Expert Emergency Orthopedic Treatment
For acute fractures and traumatic injuries, seek immediate medical attention at the nearest emergency department. Following initial stabilization, Dr Vishal Nigam provides expert definitive fracture management and surgical care.
Dr Vishal Nigam specializes in the comprehensive management of orthopedic trauma and fractures, from simple fractures to complex polytrauma cases. With over 20 years of experience in trauma surgery and advanced training in fracture fixation techniques, Dr Nigam provides evidence-based care focused on optimal healing and functional recovery.
Fractures require prompt, appropriate treatment to ensure proper bone healing, prevent complications, and restore maximum function. Whether conservative or surgical management, each treatment plan is individualized based on fracture characteristics, patient factors, and functional goals.
Definition: Clean break without significant displacement or soft tissue damage.
Treatment: Often managed with casting or bracing, sometimes requiring surgical fixation.
Examples: Closed wrist fractures, ankle fractures, clavicle fractures.
Definition: Multiple fragments, significant displacement, joint involvement.
Treatment: Usually requires surgical intervention with plates, screws, or rods.
Examples: Comminuted fractures, intra-articular fractures, pilon fractures.
Definition: Bone breaks through skin creating open wound (surgical emergency).
Treatment: Urgent surgical debridement, fracture stabilization, antibiotics.
Complications: Higher infection risk, delayed healing, soft tissue damage.
Common in Elderly: Femoral neck or intertrochanteric fractures.
Treatment: Usually requires surgery (fixation or hip replacement).
Urgency: Early surgery associated with better outcomes.
High-Energy Injuries: Often from motor vehicle accidents.
Treatment: Complex surgical reconstruction for displaced fractures.
Expertise Required: Specialized training in pelvic trauma surgery.
Types: Compression fractures, burst fractures, fracture-dislocations.
Treatment: Conservative vs surgical based on stability and neurological status.
Concern: Potential for spinal cord injury.
Non-Union: Fracture fails to heal after adequate time.
Malunion: Fracture heals in incorrect position.
Treatment: Revision surgery, bone grafting, realignment procedures.
Cause: Fractures through diseased bone (osteoporosis, tumors, infection).
Treatment: Address underlying condition plus fracture stabilization.
Prevention: Treating bone diseases to prevent future fractures.
Appropriate for stable, minimally displaced fractures:
Required for unstable, displaced, or complex fractures:
For patients with multiple injuries:
Bone healing typically occurs in stages over 6-12 weeks for most fractures, though complex fractures may take longer. Factors affecting healing include:
For fractures requiring definitive surgical management or second opinions on fracture treatment, schedule a consultation with Dr Vishal Nigam.
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