Tibia Nailing

The dressing for femur nailing is done on day 2 after surgery. Your surgeon may call you for a wound check once before the final removal of sutures.

The dressing for total knee replacement surgery is performed with highly aspectic precautions. Unless there is a frank soakage of the dressing, you are advised not to get the dressing changed.

Total knee replacements (TKR) are done for all sorts of diseases of knee:

a) Age related degenerative changes in knee,

b) Neglected or highly comminuted fractures,

c) Inflammatory arthropathies,

d) Tumors in knee etc.

For a common man's perspective we can bring down the indication for a total knee replacement (TKR) into 3 broad categories:

A) Intolerable and intractable knee pain and knee stiffness that is limiting a persons active daily life (walking, going out to market or work, standing for long etc.) even after a period of proper regimen of exercise, physiotherapy, medications and other medical management.

B)Deformity that makes the patient walk/limp crookedly like a duck and in turn makes other proximal or distal joints more painful (low back pain, groin pain, ankle pain/swelling etc.) needs to be evaluated, graded by an orthopaedic surgeon to ascertain the risks involved and corrected with or without a total knee replacement (TKR)

c)Some other illness in knee (eg. a tumor) that cant be taken out without a total knee replacement (TKR)

A radius fracture is a partial or complete break (fracture ) in the thumb side forearm bone (radius ). This document does not discuss radius fractures that include the elbow or wrist.

Fracture of the upper part of the arm bone around the ball of the shoulder is called proximal humerus fracture.

Total knee replacements (TKR) are done for all sorts of diseases of knee:

a) Age related degenerative changes in knee,

b) Neglected or highly comminuted fractures,

c) Inflammatory arthropathies,

d) Tumors in knee etc.

For a common man's perspective we can bring down the indication for a total knee replacement (TKR) into 3 broad categories:

A) Intolerable and intractable knee pain and knee stiffness that is limiting a persons active daily life (walking, going out to market or work, standing for long etc.) even after a period of proper regimen of exercise, physiotherapy, medications and other medical management.

B)Deformity that makes the patient walk/limp crookedly like a duck and in turn makes other proximal or distal joints more painful (low back pain, groin pain, ankle pain/swelling etc.) needs to be evaluated, graded by an orthopaedic surgeon to ascertain the risks involved and corrected with or without a total knee replacement (TKR)

c)Some other illness in knee (eg. a tumor) that cant be taken out without a total knee replacement (TKR)

The dressing for total knee replacement surgery is performed with highly aspectic precautions. Unless there is a frank soakage of the dressing, you are advised not to get the dressing changed.

Total knee replacements (TKR) are done for all sorts of diseases of knee:

a) Age related degenerative changes in knee,

b) Neglected or highly comminuted fractures,

c) Inflammatory arthropathies,

d) Tumors in knee etc.

For a common man's perspective we can bring down the indication for a total knee replacement (TKR) into 3 broad categories:

A) Intolerable and intractable knee pain and knee stiffness that is limiting a persons active daily life (walking, going out to market or work, standing for long etc.) even after a period of proper regimen of exercise, physiotherapy, medications and other medical management.

B)Deformity that makes the patient walk/limp crookedly like a duck and in turn makes other proximal or distal joints more painful (low back pain, groin pain, ankle pain/swelling etc.) needs to be evaluated, graded by an orthopaedic surgeon to ascertain the risks involved and corrected with or without a total knee replacement (TKR)

c)Some other illness in knee (eg. a tumor) that cant be taken out without a total knee replacement (TKR)

A wrist fracture is a break or crack in one of the bones of your wrist. Your wrist is made of eight small bones at the palm of your hand (carpal bones ) and two long bones that make your forearm (radius andulna ).

A broken wrist is often treated by wearing a cast, splint, or sling (immobilization ). This holds the broken pieces in place so they can heal.

The dressing for tibia nailing is done on day 2 after surgery. Your surgeon may call you for a wound check once before the final removal of sutures.

A humerus fracture is a break in the large bone in the upper arm (humerus ). If the joint is stable and the bones are still in their normal position (nondisplaced ), the injury may be treated with immobilization. This involves the use of a cast, splint, or sling to hold your arm in place. Immobilization ensures that your bones continue to stay in the correct position while your arm is healing.

Your surgeon may advise this modality of treatment in the following scenarios:

1) Fracture of the thigh bone (femur)

2) Following old/neglected/malunited fracture after corrective surgery.

Unlike arthritic knee, its often impossible to walk/stand with a damaged hip

If your surgeon has advised you a total hip replacement, it may be due to one of the following reasong:

a) Fracture neck femur

b) Avascular necrosis hip

c) Osteoarthritis,

d) Secondary arthritis

e) Bone tumors.

An ulnar fracture is a break in the ulna bone, which is the forearm bone that is located on the same side as your little finger. Your forearm is the part of your arm that is between your elbow and your wrist. It is made up of two bones: the radius and ulna. The ulna forms the point of your elbow at its upper end. The lower end can be felt on the outside of your wrist.

Your surgeon may advise this modality of treatment in the following scenarios:

1) Fracture of the leg bone (tibia)

2) Following old/neglected/malunited fracture after corrective surgery.

The dressing for total hip replacement surgery is performed with highly aspectic precautions. Unless there is a frank soakage of the dressing, you are advised not to get the dressing changed.

The dressing for total knee replacement surgery is performed with highly aspectic precautions. Unless there is a frank soakage of the dressing, you are advised not to get the dressing changed.

Hip fractures are common in the elderly age group after trivial falls. These fracture may occur in the young due to a high impact injury, like in road traffic accidents.

If you have been diagnosed with a hip fracture, the injury is considered to be a serious injury. Depending upon the type of fracture you doctor may advise you conservative or operative treatment

The skin stitches take 14-18 days to heal completely.

In the nailing of femur, your surgeon inserts a stainless steel/titanium nail in the femur bone and fixes it using screws. The nail provides support to the bone from within, maintaining the limb length and stability, allowing the fracture to heal.

The skin stitches take 14-18 days to heal completely.

Hip fractures usually are caused by a fall. If you fracture your hip, you may experience the following symptoms: Severe pain in your hip or pelvic area Bruising and/or swelling in your hip area Inability to put weight on your hip Difficulty walking The injured leg may look shorter than the other leg and may be turned outward

The skin stitches take 14-18 days to heal completely.

Any person who has pain limiting his daily activity, who meets the technical guidelines and criteria for a TKR can get it done after an honest effort at exercise, physical rehab therapy and other conservative management that the repalcement surgeon plans for him/her.

Any person who has pain limiting his daily activity, who meets the technical guidelines and criteria for a TKR can get it done after an honest effort at exercise, physical rehab therapy and other conservative management that the repalcement surgeon plans for him/her.

The skin stitches take 14-18 days to heal completely.

Any person who has pain limiting his daily activity, who meets the technical guidelines and criteria for a TKR can get it done after an honest effort at exercise, physical rehab therapy and other conservative management that the repalcement surgeon plans for him/her.

The skin stitches take 14-18 days to heal completely.

The skin stitches take 14-18 days to heal completely.

In the nailing of tibia your surgeon inserts a stainless steel/titanium nail in the tibia bone and fixes it using screws. The nail provides support to the bone from within, maintaining the limb length and stability, allowing the fracture to heal.

With the presently available implants and the simplicity of the procedure, the surgery can be done in individuals as young as in the second decade.

The "Success" in TKR is depends upon 3 points:

How painless the knee is How much can the patient flex the knee How well/smoothly he/she can perform daily activities

With the presently available implants, surgical techniques and your surgeons expertise this surgery has a very high success rate.

The "Success" in TKR is depends upon 3 points:

How painless the knee is How much can the patient flex the knee How well/smoothly he/she can perform daily activities

With the presently available implants, surgical techniques and your surgeons expertise this surgery has a very high success rate.

The "Success" in TKR is depends upon 3 points:

How painless the knee is How much can the patient flex the knee How well/smoothly he/she can perform daily activities

With the presently available implants, surgical techniques and your surgeons expertise this surgery has a very high success rate.

For an uncomplicated tibia nailing, the patient is often made to stand on same evening post operatively. The degree of weight bearing depends upon the surgeon's discretion. However we can expect reasonable amount of fracture union by 3 months post surgery. However, these time durations may vary from case to case basis.

Any time you fall and are unable to get up or stand, call your doctor right away. He or she may take an X- ray to check for hip fracture.

For an uncomplicated femur nailing, the patient is often made to stand on same evening post operatively. The degree of weight bearing depends upon the surgeon's discretion. However we can expect reasonable amount of fracture union by 3 months post surgery. However, these time durations may vary from case to case basis.

For a regular uncomplicated hip replacement, the patient is often made to stand on same evening post operatively. The patient typically needs a walker for assistance for 2 weeks. One can expect to walk independently by 4-6 weeks. However, these time durations may vary from case to case basis.

With the presently available techniques and improvised anesthetic and intensive care, the surgery has greater benifits than the risks. Conservative treatment for hip fracture may require prolonged period of bed rest which is be associated with problems of recumbency like bed sores, chest infection, venous thrombosis etc.

In the surgery for total knee replacement (TKR) the diseased knee is taken out (cut out) of the body through an incision on skin along with any other diseased part of the bones (tibia/femur) after which the part is replaced with an artificial joint and skin and tissues are closed over it leaving no external mark other that a surgical scar.

In the surgery for total knee replacement (TKR) the diseased knee is taken out (cut out) of the body through an incision on skin along with any other diseased part of the bones (tibia/femur) after which the part is replaced with an artificial joint and skin and tissues are closed over it leaving no external mark other that a surgical scar.

In the surgery of nailing for hip fracture, a stainless steel/ titanium nail may be inserted from the upper end of your hip bone to your thigh bone with screws holding the fracture site in place.

In the surgery for total knee replacement (TKR) the diseased knee is taken out (cut out) of the body through an incision on skin along with any other diseased part of the bones (tibia/femur) after which the part is replaced with an artificial joint and skin and tissues are closed over it leaving no external mark other that a surgical scar.

In the surgery for total knee replacement (TKR) the diseased knee is taken out (cut out) of the body through an incision on skin along with any other diseased part of the bones (tibia/femur) after which the part is replaced with an artificial joint and skin and tissues are closed over it leaving no external mark other that a surgical scar.

Most people who have hip fractures will need surgery to make sure the leg heals properly. Your doctor.

Some people are unable to have hip surgery because of an illness or poor health. If your doctor doesn't think it's safe for you to have surgery, you will be put into traction to help your hip heal. Traction keeps you immobile for a long period of time.

Depending upon your age, body habitus, morphology and site of fracture your surgeon may consider fixation or replacement for your hip fracture,

The surgery is most commonly performed under spinal anesthesia. An injection is given on your lower back which numbs the lower half of the body. The surgeon is able to perform the entire procedure without inducing any pain or discomfort.

In exceptional circumstances, an epidural or general anesthesia may be needed.

The surgery is most commonly performed under spinal anesthesia. An injection is given on your lower back which numbs the lower half of the body. The surgeon is able to perform the entire procedure without inducing any pain or discomfort.

In patients with higher risk and comorbidities, an epidural or general anesthesia may be needed.

The surgery is most commonly performed under spinal anesthesia. An injection is given on your lower back which numbs the lower half of the body. The surgeon is able to perform the entire procedure without inducing any pain or discomfort.

In exceptional circumstances, an epidural or general anesthesia may be needed.

The surgery is most commonly performed under spinal anesthesia. An injection is given on your lower back which numbs the lower half of the body. The surgeon is able to perform the entire procedure without inducing any pain or discomfort.

In exceptional circumstances, an epidural or general anesthesia may be needed.

The surgery is most commonly performed under spinal anesthesia. An injection is given on your lower back which numbs the lower half of the body. The surgeon is able to perform the entire procedure without inducing any pain or discomfort.

In exceptional circumstances, an epidural or general anesthesia may be needed.

The surgery is most commonly performed under spinal anesthesia. An injection is given on your lower back which numbs the lower half of the body. The surgeon is able to perform the entire procedure without inducing any pain or discomfort.

In exceptional circumstances, an epidural or general anesthesia may be needed.

The surgery is most commonly performed under spinal anesthesia. An injection is given on your lower back which numbs the lower half of the body. The surgeon is able to perform the entire procedure without inducing any pain or discomfort.

In exceptional circumstances, an epidural or general anesthesia may be needed.

The surgery usually lasts for a period of 1.5 to 2 hours. Revision surgeries may take longer time depending upon the situation.

The surgery usually lasts for a period of 1.5 to 2 hours. Revision surgeries may take longer time depending upon the situation.

The surgery usually lasts for a period of 1 to 1.5 hours. Revision surgeries may take longer time depending upon the situation.

The surgery usually lasts for a period of 1 to 1.5 hours. Revision surgeries may take longer time depending upon the situation.

The surgery usually lasts for a period of 1.5 to 2 hours..

The surgery usually lasts for a period of 1.5 to 2 hours. Revision surgeries may take longer time depending upon the situation.

The surgery usually lasts for a period of 1 to 1.5 hours. Revision surgeries may take longer time depending upon the situation.

Total knee replacement being an elective procedure, does not require extensive indoor optimization. You will be seen by an anesthetist before hand and you may be asked to get admitted a couple of hours prior to your surgery.

Total knee replacement being an elective procedure, does not require extensive indoor optimization. You will be seen by an anesthetist before hand and you may be asked to get admitted a couple of hours prior to your surgery.

Total hip replacement being an elective procedure, does not require extensive indoor optimization.

In case it is done for a fractured hip, you may be admitted after your injury till you undergo your surgery.

In an elective scenario, you will be seen by an anesthetist before hand and you may be asked to get admitted a couple of hours prior to your surgery.

Total knee replacement being an elective procedure, does not require extensive indoor optimization. You will be seen by an anesthetist before hand and you may be asked to get admitted a couple of hours prior to your surgery.

Any surgical procedure needs 'Nil By mouth' period of 6-8 hours prior to surgery. Depending upon the time of your surgery, the surgery counsellor will explain you the time of your last meal.

Any surgical procedure needs 'Nil By mouth' period of 6-8 hours prior to surgery. Depending upon the time of your surgery, the surgery counsellor will explain you the time of your last meal.

Any surgical procedure needs 'Nil By mouth' period of 6-8 hours prior to surgery. Depending upon the time of your surgery, the surgery counsellor will explain you the time of your last meal.

Any surgical procedure needs 'Nil By mouth' period of 6-8 hours prior to surgery. Depending upon the time of your surgery, the surgery counsellor will explain you the time of your last meal.

Any kind of dressing soakage is not good for the surgical wound healing. It is recommened to perform sponging using a wet towel instead of direct bathe till all the sutures are removed and your surgeon has seen the wound.

Any kind of dressing soakage is not good for the surgical wound healing. It is recommened to perform sponging using a wet towel instead of direct bathe till all the sutures are removed and your surgeon has seen the wound.

Any kind of dressing soakage is not good for the surgical wound healing. It is recommened to perform sponging using a wet towel instead of direct bathe till all the sutures are removed and your surgeon has seen the wound.

Any kind of dressing soakage is not good for the surgical wound healing. It is recommened to perform sponging using a wet towel instead of direct bathe till all the sutures are removed and your surgeon has seen the wound.

Any kind of dressing soakage is not good for the surgical wound healing. It is recommened to perform sponging using a wet towel instead of direct bathe till all the sutures are removed and your surgeon has seen the wound.

Any kind of dressing soakage is not good for the surgical wound healing. It is recommened to perform sponging using a wet towel instead of direct bathe till all the sutures are removed and your surgeon has seen the wound.

It is recommended to practise assisted physical therapy for at least a month under the guidance of a qualified physiotherapist.

We will get a physiotherapist arranged for you during the post operative period.

It is recommended to practise assisted physical therapy for at least a month under the guidance of a qualified physiotherapist.

We will get a physiotherapist arranged for you during the post operative period.

It is recommended to practise assisted physical therapy for at least a month under the guidance of a qualified physiotherapist.

We will get a physiotherapist arranged for you during the post operative period.

It is recommended to practise assisted physical therapy for at least a month under the guidance of a qualified physiotherapist.

We will get a physiotherapist arranged for you during the post operative period.

It is recommended to practise assisted physical therapy for at least a month under the guidance of a qualified physiotherapist.

We will get a physiotherapist arranged for you during the post operative period.

Exercises for the knee is like oil for the car engine.

Knee replacement is like changing the tire of the car.

You change the tire once, but u need to keep lubricating your engine.

Exercises for the knee is like oil for the car engine.

Knee replacement is like changing the tire of the car.

You change the tire once, but u need to keep lubricating your engine.

Exercises for the knee is like oil for the car engine.

Knee replacement is like changing the tire of the car.

You change the tire once, but u need to keep lubricating your engine.

The recovery period depends upon the motivation of the patient. You may be well ambulatory with or without a stick by a month after surgery. You may join back to work at the end of 2 months.

The recovery period depends upon the motivation of the patient. You may be well ambulatory with or without a stick by a month after surgery. You may join back to work at the end of 2 months.

The recovery period depends upon the motivation of the patient. You may be well ambulatory with or without a stick by a month after surgery. You may join back to work at the end of 2 months.

The recovery period depends upon the motivation of the patient. You may be well ambulatory with or without a stick by a month after surgery. You may join back to work at the end of 2 months.

The recovery period depends upon the motivation of the patient. You may be well ambulatory with or without a stick by a month after surgery. You may join back to work at the end of 2 months.

Total knee replacement is all about technology,

The next step in TKR (total knee replacement) is computer aided navigation and robotic surgery which is now being done in various centers in India. The use of a robot allows more precision in surgery with faster recovery time and better knee flexion.Dr Keyur Desai has been trained with robotic total knee and hip surgeries at one of the biggest centres for robotic surgeries in India.

Total knee replacement is all about technology,

The next step in THR (total knee replacement) is computer aided navigation and robotic surgery which is now being done in various centers in India. The use of a robot allows more precision in surgery with faster recovery time and better knee flexion.Dr Keyur Desai has been trained with robotic total hip surgeries at one of the biggest centres for robotic surgeries in India.

Total knee replacement is all about technology,

The next step in TKR (total knee replacement) is computer aided navigation and robotic surgery which is now being done in various centers in India. The use of a robot allows more precision in surgery with faster recovery time and better knee flexion.Dr Keyur Desai has been trained with robotic total knee and hip surgeries at one of the biggest centres for robotic surgeries in India.

Total knee replacement is all about technology,

The next step in TKR (total knee replacement) is computer aided navigation and robotic surgery which is now being done in various centers in India. The use of a robot allows more precision in surgery with faster recovery time and better knee flexion.Dr Keyur Desai has been trained with robotic total knee and hip surgeries at one of the biggest centres for robotic surgeries in India.

The cost of a TKR surgery depends on which setup the patient is getting operated in, whether their is any comorbidities needing extended stay or specialised care.

Depending upon the type of implants used the cost may range from 1.5 lakh to 3.5 lakh for a knee.

The cost of a TKR surgery depends on which setup the patient is getting operated in, whether their is any comorbidities needing extended stay or specialised care.

Depending upon the type of implants used the cost may range from 1.5 lakh to 3.5 lakh for a knee.

The cost of a TKR surgery depends on which setup the patient is getting operated in, whether their is any comorbidities needing extended stay or specialised care.

Depending upon the type of implants used the cost may range from 1.5 lakh to 3.5 lakh for a knee.

If we follow international joint registry data recorded in various countries, 35 years of life has been recorded as highest longevity of a replaced knee. However, we can expect anything between 20-25 years for a well performed TKR surgery using standardised implants and techniques

The cost of total hip replacement/ hemiarthroplasty (THA/ THR) varies widely depending on what the patient needs, what the patients level of activity will be, whether the implant is local made or foreign imported.

The average cost with standard implants can vary from 1.5-2L. An hemiarthroplast may cost you between 80k-1.2L

If we follow international joint registry data recorded in various countries, 35 years of life has been recorded as highest longevity of a replaced knee. However, we can expect anything between 20-25 years for a well performed TKR surgery using standardised implants and techniques

If we follow international joint registry data recorded in various countries, 35 years of life has been recorded as highest longevity of a replaced knee. However, we can expect anything between 20-25 years for a well performed TKR surgery using standardised implants and techniques

Do not stick anything inside the cast to scratch your skin.

Check the skin around the cast every day. Tell your doctor about any concerns.

You may put lotion on dry skin around the edges of the cast. Do not put lotion on the skin underneath the cast. Do not let your cast get wet if it is not waterproof.

Keep the cast clean.

Do not stick anything inside the cast to scratch your skin.

Check the skin around the cast every day. Tell your doctor about any concerns.

You may put lotion on dry skin around the edges of the cast. Do not put lotion on the skin underneath the cast. Do not let your cast get wet if it is not waterproof.

Keep the cast clean.

In the surgery of plating for hip fracture, a stainless steel/ titanium plate may be placed over the upper end of your thigh with screws holding the fracture site in place.

Do not put pressure on any part of your cast until it is fully hardened. Rest your cast only on a pillow for the first 24 hours.

Protect your cast or splint while bathing or showering, as directed by your health care provider. Do not put your cast or splint into water.

Do not try to scratch the skin under the cast using sharp or pointed objects. Check the skin around the cast every day.

You may put lotion on any red or sore areas. Keep your cast dry and clean.

Do not put pressure on any part of your cast until it is fully hardened. Rest your cast only on a pillow for the first 24 hours.

Protect your cast or splint while bathing or showering, as directed by your health care provider. Do not put your cast or splint into water.

Do not try to scratch the skin under the cast using sharp or pointed objects. Check the skin around the cast every day.

You may put lotion on any red or sore areas. Keep your cast dry and clean.

Do not take baths, swim, or use a hot tub until your doctor says that you can.

Ask your doctor if you can take showers.

You may only be allowed to take sponge baths. If your cast or splint is not waterproof, cover it with a watertight plastic bag while you take a bath or a shower.

Do not let the cast or splint get wet. If you have a sling, remove it for bathing only if your doctor says this is okay.

The surgery is most commonly performed under spinal anesthesia. An injection is given on your lower back which numbs the lower half of the body. The surgeon is able to perform the entire procedure without inducing any pain or discomfort.

In patients with higher risk and comorbidities, an epidural or general anesthesia may be needed.

If you have a plaster splint

Wear the splint as directed. Loosen the elastic around the splint if your fingers become numb and tingle, or if they turn cold and blue.

Do not take baths, swim, or use a hot tub until your doctor says that you can.

Ask your doctor if you can take showers.

You may only be allowed to take sponge baths. If your cast or splint is not waterproof, cover it with a watertight plastic bag while you take a bath or a shower.

Do not let the cast or splint get wet. If you have a sling, remove it for bathing only if your doctor says this is okay.

Do not put pressure on any part of the cast or splint until it is fully hardened. This may take many hours. Do not use any tobacco products, such as cigarettes, chewing tobacco, and e-cigarettes. Tobacco can delay bone healing. If you need help quitting, ask your doctor. Take over-the-counter and prescription medicines only as told by your doctor. Keep all follow-up visits as told by your doctor. This is important.

Do not put pressure on any part of the cast or splint until it is fully hardened. This may take many hours. Do not use any tobacco products, such as cigarettes, chewing tobacco, and e-cigarettes. Tobacco can delay bone healing. If you need help quitting, ask your doctor. Take over-the-counter and prescription medicines only as told by your doctor. Keep all follow-up visits as told by your doctor. This is important.

The surgery usually lasts for a period of 1.5 to 2 hours..

If directed, put ice on the injured area. Put ice in a plastic bag. Place a towel between your skin and the bag. Leave the ice on for 20 minutes, 2–3 times a day. Move your fingers often to avoid stiffness and to lessen swelling. Raise (elevate ) the injured area above the level of your heart while you are sitting or lying down.

In the surgery of replacement for hip fracture, the head and neck of the hip bone will be extracted and replaced with a metallic prosthesis.

If directed, apply ice to the injured area. Put ice in a plastic bag. Place a towel between your skin and the bag. Leave the ice on for 20 minutes, 2–3 times per day. Move your fingers often to avoid stiffness and to lessen swelling. Raise (elevate ) the injured area above the level of your heart while you are sitting or lying down.

The surgery is most commonly performed under spinal anesthesia. An injection is given on your lower back which numbs the lower half of the body. The surgeon is able to perform the entire procedure without inducing any pain or discomfort.

In patients with higher risk and comorbidities, an epidural or general anesthesia may be needed.

Treatment seems to offer no benefit or the condition worsens.

Any medications produce adverse side effects. Any complications from surgery occur: Pain, numbness or coldness in the extremity operated upon. Discoloration of the nail beds (they become blue or gray) of the extremity operated upon. Signs of infections (fever, pain, inflammation, redness, or persistent bleeding).

You cannot move your fingers. You lose feeling in your fingers or your hand. Your hand or your fingers turn cold and pale or blue. You notice a bad smell coming from your cast. You have drainage from underneath your cast. You have new stains from blood or drainage seeping through your cast.

Please Seek help from us if:

Your cast, splint, or sling is damaged or loose. You have any new pain, swelling, or bruising. Your pain, swelling, and bruising do not get better. You have a fever. You have chills.

Please Seek help from us if:

Your cast, splint, or sling is damaged or loose. You have any new pain, swelling, or bruising. Your pain, swelling, and bruising do not get better. You have a fever. You have chills.

Severe pain over the site of fracture immediately after injury.

Tenderness, inflammation and/or bruising (contusion ) over the forearm.

Contusion usually occurs within 48 hours. If the fractured bone fragments are out of alignment (displaced ), then a visible deformity may be present. Signs of nerve or vascular damage, such as numbness, coldness or paralysis below the fracture site.

The surgery usually lasts for a period of 1.5 to 2 hours..

An ulnar fracture causes pain immediately after the injury. You may need to support your forearm with your other hand.

Other signs and symptoms include: An abnormal bend or bump in your arm (deformity ).

Swelling. Bruising. Numbness or weakness in your hand. Inability to turn your hand from side to side (rotate ).

There may not be a crack heard or felt but there is immediate pain and rapid swelling. Immediately following a fracture, it can be quite difficult and painful to try to move at the shoulder. Bruising may develop in the days following the fracture.

Symptoms can include: • Severe pain in the shoulder • Inability to move at the shoulder • Swelling and bruising at the shoulder • Numbness or weakness in the hand

Symptoms of this condition include: Pain. Swelling. Bruising. Not being able to move the arm normally.

Failure of the fracture to heal (nonunion ). Healing of the fracture in a poor position (malunion ). Chronic pain, stiffness, loss of motion or swelling of the elbow or wrist. Bleeding within the forearm that causes pressure to be placed on the nerves and vessels (compartment syndrome ). Heterotopic calcification of the soft tissues about the forearm (ossification ). Injury to the nerves of the hand or wrist due to stretching from the fracture, causing numbness, weakness or paralysis.

Shortening of the arm. Radius Fracture With Rehab Loss of motion in the elbow, forearm or wrist.

Your health care provider may diagnose an ulnar fracture based on:

Your symptoms.

Your medical history, including any recent injury.

A physical exam:

Your health care provider will look for any deformity and feel for tenderness over the break. Your health care provider will also check whether the bone is out of place.

An X-ray exam to confirm the diagnosis and learn more about the type of fracture.

Most patients with a proximal humerus fracture are usually seen initially in the emergency room. The emergency room physician or your personal physician will usually recommend that you see an orthopedic surgeon. Typically, your initial orthopedic visit for a shoulder fracture will involve a history in which you describe the injury along with a limited exam to primarily ensure there are no other injuries including injuries to the nerves. X-rays are necessary to determine the severity of the fracture and are usually done even if films were performed at an emergency room as the fragments can shift somewhat for the first few weeks after such an injury. A CT scan may be necessary to better define the severity, and, in many cases, help determine whether or not surgery would be beneficial.

Your doctor can tell you when you should try to stand or walk after surgery. It may be painful to walk at first. You may need a walker or cane for assistance for several months after surgery. You may need to see a physical therapist as part of your recovery. In physical therapy, you'll learn to sit, stand and walk without reinjuring your hip. You'll also do exercises to help you get stronger. When you return home after your surgery, you may need some help from a home nurse or family member. Daily tasks may be difficult to perform while you aren't able to move around very well. A family member or nurse can help you with your daily tasks, such as bathing, cooking and shopping.

The treatment for this fracture depends upon the site, type of the fracture and the age of the patient.

Your sugeon will decide what type of treatment is ideal for you.

The goals of treatment are to get the bone in proper position for healing and to keep it from moving so it will heal over time.

Your treatment will depend on many factors, especially the type of fracture that you have.

If the fractured bone: Is in the correct position (nondisplaced ), you may only need to wear a cast or a splint.

If it is slightly displaced fracture, you may need to have the bones moved back into place manually (closed reduction ) before the splint or cast is put on. You may have a temporary splint before you have a plaster cast. The splint allows room for some swelling. After a few days, a cast can replace the splint.

You may have to wear the cast for about 6 weeks or as directed by your health care provider. The cast may be changed after about 3 weeks or as directed by your health care provider. After your cast is taken off, you may need physical therapy to regain full movement in your wrist or elbow.

You may need emergency surgery if you have: A fractured bone that is out of position (displaced ). A fracture with multiple fragments (comminuted fracture ). A fracture that breaks the skin (open fracture ).

This type of fracture may require surgical wires, plates, or screws to hold the bone in place. You may have X-rays every couple of weeks to check on your healing.

This type of fracture is treated with a surgical procedure that is called open reduction with internal fixation (ORIF). In this procedure, the bone pieces are put back together, and they are held in place by plates, screws, or other types of hardware. The procedure helps the bones to heal properly. The hardware that is put in during the procedure will likely be left in place after you heal. You will likely not know that it is there.

Treatment initially involves the use of ice and medication to help reduce pain and inflammation.

If the fractured bone fragments displaced, then the fracture must be realigned (reduced ) immediately by your orthopaedic surgeon.

Once the fracture is properly aligned operatively, the fracture is fixed using a stainless steel/titanium plate with screws.

In children, these fractures may be treated with reduction and cast immobilization.

After immobilization, it is important to perform strengthening and stretching exercises to help regain strength and a full range of motion. These exercises may be completed at home or with a therapist.

The initial management of shoulder fractures involves: • Immobilization with a sling • “Setting” the fracture is usually not necessary except in rare instances. • Ice and pain medication • Visit with an orthopedic surgeon within 3-5 days to assess need for further treatment The definitive management of your fracture will be determined by your orthopedic surgeon. The need for surgical repair of these fractures is based on the x-rays and CT scans when necessary. The majority of proximal humerus fractures are not displaced significantly. These can be treated non-surgically, typically with a period of immobilization in a sling which can range from three to six weeks depending on the type of fracture and its stability. Fractures in which the displacement is significant may require surgical repair. This can be a minimal operation in which the fracture is manipulated externally, and pins are placed through the skin or it may require a large incision on the front of the shoulder to directly manipulate the fragments with placement of a plate and screw construct or, in some cases, replacement of the shoulder.

A hip fracture is a serious injury, but the complications from a hip fracture can be severe or even life- threatening. If you are immobile for a long period of time after your surgery, or if you are in traction, you are at risk of developing deep vein thrombosis. Deep vein thrombosis (also called DVT) is a blood clot in a vein deep inside your body. These clots usually occur in your leg veins. If the blood clot breaks away and travels through your bloodstream, it could block a blood vessel in your lungs. This blockage (called a pulmonary embolism) can be fatal. Other complications from immobility after hip surgery can include: Pressure sores Pneumonia Muscle wasting or atrophy Urinary tract infections

Keep the injured arm above the level of your heart while you are sitting or lying down.

This helps to reduce swelling and pain. Apply ice to the injured area: Put ice in a plastic bag. Place a towel between your skin and the bag.

Leave the ice on for 20 minutes, 2–3 times per day.

Keep the injured arm above the level of your heart while you are sitting or lying down.

This helps to reduce swelling and pain. Apply ice to the injured area: Put ice in a plastic bag. Place a towel between your skin and the bag.

Leave the ice on for 20 minutes, 2–3 times per day.

Your pain medicine is not helping. Your cast gets damaged or it breaks. Your cast becomes loose. Your cast gets wet. You have more severe pain or swelling than you did before the cast. You have severe pain when stretching your fingers. You continue to have pain or stiffness in your elbow or your wrist after your cast is taken off.