What does fracture sequelae mean?

Fractures are really not a trivial matter, and some have sequelae. The sequelae of fractures are relatively small, so don't be too nervous, as long as you actively cooperate with the treatment. Want to know how to recover quickly after a fracture and how to treat the sequelae of the fracture? Let's take a look together.

What are the sequelae of fractures?

Fracture sequelae refer to complications left after fracture treatment or fracture healing. Common complications are: joint stiffness or ankylosis, joint stiffness is part of the restriction of joint movement, and ankylosis is complete restriction.

Causes of fracture sequelae:

Damage repair, unstable fracture fixation, improper functional exercise, malunion, delayed union and nonunion of fracture, and direct or indirect violence.

How to treat the sequelae of fractures?

01, Damage repair.

Joint stiffness or rigidity is related to the severity of fracture damage (including soft tissue damage around the joint). High-energy violence (such as motor vehicle rolling or collision) has serious consequences. Fractures and soft tissue repairs form a large amount of fibrous tissue and scar tissue, even cartilage or bone Tissue (such as myositis ossificans), surgical wound healing also has the same tissue formation.

02, Fracture fixation is unstable.

That is, the fixation is not secure, and more fibrous scar tissue is formed by the movement of the broken end.

03, Reflex sympathetic dystrophy syndrome.

It is reflex neurotrophic disorder caused by trauma, osteoporosis, atrophy, and joint stiffness. In addition, activities under unstable fixation aggravate inflammatory reactions are common and important iatrogenic causes. Therefore, functional exercise under the premise of stability is worthy of promotion.

04. Improper functional exercise.

The treatment should focus on prevention, first of all to ensure stable fixation, and on this basis, take the initiative to exercise functional exercises. Remember to perform compulsory activities and violent massage, otherwise it will damage the joints, aggravate the damage repair inflammatory response, and form heavier adhesions and joint stiffness.

05, Deformity healed.

Such as fracture malunion affects function, such as forearm radius and ulna fracture affects the forearm rotation function, especially the supination function. Tibia and fibula fractures are angled or rotated and deformed, resulting in uneven distribution of stress in the knee or ankle joint, resulting in traumatic arthritis. A specialist should be consulted to weigh the pros and cons to consider orthopedic or plastic surgery.

06. Delayed union and nonunion of fractures.

The reason is that the fixation is uncertain and unstable, and it usually requires reoperation or bone grafting.

07, Bone defect, osteomyelitis and pyogenic sinus tract.

It is mostly caused by high-energy violent open injuries, often with exposed bones, which is difficult to handle. Doctors often use Ilizarov bone lengthening technique to treat them, and skin grafts are used to complete the wound coverage.

08, Spinal cord injury with paraplegia or quadriplegia.

Spinal cord injury is caused by the momentary violence of the injury. Patients with sequelae should undergo nursing and rehabilitation training under the guidance of a doctor. Do not expect to decompress again or believe in the so-called spinal cord nerve tissue transplantation or biological treatment surgery that promotes the regeneration of the injured nerve tissue. Although it has been proven to promote nerve regeneration, it is still in the stage of animal experiments.

How to prevent fracture sequelae?

Don't add calcium blindly.

Some people think that adding more calcium after the fracture can speed up the healing of the broken bone. However, scientific research has found that increasing calcium intake does not accelerate the healing of broken bones, and for long-term bedridden fracture patients, there is a potential risk of increased blood calcium, accompanied by lower blood phosphorus.

For fracture patients, there is no lack of calcium in the body. As long as you strengthen functional exercise and exercise as soon as possible according to the condition and the doctor's instructions, you can promote the absorption and utilization of calcium by the bone and accelerate the healing of the broken bone.

Fracture patients are often accompanied by local edema, congestion, hemorrhage, muscle tissue damage and other conditions. The body itself has the ability to resist and repair these. However, the body repairs tissue, grows bones, grows muscle, forms callus, and removes blood stasis and swelling. It can be seen that the key to ensuring the smooth healing of fractures is nutrition.

Bedridden fracture patients, especially those with spine, pelvic and lower limb fractures, are very inconvenient to move. Therefore, they should drink as little water as possible to reduce the frequency of urination. Although the frequency of urination is reduced, greater troubles have also occurred.

If bedridden patients have little activity, weakened bowel movements, and reduced drinking water, it is easy to cause constipation. Long-term bed rest and urinary retention can easily induce urinary stones and urinary tract infections.

After a large amount of white sugar is ingested, it will cause a rapid metabolism of glucose, thereby producing metabolic intermediate substances, such as pyruvate, lactic acid, etc., making the body in a state of acidosis.

At this time, the alkaline calcium, magnesium, and sodium ions will be immediately mobilized to participate in the neutralization effect to prevent the blood from becoming acidic. Such a large consumption of calcium will not be conducive to the rehabilitation of fracture patients.

At the same time, too much sugar will also reduce the vitamin B1 content in the body. Insufficient vitamin B1 greatly reduces the activity of nerves and muscles, and also affects the recovery of functions.

The recuperation after a fracture must be strictly in accordance with the doctor's advice and must not be rushed. Once the sequelae of a fracture occurs, go to the hospital for formal diagnosis and treatment.