Trauma & Fracture Management
Dr. Gaurav Pawar, a leading orthopedic surgeon at Spire Hospital, Pune, specializes Orthopaedic trauma and fractures require specialized care to ensure optimal recovery and prevent long-term complications. At Spire Hospital, we specialize in the latest trauma and fracture management techniques:
General Trauma & Fracture Management
- K-wires: A minimally invasive method used for stabilizing fractures in small bones, ensuring quicker healing with minimal disruption.
- IM Nails: Intramedullary (IM) nails are used for stabilizing fractures in long bones like the femur or tibia. This technique helps restore function quickly while reducing recovery time.
- Plating: In more complex fractures, plating techniques are used to fix the bone in place, ensuring it heals in the correct position.
- External Fixators: For fractures that are difficult to treat with internal fixation, external fixators provide a stable solution to promote healing.
- Trauma & Fracture Fixing: Dr. Gaurav Pawar uses advanced fixation methods to treat trauma and fractures, ensuring the bones heal correctly and function is restored.
Shoulder & Humerus Treatments
Shoulder and humerus issues can significantly impact daily activities. Dr. Gaurav Pawar offers a range of treatments to help you recover from shoulder injuries and improve joint function:
- Arthroscopy: This minimally invasive procedure allows Dr. Pawar to inspect, diagnose, and treat joint problems in the shoulder with smaller incisions, leading to faster recovery and reduced pain.
- Joint Replacement: For severe arthritis or injury, total shoulder replacements or partial joint replacements may be recommended to restore function and reduce pain.
- Aminotomy: This surgical procedure helps release stiff or contracted tissues in the shoulder to improve range of motion.
- Total Shoulder Replacement: If the shoulder joint is severely damaged by arthritis or trauma, total shoulder replacement can provide long-term relief and improved mobility.
- Partial Hemiarthroplasty: A less invasive option for shoulder joint replacement that focuses on replacing only the damaged part of the joint, preserving healthy tissue.
- Reverse Shoulder Replacement: This advanced procedure is used when the rotator cuff is severely damaged, reversing the ball-and-socket structure of the shoulder to improve function and alleviate pain.
Elbow & Radius + Ulna Fracture Care
Injuries to the elbow, radius, and ulna can cause significant pain and limit arm function. At Spire Hospital, we offer advanced treatments to ensure proper healing and recovery:
- T&F (Trauma & Fracture Fixation): Complex fractures of the elbow, radius, or ulna are treated using advanced fixation techniques, ensuring the bones heal in the correct position and reducing complications.
- Arthroscopy: For joint issues such as arthritis or ligament injuries, arthroscopy allows Dr. Pawar to repair the problem using a minimally invasive approach, leading to faster recovery and less postoperative pain.
- Joint Replacement: In cases of severe arthritis or joint damage, elbow joint replacement can help restore normal movement and reduce pain, significantly improving quality of life.
- Fusion: For severely damaged elbows, joint fusion may be recommended to relieve pain and restore stability by fusing the bones together.
Wrist & Hand Treatments
Wrist and hand injuries can significantly impact your daily activities. Dr. Gaurav Pawar specializes in advanced treatments to restore function and reduce pain:
- Arthroscopy: Minimally invasive surgery that allows for the diagnosis and treatment of wrist and hand joint problems with minimal disruption to healthy tissue.
- T&F (Trauma & Fracture Fixation): Whether it’s a simple or complex fracture, Dr. Pawar uses the latest fixation techniques to stabilize the bones and promote proper healing.
- Joint Replacement: For severe arthritis or joint damage in the wrist and hand, joint replacement surgeries can restore function and alleviate pain, enhancing mobility and quality of life.
Frequently Asked Questions
What is general trauma and fracture management?
General trauma and fracture management refers to the medical care and treatment provided for injuries to bones, joints, and soft tissues caused by accidents, falls, or other traumatic events. It involves stabilizing fractures, relieving pain, and promoting healing through surgical or non-surgical methods such as external fixators, plates, screws, and casts.
What are K-wires, and when are they used?
K-wires (Kirschner wires) are thin, metallic wires used to stabilize small bone fractures, especially in the hand, wrist, or toes. They are inserted through the skin or bone to hold fractures in place during the healing process. K-wires are often used in cases of less severe fractures or when more complex surgeries are not required.
What is IM nail fixation, and how does it help in fracture healing?
IM (Intramedullary) nail fixation is a technique where a long, metal rod is inserted into the central canal of a bone (such as the femur or tibia) to stabilize fractures. This method allows the bone to heal in the correct position while minimizing disruption to surrounding tissue. IM nails are commonly used for fractures in long bones and provide strength and support during recovery.
How does plating help in fracture fixation?
Plating involves the use of metal plates and screws to hold fractured bone fragments together, ensuring they heal in the correct alignment. Plates are often used in fractures of larger bones like the femur, tibia, or humerus. The metal plate is secured to the bone with screws, allowing for stability and proper healing while the bone mends.
When is external fixation used for fractures?
External fixation is used when fractures are complex, open (where the bone breaks through the skin), or when internal fixation methods are not suitable. In this technique, pins or screws are placed in the bones, and an external frame is used to hold the bones in place. This method is typically used for severe fractures or when the patient is not ready for surgery, as it allows for quick stabilization.
What is the recovery time for trauma and fracture fixation?
Recovery time varies depending on the severity of the fracture, the type of fixation used, and the patient’s overall health. In general, fractures that are treated with K-wires or IM nails may require a few weeks to months to heal, with the patient following a rehabilitation plan to restore full function. Complex fractures treated with external fixation may require longer recovery periods and additional follow-up visits to monitor healing.
Are there any risks associated with fracture fixation surgery?
As with any surgery, fracture fixation carries risks such as infection, nerve damage, blood clots, or complications related to anesthesia. However, these risks are minimized with advanced surgical techniques and proper post-operative care. Dr. Gaurav Pawar and his team at Spire Hospital will ensure that you understand the risks before surgery and take all precautions to ensure a safe and successful recovery.
What should I expect after external fixation surgery?
After external fixation surgery, you will have an external frame or device attached to your body to stabilize the fractured bones. The frame will be adjusted periodically by your doctor to ensure proper healing. You will likely experience some discomfort, swelling, or bruising in the area, but it will improve as healing progresses. You will also need to follow specific aftercare instructions for hygiene and monitoring the external fixator.
How do you know when a fracture has healed properly?
Your orthopedic surgeon will monitor the healing process using X-rays or other imaging techniques. A fracture is considered healed when the bone is aligned correctly, and there is no more movement at the fracture site. The healing process will also be evaluated based on your ability to move the affected limb without pain and your general recovery progress.
Can I return to my normal activities after a fracture?
Once your fracture has healed and your doctor clears you for physical activity, you can gradually return to normal activities. However, some restrictions may apply depending on the type of fracture and treatment. Rehabilitation exercises and physical therapy will be an important part of your recovery to restore strength and flexibility. Dr. Gaurav Pawar and the Spire Hospital team will guide you through the process to ensure you resume your activities safely.
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