care for a bone fracture?

Written by Cheng Bin
Orthopedics
Updated on September 09, 2024
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For patients with bone fractures, it is fortunate if there is no displacement. They must strictly use orthopedic casts or splints for external fixation. This effectively prevents the possibility of displacement at the fracture site and aids in the healing of the fracture. For patients with significant swelling, try to elevate the affected limb to facilitate venous return and reduce swelling. Use of non-steroidal anti-inflammatory and pain-relieving drugs, drugs that promote blood circulation and remove blood stasis, and drugs that promote fracture healing is appropriate. In terms of diet, nutrition should be enhanced, and spicy and irritating foods should be avoided, as well as smoking and alcohol, as these can affect the healing of fractures.

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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 Wang Cheng Lin
Orthopedics
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Symptoms of a fractured ankle

For patients with ankle fractures, the main symptoms are swelling, pain, limited mobility, and significant tenderness upon pressing. There may also be a sensation and sound of bone rubbing together. Typically, a straightforward X-ray is sufficient to make a clear diagnosis. In cases of ankle fractures without displacement, an active conservative treatment is generally recommended. This usually involves strict immobilization with a plaster cast, elevating the affected limb to facilitate venous return and reduce swelling. Medications that improve blood circulation and promote bone healing are used in treatment. Normally, the treatment period is about one and a half months. With follow-up X-rays showing bone callus formation, the plaster can be removed and exercises to strengthen the ankle joint can be commenced.

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Written by Cheng Bin
Orthopedics
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What to eat for a bone fracture?

In the early stages of a bone fracture, it is generally necessary to pay strict attention to rest and protection, as gastrointestinal motility can become relatively slow. Therefore, for such patients, it is necessary to consume easily digestible foods early on, including more vegetables and fruits. Once the fracture site becomes more stable during the later stages, it is important to enhance nutrition and actively carry out calcium supplementation. For example, patients can drink pork rib soup or pig trotter soup, and also need to eat items like shrimp shells and lean meat. However, it is crucial to avoid spicy and stimulating foods, as well as greasy foods, and to quit smoking and drinking, as these can negatively impact the healing of the fracture. Additionally, for patients with fractures, it is mandatory to strictly ensure rest and protective immobilization.

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Written by Wang Cheng Lin
Orthopedics
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How to treat an old fracture?

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 Cheng Bin
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Post-fracture sequelae

For the sequelae of bone fractures, usually, patients who have sustained a fracture will not have sequelae if they actively cooperate with treatment. However, if treatment is improper, a series of sequelae can easily occur, with the most common manifestations being the following. First, after the fracture, if there is no active and strict attention to rest, protection, and immobilization, later muscle traction can cause displacement at the site of the fracture, leading to deformity healing and affecting the patient's normal function. Second, after a fracture, due to prolonged inactivity, the joints may become stiff and the muscles may contract. When it becomes possible to exercise later, patients may exercise insufficiently due to fear of pain, resulting in very poor joint mobility, which affects the normal function of the patient. Third, for fractures in some special areas, such as a femoral tibial fracture, this may lead to avascular necrosis of the femoral head in patients.