Do patients with fractures have to have surgery? Which fractures are not suitable for surgery?

Fractures** depend primarily on the extent of the injury. If the fracture is displaced with displacement, reduction should be performed first. Mitigation methods include closed reduction and surgical reduction.

Fixation is done after the fracture has been reduced, depending on the type of fracture. Closed fractures have mild soft-tissue injuries and rapid fracture healing, which can be fixed with traditional casts**. Fractures don't always require surgery.

However, some fractures must be surgically surgically resolved and long-term dislocations maintained. After the fracture occurs, the method should be decided according to the condition and surgery is not necessarily required. Minor fractures can be conservative**, but if the fracture is more severe, surgery is required**.

For example, vertebral compression fracture is more than 1 2, femoral neck head fracture, intertrochanteric fracture is more displaced, manual reduction is difficult, femoral axis, tibia and fibular axis fractures, bone is relatively long, leverage force is relatively large, and it is easy to shift into an angle after manual reduction. Combined visceral injuries, open fractures, comminuted fractures, intra-articular fractures, lower leg bone fractures, talus fractures, hand and foot fractures to lateral angle manipulation is difficult to correct, will affect the appearance in the future, and surgery must be performed when walking**.

If the patient's fracture is relatively stable, does not involve nerve or vascular damage, and is not an intra-articular fracture, then manual reduction, bracing and other conservative ** can be used to promote fracture healing, and surgery is not necessarily necessary at this time. However, if the patient's fracture is unstable, such as oblique fracture, comminuted fracture, etc., or the fracture is complex, there is nerve or vascular damage, and the fracture site may be in the patient's joint, surgical open reduction and internal fixation** are required to ensure the normal function of the patient's fracture site.

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Fracture patients still depend on the severity of your fracture, so it still depends on what the doctor says.

51. Osteoporotic bone is too fragile to withstand internal or external fixation.

2. Due to scarring, burns, activity infection or dermatitis resulting in fractures or poor soft tissue coverage of the planned surgical site, if surgical internal fixation will destroy the soft tissue coverage or worsen the infection, this situation is suitable for external fixation.

3. Activity infection or osteomyelitis: For this kind of condition, the most popular method is external fixation, and at the same time, combined with the physical method of repentance to control the infection. Occasional fixation with intramedullary nails combined with biological measures to control infection can also be successful in achieving fracture stabilization.

For these types of infectious fractures, fixation by an expert with an intramedullary nail can be used as a last resort, but routine use is not recommended.

4. Comminuted fractures that can no longer be successfully reconstructed. This condition is most common in severe intra-articular fractures that have previously violently damaged the articular surface by a Biyu impact.

5. Generally speaking, if the patient's general condition cannot tolerate anesthesia, then the operation of fracture ** is also a contraindication.

6. No displaced fracture or stable embedded fracture does not need to be surgically explored or reduced when the position is acceptable. However, in exceptional circumstances (eg, embedded or nondisplaced femoral neck fractures), prophylactic immobilization may be helpful.

7. When there is not enough equipment, manpower, training and experience.

1 Depends on the actual situation.

If the fracture is not critical and the fracture is not very severe (e.g., bone crack), then a cast may be required and surgery may not be necessary.

However, if there is a fracture of the femur and tibia, then it may be better to choose surgery in such a situation, so as to facilitate the patient's recovery and achieve the goal of getting out of bed early.

2. Some parts of the fracture, if not operated on difficult to deal with, for example: the fracture of the femur is generally unstable, even if it is fixed by plaster or deck, it is not easy to achieve good alignment and alignment, and it is easy to displace in the patient's activities, so it is generally recommended to have surgery for fractures like this.

31. Displaced intra-articular fractures are suitable for surgical reduction and fixation.

2. Unstable fractures that fail after appropriate non-surgical **.

3. Large avulsion fractures with rupture of important muscle-tendon units or ligaments that have been shown to have poor non-surgical results.

4. Displaced pathological fractures of non-dying patients.

5. Fractures that are known to have poor non-surgical function, such as femoral neck fracture, Galeazzi fracture-dislocation and Monteggia fracture-dislocation.

6. Epiphyseal injury with a tendency to hinder growth (Saer-Harris, type).

7. Fractures with compartment syndrome requiring fasciotomy.

8. Non-unionized fractures after non-surgical ** or failed surgery**, especially those with poor reduction.

4. If it is a simple fracture surgery and relatively young, it is generally a routine preoperative examination, such as the three major routines, liver and kidney function, coagulation time measurement, electrolyte measurement, full chest X-ray, EKG, if the age is relatively old, lung function, ECG color ultrasound, preoperative routine fasting, fasting and water fasting.

It's definitely needed. Be sure to rest more, don't be too tired, don't eat spicy and greasy food, and avoid smoking and alcohol.

Not all fractures require surgery, and it is not uncommon for children to break bones in their daily work. To evaluate whether the fracture is surgical, it is necessary to refer to the diagnosis and treatment standards of neurosurgery and traumatic brain injury. Fractures that require surgery include:

1. The fracture depression is more than 1cm;

2. The fracture compresses the important functional area, resulting in some nerve dysfunction;

3. Fracture of open traumatic brain injury;

4. If the fracture causes compression of the venous sinus and large blood vessels, it is also necessary to pay attention to adequate blood preparation before the operation, because there may be heavy bleeding during the operation;

5. Growth fractures in children also need to be treated;

6. Most of the basilar skull fractures are conservative, and only if there is cerebrospinal fluid leakage and there is no complete healing for more than 1 month, skull fracture repair may be required.

Except for the fractures in the above conditions, the rest of the fractures are generally conservative**.

If the fracture is not particularly serious, surgery is not required, for example, if the fracture is not displaced, a conservative approach can be taken; In addition, we must supplement more calcium, drink more bone broth, bask in the sun, and supplement calcium in time, which can help us quickly recover our physical health.