Fracture Management

Fracture Management – Rapid Diagnosis, Precise Fixation, Complete Healing

A fracture needs more than a cast — it needs correct alignment, timely treatment, and structured rehabilitation so you regain full strength and movement. At Shivam Advance Ortho Care in Basaveshwar Nagar, Bangalore, we manage everything from simple fractures to complex trauma cases: accurate diagnosis with digital X-ray, appropriate fixation — whether cast, splint, or surgical — and complete post-fracture rehabilitation.

Every fracture is assessed on its own merits. Some heal beautifully with conservative treatment; others need surgery to restore alignment and stability. We explain your options clearly, recommend honestly, and follow your healing with serial X-rays until you're back to full function.

Why Patients Choose Us for Fracture Care:

Same-Visit Diagnosis – In-house digital X-ray means faster fracture confirmation and treatment.

Both Conservative & Surgical Options – Casting, splinting, closed reduction, and internal fixation under one roof.

Orthopaedic Expertise for All Ages – From paediatric fractures to complex geriatric trauma.

Fracture-Specific Rehabilitation – Structured physiotherapy to restore joint movement and muscle strength.

Serial X-Ray Monitoring – Follow-up imaging to confirm alignment and healing progress.

Honest Advice – If your fracture can heal without surgery, we'll say so — and if surgery is needed, we'll explain exactly why.

Our Fracture Management Services

Fracture Diagnosis & Assessment Clinical examination, digital X-ray in multiple views, and CT or MRI where needed to evaluate complex or intra-articular fractures.

Casting, Splinting & Plaster Application For stable and minimally displaced fractures — precise immobilisation using plaster casts or fibre-glass splints suited to the fracture site.

Closed Reduction & Manipulation Non-surgical realignment of displaced fractures, followed by casting or splinting.

Internal Fixation (ORIF) Open reduction and internal fixation using plates, screws, nails, or wires — for displaced, unstable, or joint-involving fractures.

Intramedullary Nailing For long bone fractures of the femur, tibia, humerus, and forearm — providing strong, stable fixation and early mobilisation.

External Fixation For open fractures, severely comminuted fractures, and damage-control situations before definitive surgery.

Paediatric Fracture Management Age-appropriate treatment for children's fractures, with attention to growth plates and remodelling potential.

Geriatric Fracture Care Hip fractures, wrist fractures, and vertebral fractures in elderly patients — including osteoporosis evaluation and fall prevention.

Heel, Foot & Ankle Fractures Specialised management of calcaneal, metatarsal, ankle, and tibial plafond fractures.

Post-Fracture Rehabilitation Physiotherapy for joint stiffness, muscle wasting, and return of function — at our clinic or as home physiotherapy across Bangalore.

Common Fractures We Treat

Wrist and forearm fractures (Colles' fracture, radius, ulna)

Hip fractures (femoral neck, intertrochanteric)

Femur, tibia, and fibula fractures

Ankle and foot fractures (including calcaneus and metatarsals)

Shoulder and humerus fractures

Elbow and olecranon fractures

Hand and finger fractures

Clavicle (collarbone) fractures

Rib fractures

Pelvic and acetabular fractures

Spinal compression fractures

Open and compound fractures

Stress fractures in athletes

Paediatric and growth-plate fractures

Non-union and malunion fractures

Your Treatment Pathway – Step by Step

Step 1 – Immediate Assessment Clinical examination of the injured area, neurovascular check, and digital X-ray to confirm the fracture and its pattern.

Step 2 – Emergency Stabilisation Splinting, pain control, and wound care. Open fractures receive urgent cleaning, antibiotics, and tetanus cover.

Step 3 – Treatment Planning Decision on conservative versus surgical management based on fracture type, displacement, stability, and your age and activity level — explained clearly to you.

Step 4 – Fracture Fixation Casting, splinting, closed reduction, or surgical fixation as planned, using the appropriate technique for your fracture.

Step 5 – Immobilisation & Protection Structured follow-up with serial X-rays to confirm alignment and healing, with load-bearing restrictions as advised.

Step 6 – Rehabilitation Progressive physiotherapy to restore movement, strength, and function once healing is confirmed.

Step 7 – Healing Review & Discharge Final assessment of bone union, functional recovery, and guidance on gradual return to full activity.

Recovery Timeline After a Fracture

Acute Phase (Week 0–2) Pain and swelling control, immobilisation, elevation, and gentle movement of unaffected joints.

Early Healing Phase (Week 2–6) Early callus formation, protected mobilisation as advised, and gentle range-of-motion work for adjacent joints.

Consolidation Phase (Week 6–12) Progressive strengthening, gradual return of joint movement, and partial weight-bearing as permitted.

Functional Recovery Phase (Month 3–6) Full weight-bearing, strengthening, gait retraining, and return to routine activities.

Full Recovery Phase (Beyond 6 months) Complete bone remodelling, return to sport or heavy activity as cleared, and final functional assessment.

Note: Healing time varies by fracture type, location, age, and general health. Simple fractures may heal in 6–8 weeks, while complex or lower-limb fractures can take 3–6 months or longer. Your surgeon will give you a personalised timeline.

Frequently Asked Questions (FAQs)

Q1. How do I know if I've fractured a bone? A: Common signs include severe pain, swelling, deformity, inability to bear weight or move the limb, and sometimes a visible break or bone prominence. However, only an X-ray can confirm a fracture — even some sprains and fractures feel similar.

Q2. Should I go to a hospital or a clinic for a fracture? A: Minor, stable fractures can be managed at an orthopaedic clinic with X-ray facilities. Open fractures, severe deformities, head or spine injuries, or fractures with numbness require immediate emergency hospital care.

Q3. Does every fracture need surgery? A: No. Many fractures heal well with casting, splinting, or closed reduction. Surgery is usually needed for displaced, unstable, open, or joint-involving fractures, or when a fracture fails to heal properly with conservative treatment.

Q4. How long does a fracture take to heal? A: Simple fractures typically heal in 6–8 weeks. Complex, displaced, or lower-limb fractures may take 3–6 months or more. Age, general health, smoking, and nutrition all affect healing time.

Q5. What is the difference between a cast and a splint? A: A cast provides rigid, complete immobilisation and is used once swelling settles. A splint provides partial support and is often used in the initial phase when swelling is present, or for less severe injuries.

Q6. What is internal fixation (ORIF)? A: ORIF stands for Open Reduction and Internal Fixation — surgery where the fracture is realigned and held in place with plates, screws, nails, or wires. It allows accurate alignment and often earlier mobilisation.

Q7. Will the metal plates and screws need to be removed? A: Usually not. Most implants are designed to stay permanently. Removal may be advised if they cause irritation, restrict movement, or in specific cases involving young patients. Your surgeon will advise based on your situation.

Q8. Is fracture surgery painful? A: The surgery is performed under anaesthesia, so you feel nothing during the procedure. Post-operative pain is managed with medication and typically improves steadily over the first week.

Q9. How soon can I move after a fracture? A: Movement of the affected part depends on the fracture and the treatment. Adjacent joints are usually mobilised early. Weight-bearing and full movement are guided by X-ray evidence of healing — following restrictions strictly is essential.

Q10. What is the biggest risk of ignoring a fracture? A: Untreated or poorly treated fractures can heal in the wrong position (malunion), fail to heal (non-union), cause permanent stiffness, nerve or blood vessel damage, and long-term disability. Prompt, correct treatment matters.

Q11. Can physiotherapy help after a fracture? A: Absolutely — it's essential. Physiotherapy restores joint movement, rebuilds muscle strength, reduces stiffness, and helps you return to normal function. We provide rehabilitation at our clinic or as home physiotherapy in Bangalore.

Q12. Why does my joint feel stiff after the cast is removed? A: Stiffness is normal after immobilisation — the joint capsule and muscles tighten from disuse. Structured physiotherapy gradually restores mobility. Starting exercises at the right time makes a significant difference.

Q13. What should I eat to help my fracture heal faster? A: A balanced diet rich in protein, calcium, vitamin D, and vitamin C supports bone healing. Avoid smoking and excessive alcohol, as both impair bone repair. Your doctor may also recommend supplements.

Q14. Do fractures heal faster in children? A: Yes. Children's bones heal faster and have greater remodelling capacity than adults. However, growth-plate injuries need careful evaluation, as they can affect future bone growth if not managed properly.

Q15. Is fracture treatment covered by insurance? A: Yes, fracture treatment — including surgery where indicated — is commonly covered by health insurance for accidental injuries. Our team assists with documentation, pre-authorisation, and cashless or reimbursement claims.

Q16. What are the charges for fracture management? A: Costs depend on whether treatment is conservative or surgical, the type of implants used, and length of stay. Please call 08048035347 for an estimate after examination.