Fracture and dislocation treatment
Casting and splinting, follow-up
A fracture is a break in the continuity of a bone; a dislocation is when the joint surfaces lose their normal relationship to each other. Dislocations in particular require urgent assessment; if a fracture is suspected, medical assessment should also be sought without delay. If there is an open wound with the fracture, or if the limb shows a clear deformity, loss of sensation or a change in colour, go to the nearest emergency department.
Because our clinic has digital X-ray, imaging can be done during the same visit when needed. The doctor assesses the location and type of the fracture or joint injury and its relationship to the joint, using the clinical examination together with the images.
Depending on the type and stability of the fracture, a cast or splint may be applied. Displaced fractures or dislocations may need to be put back into place (reduction) under suitable conditions. When surgical treatment is required, the patient is referred to the relevant centre and the subsequent follow-up is planned.
Regular check-ups are important while in a cast or splint. When needed, follow-up X-rays are used to monitor bone healing and position; how long the limb is immobilised is decided on the basis of clinical and radiological findings.
After the cast or splint is removed, reduced joint movement and loss of muscle strength may occur. In suitable patients, physiotherapy begins at this stage, and movement, strength and daily function are gradually rebuilt.
If you notice a clear change in colour or coldness in your fingers or toes, increasing pain, numbness, severe swelling, or if the cast or splint gets wet or damaged, contact your healthcare team without waiting for your check-up date.
Who provides it
Dr. Ozan Razı, Dr. Volkan Onar