ORTHOPAEDIC · CONDITION GUIDE
Bone Fractures
A break or crack in a bone caused by trauma, stress, or disease — requiring accurate diagnosis and the right fixation method to ensure proper healing, alignment, and return to full function.
ABOUT THIS CONDITION
What is Bone Fractures?
A bone fracture occurs when a bone is subjected to more force than it can withstand, causing it to crack or break completely. Fractures range from simple stable breaks that can be treated with a cast to complex, displaced, or open fractures that require surgical fixation. They can affect any bone in the body and are among the most common reasons for orthopaedic consultation, resulting from falls, sports injuries, road traffic accidents, or underlying bone disease. The goal of fracture treatment is to restore the bone to its correct position, immobilise it during healing, and guide the patient back to full function as quickly and safely as possible. Dr. Sai Kishan Sirasala is AO Trauma Certified at the Advanced level — an internationally recognised qualification in fracture management — and provides expert fracture care at Lux Hospitals, Hyderabad.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- High-energy trauma such as road traffic accidents or falls from height
- Sports injuries involving direct impact or forceful twisting of a limb
- Osteoporosis causing bones to become fragile and break with minimal force
- Stress fractures from repetitive loading without adequate rest or recovery
- Pathological fractures through areas of bone weakened by tumour or infection
- Falls in elderly patients, which are a leading cause of hip and wrist fractures
CLINICAL DETAILS
KeyFacts
Closed, open, displaced, comminuted, stress, and pathological fractures
ORIF, IM nailing, external fixation, arthroplasty, and more based on fracture type
AO Trauma Certified (Advanced Level) — internationally recognised trauma training
Varies by fracture; most patients mobilise within days to weeks of fixation
Full return to activity typically in 6–16 weeks depending on fracture location and type
Available at Lux Hospitals, Hitech City, Hyderabad
HOW WE TREAT IT
Treatment Approach
Dr. Sai Kishan holds AO Trauma Certification at the Advanced level — the internationally recognised gold standard for fracture management training. He is experienced across the full range of fracture fixation techniques and manages both simple and highly complex fractures with precision.
Dr. Sai Kishan holds AO Trauma Certification (Advanced Level) and is experienced across the full range of fracture fixation techniques — managing both simple and complex fractures with precision.
- 1
Consultation & Assessment
X-rays and CT imaging characterise the fracture pattern, displacement, and alignment — determining whether closed management or surgical fixation is required.
- 2
Treatment Planning
The optimal fixation strategy is selected based on fracture type, location, bone quality, and patient health — following internationally standardised AO principles.
- 3
Surgical Procedure
The appropriate fixation method — cast, CRIF, ORIF, IM nail, or external fixation — is applied to restore alignment and provide stable immobilisation for healing.
- 4
Rehabilitation & Recovery
Physiotherapy begins as early as fixation stability allows. Most patients mobilise within days of surgery, with full return to activity in 6–16 weeks depending on the fracture.
AVAILABLE TREATMENTS
Treatment Options
Closed Reduction & Casting
The broken bone is gently realigned from outside without any cuts and immobilised in a cast until it heals — used when the fracture is stable and surgery is not required.
CRIF (Closed Reduction & Internal Fixation)
The bone is realigned without opening the skin, and metal screws or rods are inserted through small incisions to hold it in the correct position while it heals.
ORIF (Open Reduction & Internal Fixation)
The broken bone is surgically exposed, carefully realigned, and secured using metal plates and screws for precise alignment and reliable healing.
Intramedullary Nailing (IM Nail)
A strong metal rod is inserted into the hollow canal of a long bone to stabilise a fracture — commonly used for breaks in the thigh, shin, or upper arm.
K-Wire / Tension Band Wiring
Thin flexible wires hold small broken bone fragments in place while they heal — used for fractures of the hand, wrist, kneecap, or elbow.
External Fixation
Metal pins placed into the bone and connected to a frame outside the body stabilise the fracture — used when soft tissue injury or infection makes internal fixation unsafe.
Ilizarov / Ring Fixator
A circular external frame connected to the bone through fine wires for severe fractures, significant bone loss, or complex deformity correction.
Dynamic Hip Screw (DHS)
A sliding screw and plate are fixed to the hip to treat certain hip fractures — as you bear weight, the screw compresses the fracture site, helping it heal correctly.
Arthroplasty for Fractures
When a fracture has destroyed the joint surface beyond repair, a partial or full joint replacement is performed — most commonly for severe hip or shoulder fractures.
COMMON QUESTIONS
Frequently Asked
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