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Home / Treatments / Fracture Management

Fracture & Trauma Care

Expert Care for Fractures and Complex Trauma

From simple fractures to complex trauma, non-unions and revision surgery — treatment backed by a fellowship in Complex Trauma & Revision Surgery at Sancheti Hospital, Pune.

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Treatment at a Glance

Accurate Imaging

Stable Fixation

Polytrauma Care

Non-union & Revision

Paediatric Fractures

Early Mobilisation

What is Fracture Management?

Fracture management aims to restore the alignment and stability of a broken bone so it heals in a good position and the limb regains function. Depending on the fracture, treatment may involve a cast or brace, or surgery with plates, screws, nails or external fixators.

Complex injuries, fractures that fail to heal (non-union) and failed previous fixation need specialised planning.

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Specialist examining x ray

Common Conditions

  • Fractures of arm, wrist and hand
  • Hip and thigh-bone fractures
  • Knee, leg and ankle fractures
  • Shoulder and collarbone fractures
  • Polytrauma injuries
  • Non-union and malunion

Symptoms

  • Severe pain after injury
  • Swelling and bruising
  • Deformity of the limb
  • Unable to move or bear weight
  • Numbness or tingling

Causes

  • Falls
  • Road traffic accidents
  • Sports injuries
  • Osteoporosis (fragile bones)
  • Repetitive stress

Risk Factors

  • Older age and osteoporosis
  • High-speed vehicle use
  • Contact sports
  • Smoking (slows healing)
  • Diabetes

Treatment Methods

  • Plaster cast or brace
  • Plates and screws
  • Intramedullary nailing
  • External fixation / Ilizarov
  • Joint replacement for some fractures
Doctor examining x ray

Diagnosis

  • Detailed history and physical examination
  • X-ray of the affected joint
  • MRI or CT scan when needed
  • Assessment of severity and function
Doctor examining x ray

When to Consult a Doctor?

  • Pain and swelling after a fall or injury
  • Visible deformity
  • Unable to use the limb
  • A fracture that is not healing
Specialist examining x ray

When is Treatment Needed?

  • Displaced or unstable fractures
  • Fractures involving joints
  • Open fractures
  • Delayed union or non-union

Seek urgent medical care for a severe injury, deformity, a hot red swollen joint with fever, sudden inability to bear weight or use the limb, or numbness and loss of circulation.

Treatment Options Overview

A complete range of options based on your condition, age, activity level and goals.

Cast or Brace

For stable fractures

Pain Management

Comfort during healing

Surgical Fixation

Plates, screws or nails

Rehabilitation

Restore strength and movement

Doctor examining x ray

Non-Surgical Treatment

  • Closed reduction (re-alignment)
  • Plaster cast, splint or brace
  • Pain relief and elevation
  • Regular X-ray follow-up
  • Physiotherapy after healing
Surgical team operating in theatre

When is Surgery Recommended?

  • Displaced or unstable fractures
  • Fractures entering a joint
  • Open fractures
  • Non-union or failed fixation

Surgical Techniques

Specialist examining x ray

Plate & Screw Fixation

Medical illustration of bone fra

Intramedullary Nailing

Orthopaedic surgery suite equipment

Ilizarov / External Fixation

Surgical team operating in theatre

Revision Surgery

The Procedure

1

Anaesthesia appropriate to the injury

2

Fracture fragments are re-aligned

3

Bone is stabilised with implants

4

Wound closed; rehabilitation planned

Surgical team operating in theatre
Orthopaedic surgery suite equipment

Planning & Technology

  • Digital X-ray and CT planning
  • Modern locking implants
  • Image-guided fixation
  • AO trauma principles

Potential Benefits

  • Correct alignment of bone
  • Stable fixation for healing
  • Earlier movement of joints
  • Better long-term function

Risks & Limitations

  • Infection
  • Delayed healing or non-union
  • Stiffness
  • Implant irritation or failure

Preparation

  • Medical evaluation and investigations
  • Blood tests and imaging
  • Medication review
  • Home and support planning
  • Pre-operative instructions

Recovery is a Process

Progress varies with health, procedure, rehabilitation and individual healing. Your care team will give you a personalised plan.

Hospital reception area design

Hospital Stay

  • Depends on the injury
  • Pain management
  • Elevation and swelling control
  • Mobilisation with support
Athlete consulting orthopaedic s

Recovery Timeline

  • Bone healing usually takes weeks to months
  • X-ray check-ups to monitor healing
  • Gradual weight-bearing as advised
  • Physiotherapy to regain movement
Modern physiotherapy center reha

Post-Treatment Care

  • Physiotherapy and home exercises
  • Regular follow-up visits
  • Wound care as advised
  • Report concerning symptoms promptly
Athlete receiving knee examination

Return to Work & Activity

  • Return depends on fracture healing
  • Driving after clearance
  • Gradual return to manual work
  • Sport once bone and strength recover

Cost of Fracture Management

  • Cost depends on the procedure, implant (if any) and hospital
  • Room category, investigations and length of stay affect the total
  • Surgeon, anaesthesia, medicines and rehabilitation are included in estimates
  • Request an itemised estimate before making a decision

Insurance & Cashless Facility

  • Coverage depends on your policy, insurer or TPA and hospital network
  • Cashless approval is subject to insurer rules and pre-authorisation
  • Assistance with required documentation
  • Confirm eligibility and out-of-pocket costs with your insurer
Dr. Saumitra Dubey, Orthopaedic Surgeon in Indore
About the Doctor

Dr. Saumitra Dubey

Orthopaedic Surgeon | Knee & Shoulder Specialist

MBBS, D.Ortho and DNB (Orthopaedics), trained at high-volume centres in India with fellowships in Arthroscopy & Sports Medicine and in Complex Trauma & Revision Surgery. Special interest in shoulder and knee surgery, including reverse shoulder arthroplasty, rotator cuff tears, shoulder instability and multi-ligament knee injuries.

  • MBBS | D.Ortho | DNB (Orthopaedics) | FICT | FIASM
  • Specialist in Knee & Shoulder
  • Arthroscopy, Arthroplasty & Complex Trauma
  • Personalised Treatment Plans
Know More About Dr. Saumitra Dubey

10+

Years in Medicine

2

Specialist Fellowships

Best Paper

Award, POSAC 2022

Shalby Hospital

Consultant, Indore

Frequently Asked Questions

Common questions about fracture management.

Healing time depends on the bone, fracture type, age and health. Many fractures take several weeks to a few months.

No. Many stable fractures heal well with a cast or brace. Surgery is advised for displaced, unstable or joint fractures.

Most implants can stay in place permanently. Removal is considered only if they cause problems.

A non-union is a fracture that has failed to heal. It may need revision surgery and sometimes bone grafting.

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