Pain at the fracture site

After a fracture, the patient will often feel severe pain at the fracture site. This is a common symptom. The pain will not go away until the injured part gradually repairs. However, for some patients, the pain will be aggravated if the fracture is not fixed properly. Fixation is necessary to speed up the healing of the fracture.

1. Damage repair

Joint stiffness or ankylosis is related to the severity of fracture injuries (including soft tissue injuries around the joints). High-energy violence (such as motor vehicle running over or collision) has serious consequences. Fractures and soft tissue repair form a large amount of fibrous tissue and scar tissue, and even cartilage or bone tissue (such as myositis ossificans). The same tissue formation also occurs in the healing of surgical trauma.

2. Unstable fracture fixation

That is, the fixation is not secure, and the broken ends move to form more fibrous scar tissue.

3. Reflex sympathetic dystrophy syndrome

It is a reflex neurotrophic disorder caused by trauma, osteoporosis, atrophy, and joint stiffness. In addition, activities under unstable fixation that aggravate inflammatory response are common and important iatrogenic causes. Therefore, functional training under the premise of stability is worth promoting.

4. Improper functional exercise

Treatment should be prevention-oriented. First of all, stable fixation should be ensured, and functional exercises should be actively performed on this basis. Avoid forced movement or violent massage, otherwise it will hurt the joints, aggravate the injury-repair inflammatory response, and cause more severe adhesions and joint stiffness.

5. Malunion

For example, abnormal healing of fractures affects function, such as forearm radius and ulna fractures affecting the forearm rotation function, especially the supination function. Malunion of tibia and fibula fractures with angle or rotation causes uneven stress distribution in the knee or ankle joint, resulting in traumatic arthritis. You should consult a specialist and consider corrective or plastic surgery after weighing the pros and cons.

6. Delayed union and nonunion of fractures

The reason is insecure and unstable fixation, which often requires another surgery or bone grafting.

7. Bone defect, osteomyelitis and suppurative sinus

Most of them are caused by high-energy violent open injuries, often with exposed bones, which are difficult to treat. Doctors often use Ilizarov bone lengthening technology to treat them, and at the same time perform skin grafting to complete the wound coverage.

8. Spinal cord injury paraplegia or quadriplegia

Spinal cord injury is caused by violence at the moment of injury. As a sequela, patients should receive care and rehabilitation training under the guidance of a doctor. Do not expect to relieve the pressure again or trust in spinal cord nerve tissue transplantation or biological treatment surgery that is said to promote the regeneration of damaged nerve tissue. Although the latter has been proven to promote nerve regeneration, it is still in the animal experiment stage.