Fracture Fixation

What is Fracture Fixation?

When a bone is broken (or fractured), the obvious goal is to mend the pieces so that the bone will be aligned with full integrity once again. While we usually refer to this procedure as “re-setting” the bone, orthopedic surgeons use the medically correct term use to describe this is as “reduction” for fracture fixation.

An Overview of Fracture Fixation

Fractures can be treated conservatively or with external and internal fixation. Conservative fracture treatment consists of closed reduction to restore the bone alignment. Subsequent stabilization is then achieved with traction or external splinting by slings, splints, or casts. Braces are used to limit range of motion of a joint. External fixators provide fracture fixation based on the principle of splinting.

Types of Fracture Fixation

We are all probably most familiar with splints and casts to temporarily immobilize the broken bone and allow the body to heal itself. But did you know the medical term for casts and splints is termed “closed” fracture fixation? There are three basic types of external fixators: standard uniplanar fixator, ring fixator, hybrid fixator, which are all similar to each other in terms of appearance, appearing as metal structures outside the body surrounding the leg or arm protecting the fracture.

If the fracture is too complicated for “closed” means to be ultimately successful, an “open” fracture fixation surgery is recommended.

A common term for operative fracture stabilization is “open reduction internal fixation (ORIF).” This procedure requires surgical intervention and is a much more invasive approach to successfully stabilize them, allowing for optimum healing. An “open” fracture fixation may include implants, which many include metal screws to nails that fit inside the central portion of the bone. These “implants” are designed to safely stay in the body indefinitely.

In the past decade, surgical procedures for “open” fracture fixation have become more and more minimally invasive to reduce the overall “trauma” to the area of injury, protecting the local skin and muscles to a much greater extent.

The Overall Goal Is Healing

In any instance of a fracture, the goal is simple: to create an environment where the bone has the best chance of enabling fast healing of the injured bone, and the ability to return to full mobility and full function post injury.

Sources:
Stanford Healthcare
pubs.rsna.org