Top
20
Doctor insights on: Open Repair Of Facial Fracture

Share
Dr. Lynne Weixel
792 doctors shared insights

Fracture (Definition)

A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more


3

3
Comminuted impacted fracture through the neck of the left humerus with associated mild valgus angulation of the humeral shaft. Can this heal in SLING?

Comminuted impacted fracture through the neck of the left humerus with associated mild valgus angulation of the humeral shaft. Can this heal in SLING?

In short YES. : I typically do not perform surgery on nondisplaced fractures of the proximal humerus. I tell people it is like having ice cream on a cone. If the ice cream (humeral head or ball) falls off the cone(shaft) then it needs surgery if the ice cream is tilted or slightly smashed no surgery. If it is blown to prices then surgery. ...Read more

4

4
Could a transversal fracture of the 4th metacarpal bone in the hand require surgery?

Could a transversal fracture of the 4th metacarpal bone in the hand require surgery?

Unstable: Transverse fracture of 4th metacarpal tends to be unstable and difficult to stabilize with closed reduction and casting. It often requires open reduction and internal fixation for adequate stabilization to allow fracture to heal in anatomic position. ...Read more

5

5
With mandibular fracture and fracture and dislocation both sides of the condyle, is closed treatment (non-invasive) possible?

With mandibular fracture and fracture and dislocation both sides of the condyle, is closed treatment (non-invasive) possible?

It is possible: Bilateral sub condylar fractures can be managed nonsurgically using inter maxillary fixation in select cases depending on the degree of displacement, overriding of the fracture ends, dentition. Ct of facial bones in all three planes can show fracture best. Best to consult with ENT or other facial surgeon who manages facial fracture. ...Read more

See 1 more doctor answer
6

6
Just had arthroscopic hip surgery to repair torn labrum, cartilage damage and repair of cam impingement. What is the percentage of further surgery?

Just had arthroscopic hip surgery to repair torn labrum, cartilage damage and repair of cam impingement. What is the percentage of further surgery?

Cam lesions hip: Surgery and diagnosis for these problems is in its infancy. Became popular only a few years ago. Success has been varied. The few patients that I have followed admit that post operatively the problem is no worse. Good luck. ...Read more

7

7
Should I do surgery of subtle volar fracture through proximal base of proximal phalanx of thumb with volary distraction of avulsed fracture fragment?

Should I do surgery of subtle volar fracture through proximal base of proximal phalanx of thumb with volary distraction of avulsed fracture fragment?

See a hand surgeon: Fractures through joint surfaces are generally more problematic than those outside of joints. Depending on a number of factors, they may predispose to the onset of early arthritis in the joint if the surface is not reconstructed accurately. I would see a hand surgeon to evaluate the particulars of your case. Good luck. ...Read more

9

9
Minimally displaced fractures in the head of the fibula.what's treatment ?

Exam: You would definitely want to be fully examined to rule out any associated ligamentous injury to the ankle or knee, which is fairly common with that fracture. If it is truly an "isolated" fracture, patients can gradually increase their weight bearing as tile rated and are usually doing well by about 6-8 weeks. Discuss your specific case with your doctor. ...Read more

10

10
Can multiple fractures of the humerus bone heal without having surgery?

Can multiple fractures of the humerus bone heal without having surgery?

Unlikely: While a single fracture that has not moved (nondisplaced) can heal with out surgery, the more fractures present the more likely that surgery will be needed to stabilize the bone. ...Read more

See 1 more doctor answer
11

11
What are the complications of having both ankle joints debrided 2 years post trimaleolar fracture repair?

What are the complications of having both ankle joints debrided 2 years post trimaleolar fracture repair?

Ask your doctor: All surgeries can have complications such as scaring, infections, nerve injuries, blood vessel injury, clot in the legs which can be fatal, persistence of pain, progression of arthritis, need for additional surgeries, anesthesia complications etc. In your case, my concern would be persistence of your pain which required joint debridement possibly from developing arthritis. Check with surgeon. ...Read more

See 1 more doctor answer
12

12
Complete overriding fracture are noted in the distal thirds of right radius and ulna possible of healing even without metal plates?

See an orthopaedist: Adults do not usually do better with reduction of the injury you describe. It might heal, but you would probably lose function (muscle strength, mobility to position your hand). See an orthopaedic surgeon that cares for upper extremity (arm) trauma. ...Read more

See 2 more doctor answers
13

13
Could multiple fractures of the humerus bone heal without having surgery?

Maybe: It depends on the alignment of the fractures and the location of the fractures. ...Read more

14

14
Causes/severity of post-op swelling of the knee after removal of the stitches and some standing/walking? Torn ACL&meniscus & a fracture were repaired.

Causes/severity of post-op swelling of the knee after removal of the stitches and some standing/walking? Torn ACL&meniscus & a fracture were repaired.

If the wound is-: -well healed, and this is new swelling, not left over from the surgery, it could B sign of infection, especially if U have pain @rest &have a fever, even if low grade. This needs immediate eval by Ur surgeon. ...Read more

15

15
Broken leg open fracture --what is the best surgery?

Broken leg open fracture --what is the best surgery?

The best: Surgery is up to the surgeon. If you are happy with the dr. Go with his judgement and expert opinion. ...Read more

16

16
Non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx what is non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx and what will happen woith treatment

Non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx what is non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx and what will happen woith treatment

There : There are three bones in the little ("pinky") toe (some folks only have two), and they are called phalanges (the pleural of "phalanx"). The one closest to the foot is the proximal phalanx, the one closest to the end of the toe is the distal phalanx, and the one in the middle is called.... Well, it's the middle phalanx. The diaphysis of a long bone (these are all considered "long" bones even though they're not really all that long) is the middle section of the bone. Transverse means sideways, and fracture means break. So to translate med-speak to english (google should think of doing something like this), you have a sideways fracture in the bone closest to the foot in your pinky toe in the middle of the bone. Non-displaced means the pieces are lined-up nicely, and there is no need to "reduce" it (put the pieces back in alignment). So this is really good news for you.... You don't need to have the thing put back in place, and the fracture is in the middle of the bone, so it doesn't cross or involve a joint, which means you're not gonna get arthritis in the toe later on (at least not from this fracture). Bone takes 6-8 weeks to heal, and since the 5th toe has it's own motion during the gait cycle, you really can't tape a 5th toe to a 4th toe. And there is no need to put a cast on for a toe fracture. So just keep your walking to a minimum for the next 2 months or so. Now's not the best time to do your christmas shopping... In case you have that planned for this weekend like i do... And you'll probably be more comfortable in a shoe with a stiff sole, because bending the toe with every step is going to cause that little piggy to go wee-wee-wee all the way home. How'd i do? ...Read more

17

17
What is the healing time of tibia fracture after nonunion surgery?

It varies: A non complicated tibia fracture usually heals in any where between 6-12 weeks. If you have already had a tibia fracture which did not heal, which is what a nonunion is, it really depends on the nature of your problem and the type of surgery done. In the best cases scenario, it will heal in6-8 weeks. In the worst, it may not heal again. You would sure want to avoid nicotine and nsaids. Thanks. ...Read more

See 2 more doctor answers
18

18
Is craniotomy and elevation of fracture of skull bone done in depressed fractures.

Is craniotomy and elevation of fracture of skull bone done in depressed fractures.

Good question: 1. Depends on the extent of depression and compression on brain 2. Also depends on location: cosmesis, in front of hair line etc. 3. Also if there is associated soft tissue injury that is concerning, like a open laceration above the fracture. ...Read more

See 1 more doctor answer
19

19
Full width radial sagittal band tear in my middle finger. What's the normal recovery time from surgical repair? Options besides surgery? Thanks!

Full width radial sagittal band tear in my middle finger.  What's the normal recovery time from surgical repair?  Options besides surgery?  Thanks!

Options:: Typically, if you have a "full-thickness" or "full-width" tear of pretty much anything, I recommend having a surgeon take a look. Soft tissues can often heal if there is still a portion remaining untorn. But when the whole thing is in 2 pieces, it has to be put back together. Because it's a finger, (unless ur a musician, etc) id think u should b able to be mostly active in a few days at most. ...Read more

20

20
Can u do surgery13 weeks after initial injury to repair ulna&radius broken mid shaft showing poor bone healing&appears to be healing "bowed"(bad angle?

Can u do surgery13 weeks after initial injury to repair ulna&radius broken mid shaft showing poor bone healing&appears to be healing "bowed"(bad angle?

Yes: While it is harder to get a perfect reduction. You should have the surgery sooner then later. Find an orthpedic surgeon who has done this before. ...Read more

Dr. Jeffrey Wint
2,315 doctors shared insights

Broken Bone (Definition)

Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more


Dr. John Christophel
74 doctors shared insights