Complex fractures occur when bones break into several small pieces and the surrounding tissue is severely damaged. They are characterized by intense pain, trauma and possible displacement of bones and adjacent tissues. Complex fractures can occur due to many reasons such as fall from a height and motor vehicle accidents. When a person is suffering from other diseases or injury, it further complicates the fracture and can make treatment and recovery more difficult.
The different types of complex fractures include:
The signs and symptoms of complex fractures may include:
You will need to be seen at the emergency department for a complex fracture. Your doctor will diagnose you based on your symptoms and order imaging tests such as X-ray and computerized tomography (CT) scans to determine the severity of the fracture and to develop a suitable treatment plan for you.
Treatment of complex fractures depend on the person’s age, health conditions and the severity of trauma.The primary purpose of complex fracture treatment is to stabilize the fracture and provide pain relief. Treatment may be surgical or non-surgical.
Non-surgical treatment of complex fractures includes:
A pelvic binder is a wrap that is placed around the top of your thighs and buttocks to prevent internal bleeding during a pelvic fracture. It should be removed within 24 hours after application to prevent development of pressure sores.
An orthopedic surgeon performs fracture surgery to treat the fracture and associated wounds.
Usually a single operation is sufficient for repairing a complex fracture. However, rarely cases may require another operation, and your surgeon typically performs it within 72 hours.
After your surgery, your doctor will recommend physical therapy to help with exercises to improve your joint movement and flexibility. You will also be given pain medication to provide pain relief and minimize inflammation. You should always follow your doctor’s instructions for the best outcome.