A fracture, commonly known as a broken bone, can range from a minor crack to a severe injury involving multiple bone fragments, joint disruption, or damage to surrounding soft tissues. While simple fractures often heal well with immobilization, major or complex fractures require advanced evaluation and specialized orthopaedic management to restore bone alignment, preserve limb function, and prevent long-term complications.

Dr. Anant Kumar Tiwari, a highly experienced Orthopaedic Surgeon Delhi, is widely recognized for managing complicated fracture patterns with a structured, evidence-based approach. As a trusted Fracture Specialist Delhi, he provides comprehensive trauma care — from emergency fracture stabilization to definitive surgical fixation and long-term rehabilitation planning.

What Is Considered a Major Fracture?

A major fracture typically refers to a break that is mechanically unstable, involves significant displacement, or affects the joint surface. These fractures are more complex because they may involve:

1. Multiple fragments (comminuted fractures)

2. Bone displacement or angulation

3. Open wounds (open fractures)

4. Joint involvement (intra-articular fractures)

5. Associated ligament, tendon, nerve, or vascular injury

Such injuries require timely diagnosis and carefully planned treatment to ensure proper healing and functional recovery.

Causes of Complex Fractures:

Major fractures most commonly occur due to high-impact trauma such as:

1. Road traffic accidents

2. Falls from height

3. Sports injuries

4. Industrial injuries

5. Fragility fractures in elderly patients with osteoporosis

The severity of injury often depends on the force of impact and underlying bone strength.

Why Specialized Fracture Care Is Important:

Complex fractures cannot be treated with routine splinting alone. Improper alignment or delayed treatment may result in:

1. Malunion (healing in the wrong position)

2. Non-union (failure of the fracture to heal)

3. Joint stiffness and reduced mobility

4. Chronic pain and weakness

5. Limb length discrepancy

6. Infection risk in open fractures

A qualified Fracture Specialist Delhi ensures accurate fracture reduction, stable fixation, and safe rehabilitation — critical for long-term outcome.

Diagnosis and Treatment Approach:

1) Clinical and Radiological Evaluation-

Fracture management begins with a thorough assessment, including:

1. Clinical examination for swelling, deformity, and skin condition

2. Neurovascular check to ensure nerve and blood supply integrity

3. Imaging such as X-ray, and CT scan when joint involvement is suspected

This evaluation helps determine fracture severity and guides the surgical plan.

2) Treatment Options for Major Fractures-

Management depends on the bone involved, fracture pattern, and patient health status. Common advanced treatments include:

1. Closed reduction and immobilization (for selected stable fractures)

2. Internal fixation with plates and screws for accurate alignment

3. Intramedullary nailing for long bone fractures such as femur or tibia

4. External fixation in open fractures or severe soft tissue injury

5. Reconstructive procedures in complex joint fractures

The key objective is stable fixation, anatomical alignment, and early functional recovery.

Recovery and Rehabilitation After Fracture Treatment:

Healing and rehabilitation are structured processes. Depending on the injury, patients may require:

1. Pain management and swelling control

2. Assisted mobilization with walking support

3. Physiotherapy to prevent stiffness and restore strength

4. Nutritional and bone health support

5. Regular follow-ups to monitor healing progression

Early rehabilitation is essential to restore function while avoiding complications such as stiffness or muscle wasting.

Choose Dr. Anant Kumar Tiwari:

Major fractures require precision, surgical expertise, and timely decision-making. Dr. Anant Kumar Tiwari is known for providing advanced trauma care with a patient-specific approach. As a trusted Orthopaedic Surgeon Delhi and Fracture Specialist Delhi, he focuses on restoring alignment, preserving joint movement, and ensuring safe recovery through modern fracture fixation techniques.

If you or a loved one has suffered a serious fracture, early specialist consultation can significantly improve healing outcomes and long-term mobility.

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