Kailash Hospital trauma and research center jodhpur

Operqtion of fracture leg bones, patient had motorbike accident and sustained injury over lright leg, he was admitted and operated for fracture leg bones.
#चिरंजीवी surgery # fracture operation #

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Sharing x ray of Fracture leg bones treated at kailash hospital , under AB-MGRSBY(ayushman Bharat). He is one of the patient treated under ayushman Bharat Bheema yojana, we have treated more than 60 patients under this scheme in last 2 months and contributed in governments vision in providing quality health care to the poor.

HOW TO CARRY FRACTURE PATIENT
Cool the affected area by applying and ice pack or ice cubes wrapped in a clean cloth. Treat the patient's shock: help them get into a comfortable position, encourage them to rest, and reassure them. Cover them with a blanket or clothing to keep them warm.

* What Should Do if Have a Broken Bone
- Do seek immediate medical attention.
- Do go to an orthopedic urgent care clinic
- Do rest and elevate the limb if there is swelling.
- Do take the pain medicine your doctor prescribed or recommended.

* Don't if Have a Broken Bone
- Don’t try to diagnose or treat a broken bone yourself
- Don’t pressure on affected area
- Don’t let your cast get wet.
- Don’t try to scratch an itch that’s inside the cast by sticking a pen or other object inside.

Sports Injury - Sports injuries are injuries that occur when engaging in sports or exercise. Sports injuries can occur due to overtraining, lack of conditioning, and improper form or technique.

The best way to prevent a sports injury is to warm up properly and stretch. Cold muscles are prone to overstretching and tears. Warm muscles are more flexible. They can absorb quick movements, bends, and jerks, making injury less likely.

Also take these steps to avoid sports injuries:
- Use the proper technique
- Have the proper equipment
- Don’t overdo it
- Cool down
- Resume activity slowly

Fibula Fracture - The most common cause of a fibula fracture is some sort of trauma or injury. You can break your fibular by rolling or twisting your ankle, tripping, falling, or sustaining a direct blow or impact to the lower leg or ankle.

* Symptoms Of Fibula Fracture

- Changes in gait, such as limping, feeling unstable, or walking in a different way
- Deformity of the ankle or lower leg, such as having an abnormal lump or being unnaturally bent
- Difficulty moving the ankle or leg
- Hearing a snapping, grinding or popping during the injury
- Inability to bear weight on the ankle or leg
- Swelling

* Causes Of Fibula Fracture
The most common cause of a fibula fracture is some sort of trauma or injury. You can break your fibular by rolling or twisting your ankle, tripping, falling, or sustaining a direct blow or impact to the lower leg or ankle.

Leg Bones Fracture - Leg Bones Fracture

A partial or complete break in a bone. Severe pain and swelling in the injured location are an indication of fracture.

This patient was treated by CRIF of fracture tibia with Interlocking nail

* Symptoms of Leg Bones Fracture
- Severe pain
- Swelling
- Snapping sound heard when bones break
- Deformed appearance of limb
- Skin bruising or bleeding

* Causes of Leg Bones Fracture
- A leg bones fracture can occur due to:
- Accidental injury
- Falls from high elevations
- Overuse such as in sports
- Osteoporosis-which weakens bones
- Metabolic diseases and deficiencies in certain nutrients

* Treatment of Leg Bones Fracture
- Self-care
- Use ice packs, elevating the injured limb, and take painkillers such as ibuprofen.
- Keep the applied cast dry.
- Medical procedures: Closed reduction · Open reduction · Bone fixation
- Therapies: Physical therapy

Trochanteric Fracture -

A trochanteric fracture is a fracture involving the greater and/or lesser trochanters of the femur.

This patient was treated by CRIF of fracture trochanter with Short PFN

*Causes of Trochanteric Fracture

Lesser trochanter Avulsion fractures of the lesser trochanter in adolescents are uncommon. This injury is a result of a sudden forceful contraction of the iliopsoas tendon. It usually occurs during vigorous sports activity.

* Symptoms of Trochanteric Fracture

The most common symptoms of intertrochanteric fractures include: not being able to put weight on the injured side’s leg having a leg in an unnatural position or turned to the injured side The most common causes of intertrochanteric fractures are falls or trauma.

* Treatment Of Trochanteric Fracture

Treatment depends on the location of the fracture, the degree of displacement, the number of other fractures and the age of the person. A hip fracture usually is treated with surgery.

Leg Bones Fracture - Leg Bones Fracture

A partial or complete break in a bone. Severe pain and swelling in the injured location are an indication of fracture.

This patient was treated by CRIF of fracture tibia done with I/L nail

* Symptoms of Leg Bones Fracture
- Severe pain
- Swelling
- Snapping sound heard when bones break
- Deformed appearance of limb
- Skin bruising or bleeding

* Causes of Leg Bones Fracture
- A leg bones fracture can occur due to:
- Accidental injury
- Falls from high elevations
- Overuse such as in sports
- Osteoporosis-which weakens bones
- Metabolic diseases and deficiencies in certain nutrients

* Treatment of Leg Bones Fracture
- Self-care
- Use ice packs, elevating the injured limb, and take painkillers such as ibuprofen.
- Keep the applied cast dry.
- Medical procedures: Closed reduction · Open reduction · Bone fixation
- Therapies: Physical therapy

Fracture Shaft Of Femur Left
A femoral fracture is a bone fracture that involves the femur. They are typically sustained in high-impact trauma, such as car crashes, due to a large amount of force needed to break the bone.
This patient was treated by CRIF of fracture shaft left with Interlocking nail
* Causes of Fracture Shaft Of Femur Left

- Femoral shaft fractures in young people are frequently due to some type of high-energy collision. The most common cause of femoral shaft fracture is a motor vehicle or motorcycle crash.

Tendo Achilles - A painful condition due to injury of a cord that connects the calf muscles at the back of the lower leg to the heel bone, known as achilles tendon.
* Symptom Of Tendo Achilles
Usually begins with mild pain at the back of the heel after running or sports activity. The common symptoms include:
- Heel pain and swelling at the back of the heel
- Thickening of the tendon
- Limited range of motion when flexing the foot
- Area around the heel may feel warm to touch
- Tenderness in the affected area

* Causes Of Tendo Achilles
- The most common cause of Achilles tendonitis is an overuse injury of the Achilles tendons, repetitive stress due to excessive exercise, walking or sports activities.
- Suddenly increasing the intensity of exercise without a proper warm-up
- Playing sports that require swift or rapid movements
- Not taking enough time to increase training
- Wearing ill-fitting footwear and using the wrong equipment
- Using high heels for prolonged period
- Running on uneven surfaces
- Tight calf muscles
- Bone spurs in the back of the heel
- Running in worn-out shoes

* Treatment Of Tendo Achilles
- Medication
- Anti-inflammatory drugs

- Therapy
- Physical therapy: Includes stretching exercises to strengthen the muscles and their supporting structures.

- Self-care
- Rest: Avoid physical activity that strains the tendon further
- Ice: Use an ice pack to relieve pain
- Compression: Using a compression bandage or athletic tape reduces swelling and limits movement
- Elevation: Lie down and place your heel on a raised surface to reduce swelling

Peroneal Tendonitis - It is caused by the overuse of a joint. It could lead to tearing of tendons in severe cases. It is characterized by swelling, pain, and tenderness in the affected joint. Adequate rest is recommended initially.
* Symptoms Of Peroneal Tendonitis
- Pain at or around a joint
- Gradual or sudden, severe Pain at the affected part
- Stiffness or loss of motion in the affected joint
- Tenderness
- Mild swelling or thickening

* Causes of peroneal tendonitis
- Factors that can contribute to peroneal tendonitis include:
- overuse
- A sudden increase in training, particularly weight-bearing activities, such as walking,
- running and jumping
- improper training techniques
- inadequate or unsupportive footwear

*There are also some other issues that can increase a person’s risk of developing peroneal tendonitis:
- Higher foot arches
- Lower limb muscles and joints not working well together
- Imbalanced muscles in the lower limbs

* Treatment Of Peroneal Tendonitis
- Adequate rest is recommended initially. Medications help to reduce inflammation and pain.
- Medication
- Anti-inflammatory drugs: To reduce swelling and discomfort.
- Self-care: RICE therapy
- Rest (avoid activities that increase pain or swelling) - Ice (apply ice to the affected area)
- Compression (to cease swelling)
- Elevation (raise the affected leg above the level of the heart)
- Therapies: · Physical therapy

Distal End Of Radius Fracture
A fracture of the distal radius occurs when the area of the radius near the wrist breaks. Distal radius fractures are very common. In fact, the radius is the most commonly broken bone in the arm.

This patient was treated by ORIf with distal radius with volar locking plate

Causes of Distal End Of Radius Fracture
These fractures are often the result of a fall, particularly when you stretch your arm outward to break the fall. The risk of a distal radius fracture increases if the person has osteoporosis

Proximal Humerus Fracture - A proximal humerus fracture is a crack or break in the top of your upper arm bone. The proximal humerus is one of the bones in your shoulder joint. This type of fracture may be caused by a fall, trauma from a car accident, or a sports injury.

Causes of Proximal Humerus Fracture
- Fall: The most common cause of a proximal humerus fracture is falling over onto an outstretched hand.
- Direct Blow: A high-energy blow to the shoulder, such as a sporting tackle or RTA can cause a proximal humerus fracture.
- Age: Approximately 75% of proximal humerus fractures occur in people over the age of 60 because bones get weaker and more brittle with age, making them more likely to break.
- Osteoporosis: In osteoporosis the bone weakens, making it more likely to break

Cervical painis a physical condition caused by the wear and tear of bones and cartilage in the neck (cervical vertebra) region. This degeneration of the bones and cartilage causes chronic neck pain and can disrupt simple day-to-day activities.

* Symptoms of cervical spondylosis
- Chronic neck pain
- Pain in the shoulder blades
- Stiff neck
- Headache at the back of the head

* Tips to prevent cervical spondylosis
- Avoid doing activities that put pressure on the neck.
- Avoid lifting heavy weights.
- Take short breaks in-between work to give rest to the neck.
- Stay hydrated.
- Eat fruits and green leafy vegetables.
- Exercise regularly, but with caution and care.

* Yoga for cervical pain

- Bhujangasana (Cobra Pose)
This pose expands the chest and strengthens the spine. It also helps soothe sciatica.

- Ardha Matsyendrasana (Sitting Half-Spinal Twist)
This pose stretches the neck and shoulder and also energizes the spine.

- Dhanurasana (Bow Pose)
This asana stretches and stimulates the neck.

- Marjariasana (Cat Pose)
This pose stretches the neck and alleviates backache.

- Setu Bandhasana (Bridge Pose)
This asana improves the flow of blood to the head, thus relieving it of headache. It also stretches the neck.

- Matsyasana (Fish Pose)
This asana strengthens the back of the neck. It also stretches and stimulates the throat and neck.

Pott's fracture - A Pott’s fracture is a type of broken ankle, involving either of the bony parts of the ankle, called malleolus.

Treated by ORIF of fracture fibula with distal fibula locking plate / CRIF of medial malleoli with 4.0 mm c.c. screw

The common causes of Pott’s fracture are:

- Jumping from a high spot and landing on an uneven surface can result in the fracture of the medial or lateral malleoli.
- When you make a sudden change in direction, that directly affects the ankle joint. For example in sports like football or ice hockey.
- A direct force to the ankle during an accident such as a road traffic accident can result in a Pott’s fracture.

Metatarsalgia is a condition in which the ball of your foot becomes painful and inflamed. You might develop it if you participate in activities that involve running and jumping.

*Symptom Of Metatarsalgia
- Symptom of metatarsalgia is pain at the end of one or more of the metatarsal bones.
- The pain can be sharp, a dull ache, or a burning feeling.
- You may feel like you’re stepping on a pebble.
- The pain is typically worse when you walk or run.
- You may feel tingling or numbness in your toes.

* Causes of Metatarsalgia
- Intense activities that involve running and jumping
- Shoes that are too loose or too tight
- Excess bodyweight
- Certain foot types such as high arches

*Treatment Of Metatarsalgia
- Stay off your feet. Avoid high-impact activities for a while and prop up your injured foot when you can.
- Ice the injured foot. Try rolling it over a frozen water bottle.
- Use a pressure bandage.
- Wear cushioned pads, arch supports, or other orthotics in your shoes.
- Do gentle stretching and strengthening exercises.

Fibula & Distal Tibia Fracture case -

Patient treated by - Treatment CRIF of fracture tibia (MIPO) with distal tibia locking plate / CRIF fracture fibula with elastic nail

The most common cause of a fibula fracture is some sort of trauma or injury. You can break your fibular by rolling or twisting your ankle, tripping, falling, Being in a motor vehicle accident, or sustaining a direct blow or impact to the lower leg or ankle.

Take care while participating in activities that require repetitive motions or forces, such as running and jumping

Last week we got a case where patient's arms and knee bones fractured together in an accident. As sson our specialists got that case they started his treatment and rebound his arm bones with small dynamic compression plate and his knee with proximal tibia locking plate. Patient is felling better now. after few weeks our physiotherapy team will take care of him and make him stand and walk as before.

Hello everyone, hope you all are good. It's our pleasure to share a recent case of our hospital with you. A few days back, the Patient was riding his bike, and due to the improper road he falls down and injured his right leg bone. The crowd took him to our hospital where our specialists found a Tibia shaft fracture ( 1/3rd bone broke). Where our ortho specialist and his team started his operation quickly and treated his leg well. The patient is feeling very relax and good. After few days our physiotherapy team will take care of him with exercise, so he can back to his normal life.

Ride slow where roads are improper and take care mostly in the rainy season.

Fracture - Tibia Shaft ( mid 1/3 rd proximal lateral condyle tibia )
Treatment - CRIF of fracture shaft tibia with Interlocking nail, CRIF lateral condyle tibia with 6.5 mm c.c screw

Gluteal Bursitis - is a condition that describes inflammation of the bursa that lies between gluteal muscles. The bursa is a fluid-filled sac, whose purpose is to reduce friction and minimise irritation on movement.

* Symptoms of Gluteal Bursitis

- Pain in the affected joints
- Difficulty in movement
- Tenderness of affected area
- Swelling
- Loss of movement
- Fever
- Joint redness in the affected area

* Causes of Gluteal Bursitis
- Most commonly caused due to
- Repetitive movement
- Excessive pressure on the joints
- Injury

Risk factors include:
- Conditions like arthritis and gout
- Infection
- Immune deficiencies including HIV and diabetes
- Trauma
- Autoimmune disorders that can cause inflammation such as rheumatoid arthritis, scleroderma & systemic lupus erythematosus
- Certain medications

* Treatments of Gluteal Bursitis
Conventional remedies such as rest, ice, and pain relievers is generally good enough. Medical treatment may be necessary for severe symptoms.

* Medication

* Self-care
- Rest.
- Apply Ice packs to reduce pain and inflammation.
- Place the affected part in an elevated position, to reduce inflammation.
- Intake of painkillers is effective in reducing pain and inflammation.

* Medical procedures: Arthroscopy

* Therapies: Physical therapy

Iliotibial band syndrome - (ITBS or IT band syndrome) is an overuse injury of the connective tissues that are located on the lateral or outer part of thigh and knee. It causes pain and tenderness in those areas, especially just above the knee joint.

Causes of Iliotibial band syndrome
- Poor muscle flexibility
- Mechanical problems of the knees, hips or pelvis
- Characterized by knee pain, hip pain, leg pain, leg swelling

Symptoms of Iliotibial band syndrome
- The main symptom is lateral knee pain
- Clicking sound while moving hip with knee bent
- Pain is worsened during physical activity
- Popping sound in the knee
- Swelling below the knee

Treatment Of Iliotibial band syndrome
- Treatment includes proper rest and medications

Medication
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Corticosteroid injection

Self-care
- RICE (Rest, Ice, Compression, Elevation)- provides relief from pain and swelling
Rest: take enough rest between any daily activities
- Ice pack: it helps to reduce pain and swelling
- Compression: wrapping the affected inflamed part with an elastic bandage will help to reduce the swelling
- Elevation: Elevating the affected leg will help to reduce the pressure applied on the leg which leads to a reduction of swelling

Therapies
- Physical therapy
- Stretching
- Massage therapy

Fracture - Bicondylar tibial plateau fracture ( Right )
Treatment - ORIf of fracture bicondylar tibia (medial, lateral column)
Case History -
A few days back, the patient was working in his factory, and In an accident, he injured his knee. He was finding it very difficult to stand then his mates bring him to our hospital and our specialist found a tibial plateau fracture in his knee. He was quickly admitted and thereafter his treatment was started at the earliest by our ortho specialist and his team. He was treated nice and our doctors fixed his knee. The patient is fine now, our physiotherapy team is taking care of him and soon he will back to his normal life

Piriformis syndrome - An uncommon neuromuscular disorder in which the sciatic nerve is irritated by the piriformis muscle in the buttocks. The sciatic nerve is the longest nerve in the body which begins in the lower back and runs through hips, buttocks, legs, and feet on both sides.

Commonly noted symptoms of Piriformis Syndrome
- Pain in the buttocks
- Tingling or numbness in the buttocks
- A dull ache in the buttocks
- The sensation of pins and needles pricking
- Reduced range of motion of the hip joint

Causes Of Piriformis syndrome
- Inflammation (any cause such as overuse, sprain)
- Trauma (usually blunt trauma to the buttocks)
- Hematoma
- Scar formation

Treatment of Piriformis syndrome
Medication
- Anti-inflammatory medicines: To manage pain and inflammation.
- Muscle relaxants: To treat myospasms.

Therapy
- Massage therapy: To relieve pain and prevent muscle spasms
- Therapeutic ultrasound: Heat and vibrations from sound waves are used to treat sprains or strains.

Self Care
- Aerobic activity for 20-30 minutes helps improve cardiovascular health
- Avoid sitting in positions that trigger the pain
- Participate in stress-relieving practices such as yoga

Foods to eat
- Proteins such as beans, legumes, fish, raw nuts
- High fiber diet such as potatoes, lentils
- Plenty of vegetables such as spinach, broccoli

Foods to avoid
- Caffeine drinks such as coffee, tea
- Canned and packaged foods
- Carbonated beverages such as sodas
- Chocolate
- Sugary foods
- White flour