ORTHOPEDIC TRAUMA

POLYTRAUMA

When a person sustains injuries to numerous bodily parts and organ systems as a result of blast-related incidents, this condition is known as polytrauma. The most frequent type of high-velocity injury damage is limb fracture.

Polytrauma is defined as the involvement of many bodily systems or multiple fractures throughout the body.

• These days, we see a lot of patients with polytrauma due to the rise in high-velocity traffic accidents.
• They require a team approach (which also involves intensivists, vascular surgeons, and neuro surgeons) and are substantially different from normal fracture patients.
• They are best cared for in tertiary care hospitals because they also need ICU care and a lengthier stay.

The most frequent and basic orthopedic issue is trauma (fracture). Usually related to auto accidents, but can also happen in the case of a domestic mishap or a straightforward fall from a height.

Symptoms

• Excruciating pain
• limb deformity
• impossibility of using the affected limb

DIAGNOSIS

Digital x-rays are typically sufficient for diagnosis, but in some circumstances, a CT or MRI scan may also be required to determine the fracture's shape.

Any bone in the body can fracture, as depicted in the illustration. Most crucial, however, is that not all fractures call for surgery. But if an orthopedic surgeon determines that a fracture requires surgery, there are numerous alternatives for reconstruction, including.

• Plate with (locking, non-locking) screws
• Rod-shaped intramedullary nails
• K-wires

Depending on the fracture and the patient's needs after surgery, the implant is chosen.The fracture implants come in titanium and stainless steel varieties. Because they are more MRI compatible and biocompatible, we often favor high quality titanium implants.To allow for early, anatomical healing and to avoid any deformity or difficulties in the future, all fracture surgeries require accuracy.

Treatment

To obtain early maximum post-surgical movements and function, all fracture procedures require some post-operative rest with/without plaster/brace to the operational side.

Should we remove the implant once the fracture has healed?

As previously stated, we employ high grade, low profile titanium implants that are rarely painful for patients. However, we strongly advise having them removed 1.5 to 2 years after surgery if they are prominent, restrict movement, or the patient doesn't want any foreign material in their body to prevent issues from late removal.