External & Internal Fixation Specialist in Rochdale & Greater Manchester
Fractures and complex bone injuries often require surgical stabilization to ensure proper healing and restore function. External and internal fixation are advanced techniques used to hold broken bones in the correct position while they heal.
Mr. Cohen provides expert evaluation and surgical treatment for patients in Rochdale, Greater Manchester, and surrounding areas, using fixation techniques tailored to the type and severity of the injury, with a focus on achieving stable healing and optimal recovery.
What is Fracture Surgery?
Fracture surgery is a procedure to fix broken (fractured) bones and to hold them in place using advanced equipment. Though fractures can heal without surgery, in certain situations surgery is necessary for proper alignment and healing.
Indications for Fracture Surgery
Indications for fracture surgery include:
- Unstable and displaced fractured bones
- Unsuccessful attempt to align the broken bones without surgery
- Fracture of the top of the thighbone (femoral neck) which does not heal well without surgery
- Joint fractures
- Fractures where the bone has penetrated through the skin (open fracture)
Preparation for Fracture Surgery
You should not eat or drink 6 hours before the surgery. You may receive antibiotics prior to surgery. Your doctor will take certain precautions to prevent clot formation in the leg veins.
Procedure for Fracture Surgery
The procedure may be performed under general or regional anaesthesia. Open surgery or external fixation may be performed.
Open surgery (open reduction and internal fixation):
- Your doctor will make an incision over the injured bone.
- The fracture fragments are aligned (reduced).
- Screws, pins, rods, or wires made of stainless steel or titanium will be inserted to stabilize the fracture.
- The incisions are closed with stitches.
- A cast or brace may then be applied for support.
External fixation:
- External fixation is carried out in cases of an open fracture or multiple bone fractures.
- This is a procedure in which fracture stabilization is performed with instruments outside the body.
- Your doctor will insert metal pins through the skin into the bone above and below the fracture site. The pins are attached to an adjustable frame or device that helps hold the bones in proper alignment while they heal.
Post-Operative Care and Recovery Following Fracture Surgery
After surgery, you will be monitored in a recovery room. Depending on the severity and location of the fracture you may have to stay overnight or for a few days in the hospital. You will experience some pain and swelling for which you will receive medication. Fractures can take several weeks to months to heal completely. You should limit your activities even after the removal of the cast or brace so the bone becomes solid enough to bear stress. The stabilizing instruments such as plates and screws may or may not be removed after the fracture has healed. Physical therapy is recommended to strengthen the muscles around the fracture site.
Risks and Complications of Fracture Surgery
Risks and complications of fracture surgery include:
- Wound infection
- Failure of healing
- Swelling
- Bleeding
- Pain
- Deep vein thrombosis
- Arthritis can develop in a fractured joint
Why Choose Mr. Cohen for Fracture Fixation?
Successful fracture treatment depends on precise alignment, stable fixation, and careful post-operative care.
Mr. Cohen offers:
- Specialized Expertise in Orthopaedic Trauma Surgery
Extensive experience managing simple and complex fractures using both internal and external fixation methods - Individualized Treatment Planning
Fixation technique selected based on fracture type, location, soft tissue condition, and patient needs - Advanced Surgical Techniques
Use of modern plates, screws, rods, and external fixation systems to ensure stability and promote healing - Comprehensive Care
Management from initial injury through surgery, healing, and rehabilitation - Patient-Centered Approach
Clear explanations, realistic expectations, and ongoing support throughout recovery
Frequently Asked Questions About External & Internal Fixation
What is internal fixation?
Internal fixation involves stabilizing a fracture using implants such as plates, screws, or rods placed inside the body to hold the bone in proper alignment during healing.
What is external fixation?
External fixation uses a stabilizing frame outside the body, connected to the bone with pins or wires, to maintain alignment while the fracture heals.
When is fixation surgery recommended?
Fixation is typically recommended for displaced fractures, unstable injuries, or cases where proper alignment cannot be maintained with non-surgical treatment.
How do surgeons decide between internal and external fixation?
The choice depends on the type of fracture, degree of soft tissue injury, risk of infection, and overall patient condition.
What is recovery like after fixation surgery?
Recovery varies based on the injury, but generally includes a period of protected weight-bearing, followed by rehabilitation to restore strength and mobility.
Take the Next Step Toward Recovery
If you have sustained a fracture or complex bone injury, prompt evaluation and appropriate stabilization are essential for proper healing.
Expert surgical care can help restore alignment, reduce complications, and support a safe return to daily activities.