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What are the causes of fractures? Fractures often occur in life, and there are many reasons for fractures, which can generally be divided into the following types:
Cumulative strain injury.
Long-term, repetitive, and slight direct or indirect external forces that concentrate on a certain point of the bone to cause fractures are called fatigue fractures, also known as stress fractures. These fractures may be nondisplaced but usually heal slowly.
Bone disorders. Diseased bones can break when exposed to a slight force, and this type of fracture is called a pathological fracture. Fractures of diseased bones such as osteomyelitis, bone tumors, and severe osteoporosis.
Indirect violence. Refers to the fracture of a distant part of the limb through conduction, levering, rotation, or contraction of muscles. For example, a fracture of the distal radius caused by a fall on the ground.
Violent effects. It is the most common cause of fractures. According to the different forces, it can be divided into two types: direct violence and indirect violence. Direct violence refers to the occurrence of a fracture at the site of direct impact of the violence. Fractures caused by direct violence can be divided into the following three types:
Blow fractures. Percussion fractures occur when the final force acts on a small area and are characterized by a transverse fracture line, commonly found in the forearm and lower leg, and fractured only a single bone.
Crush fractures. Crush fractures are often associated with extensive soft-tissue injury, extensive comminuted or transverse fracture of the bone, and often double fractures of the same level in the forearm and lower leg.
Penetrating fractures. A penetrating fracture is usually a gunshot fracture. There is a difference in the performance of bullet speeds. An increase in velocity leads to an exponential increase in tissue damage.
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Generally, if the phalange bone is fractured for 2 months, it is recommended to walk under protection, and if it is a fracture of the phalanges of the first toe, I would be more cautious to recommend the patient to use crutches. The experience of each doctor is different, and the different doctors you consult will be different. However, it generally depends on the opinion of your attending doctor, because there is no full set**, and there is no physical examination, it is difficult to say, and the online consultation can only be referred to.
Your treating doctor has allowed you to move freely? Even if you walk under protection, you are not allowed to come down from the steps all at once, and you still use the affected limb to land on the ground, and the whole body weight is on the feet, which is prone to accidents.
Due to the limitation of the position, the phalange plate can only be made very small and thin, if it is made into a thick plate, your wound can not be sewn at all, how strong do you think it is? In surgery, it can be bent with vascular forceps, and it is only so strong. Under normal circumstances, after the fracture heals, the steel plate is not strained, and it is not easy to break the danger, of course, if the force is too great, the bone and the steel plate will break together.
So**, you have to go to the hospital to listen to the doctor's opinion, which is generally more conservative, and there are also surgeries.
Finally, what happened when you had surgery and had a cast cast? Was it crushed at that time? Is the bone not good and not firmly fixed? Or is there another injury?
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Problem analysis: If there is a fracture in the previous part and the fracture occurs again, it will take the same repair time as the first time, because the fracture can basically return to normal after half a year at the first time.
Suggestion: At this time, the blood circulation at the fracture site is the same as before the injury. The structure is basically the same as that of normal tissues, so it will take at least three months for the re-injury to be repaired, and the callus will form at the time of one month.
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