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The Myth Behind The Restriction of Movements in Fracture

09-13-2019 10:17 AM CET | Health & Medicine

Press release from: Siora Surgicals Pvt Ltd

The Myth Behind The Restriction of Movements in Fracture

There has been a widespread thought and belief that the ideal environment for fracture healing is movement reduction and rigid fixation of the area. This idea has infused the orthopedic society deeply. This has occurred at a time when the branches of medicine are attempting to trace disease through advanced genetic engineering molecular biology, and cell manipulation techniques.

This disparity between the two approaches may sooner or later have very unwanted consequences in the field of orthopedic surgery. A general example is the loss of leadership role by the orthopedic surgeon in the care of the severely injured patient in which patients are being cared by other who has acquired a better understanding of their basic metabolic needs. The service of the orthopedic surgeon is finally sought, but only once after the patient has already been stabilized medically and the fractures are ready to be fixed.

Some people in medicine or within its borders are expanding the scope of their treatment into conditions that conventionally belonged to orthopedics.

Neurological surgery’s extension into spinal instrumentation, podiatry into traumatic and repairing and restoring surgery of the foot and ankle and even plastic surgery into musculoskeletal conditions of the hand and upper extremity are generally the result of a widespread belief that that medicinal branch of orthopedics has become a shackle of surgical techniques rather than a defined body of knowledge.

As a leading external fixator manufacturer (https://www.siiora.com/product-category/external-fixator-system/) and external fixator suppliers in the world, we believe that with the penetration of radiological techniques into the evaluation of fractures, unnecessary attention has been paid to the diagnosis of fracture fragments and to the maintenance of that arrangement during healing of the fracture.

Maintenance of perfect and straight alignment of body parts is hardly ever seen without the involvement of any surgery methods. As India’s leading Dynamic External Fixator Manufactures, we have seen that in cases like a fracture, where anatomical alignment is needed using nonsurgical methods, patients are asked to have burden free and prolonged rest to help stabilize the fragments.
In order to achieve this, the joint areas above and below the fracture site are included in casts, to achieve better immobilization of the fragments. It also helps the patient to reduce his or her activities

We have been in the external fixator manufacturer business for quite a while now and found that this form of treatment was based on the teachings of Sir Robert Jones (1912), and it has dominated the thinking and practices of orthopedic surgeons for several decades now.

In society, people often value internal fixation of fractures more because of the incorrect belief that achieving surgical reduction is worth the risk. Additionally, surgeons always find surgical treatments more exciting and unquestionably more financially rewarding.

Although there is no confirmation to support the logic that immobilization is mandatory for the healing of the fracture, orthopedic surgeons have passed on this belief from generation to generation. On the contrary, there is now vast evidence to indicate that this form of treatment leads to the development of delayed union or even nonunion of bones, excess amount of muscle weakening, long periods of halt of movement during and after treatment, joint hardness and in some cases even osteoporosis, and decreased bone potency.

Plaster casts by orthopedic implant manufacturers in India stabilize long bone fractures but they never cause a complete stoppage of movements. This is a great advantage because otherwise the incidence of non healing of bones would be much greater

If you see young children treated for a fracture, you will hardly see them in a state of rest. Despite the directions of their physicians, they hardly follow a schedule of unencumbered and continued rest and yet their fractures unite easily. This is perhaps not only due to their natural greater bone formation activity, but also because of their refusal to accept the prolonged rest.

Some grown-up patients who are also pretty active like children after the fracture cast. They also demonstrate a lower incidence of non attachment of bones when compared to their more "disciplined" equivalents. Fractures in patients with spastic extremity disability have been known to cure quite quickly. This therapeutic takes place in the occurrence of motion between the fragments. Yet, it is not crystal clear whether this fast healing is partly the result of a unique chemical environment, but yet the truth remains that motion at the fracture site takes place as a result of the muscle spasticity and still the healing occurs rapidly.

Many fractures that are not possible to be immobilized, heal time after time and that too quickly. For example- Fractures of the clavicle and ribs without any doubt heal in the presence of constant motion at the fracture site. On the contrary, it is only when one attempted to strictly immobilize a clavicle fracturing that nonunion or non-healing of bone occurred. Anyone who has ever used a

Figure-of-eight sling to stop movements in a fractured clavicle cannot be immature enough to believe that it really, immobilized the bone fragments in the area, and yet those fractures nursed back to health.

Contact Information:
Siora Surgicals Pvt. Ltd.
WZ-1, 2nd Floor,
Phoolbagh, Rampura,
New Delhi 110035, INDIA.
Email: online@siora.net
Mobile: +919810021264
Website: https://www.siiora.com/

As the leading Dynamic External Fixator Exporters In India, Siora Surgicals Pvt Ltd. has seen that fractures in the animal kingdom, as well as fractures that were sustained by early man prior to the growth of any such “contemporary techniques", rarely experienced the condition of nonunion even though there was no such concept of immobilization.

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