The reason for the increase in temperature during a fracture is arbitrary and understandable. Any inflammatory process in the body is accompanied by a rise in temperature; a fracture carries with it a disorder and an inflammatory process. Each person’s body is individual and the rise in temperature depends on the severity of the injury, how strong the immune system is, fluctuates 37? Rarely 38?.
After any damage, mandatory treatment and rehabilitation are required to restore the bone.
The advantage of the likelihood of well-being of the results of treatment of fractures, clear surgical therapy, helps in the rapid contraction of the muscles of the injured limb from the first days of treatment.
Doing light physical exercise will strengthen the bones using traction and plaster casts.
Nutrition helps bones repair. High-calorie foods rich in proteins, calcium, phosphorus and vitamins of different groups. Rehabilitation consists of joint development and physical therapy. Some time has passed after the fracture and you feel a temperature, you need to go to the hospital, a reaction to the inflammatory process has begun.
The reasons for the increase in temperature are that the body endures severe stress, is in a state of shock, the penetration of infection, the fight of the immune system against the inflammatory process in the body.
The temperature begins to manifest itself on the 3rd day, and the body’s normal reaction to injury continues for up to 7 days, not exceeding 37?.
You should take into account the fact that the body is hiding a serious illness. Observe the general condition of the body. You can find out the cause by examining the site of the injury (swelling, acute pain, heat, redness). Consultation with a doctor is necessary.
A very common injury is a broken arm. Using an x-ray, the injury is determined. There are some differences whether the fracture is open or closed. Usually, with a bruise, it is difficult to determine the degree of injury, especially (if it is closed). Open speaks for itself according to special characteristics.
There is acute pain, swelling and edema of the limbs, deformation of the arm, and a bone crunch is felt when the shoulder is fractured. If the tendon is affected, partial paralysis of the fingers is possible.
An increase in temperature is accompanied by (Blood saturation of the vessels of a broken arm)
If you apply a splint or a stick to a closed fracture and do not allow the arm to move, this will help avoid displacement of the bone and an open one. Be sure to fix your hand in the elbow bend.
Insurance payment for a fracture Accident in a tram: OUR found out how much such injuries are estimated under the insurance that is paid to victims in public transport.
Autoforum of Rostov-on-Don I didn’t take sick leave, because in my office work, one hand is enough for the phone and keyboard. Now I’m thinking whether it makes sense to do this business, can I get at least some compensation without filing a sick leave from the insurance company or a question about x thousand rubles with a bunch of hemorrhoids? So far I have spent 0 rubles on treatment, since I am undergoing voluntary medical insurance. Payment of insurance for a broken leg No financial instrument, with the exception of life insurance, can guarantee this.
Disability is the most difficult event in life, and it is necessary to insure it. This option as part of Oleg’s policy indicates that if a Group 1 disability occurs, he will receive 1.5 million. If Oleg damages a part of his body, he will receive an insurance payment.
Payments in case of an accident The client sets its amount at his own request. In order to receive insurance payments in the event of an accident, you must promptly report the incident to the company that issued the policy.
The standard period for notification of an accident is 30 days, but the terms of the contract may have other requirements, so it is worth carefully studying the insurance parameters. When accepting an application describing the circumstances of the accident, a representative of the insurance company must inform the client of the registration number assigned to him - it is needed to track the results of the proceedings.
Medical policy dms7 95 00 22 88 44 Expensive examinations and treatments for household members are sometimes worse than the temporary disability of the head of the family, emptying bank accounts and forcing them to rake out their nest eggs. Of course, the one who is faced with such a disaster does not even think about a sandwich with red caviar, but about the life and health of those dearest and most beloved.
But decreased creditworthiness and increased debts do not contribute to a speedy recovery. Division of JSC Insurance Company aig Russia documents confirming the occurrence of an insured event and its consequences. The payment will be made by the Company through the central office in Accident Insurance. Moreover, the percentage depends on the severity of the injury.
It is necessary to carefully compare the payment tables of different insurance companies. Insurance payment in the event of a fracture When a pedestrian died in an accident, we contacted the insurance company for an insurance payment, but they referred to Art.
Only property was damaged, no harm was caused to health. Accordingly, I contacted my insurance company. The insurance company refused to pay me
A leg fracture is a complete or partial disruption of the integrity of one or more leg bones.
This is a serious injury that requires long-term treatment and subsequent recovery.
The causes of fractures fall into three categories:
Usually the second type of fractures occurs, caused by various injuries and accidents that happen to people as a result of their activities.
Fractures are less common in young children because their bones are more flexible and mobile than those of adults.
In old age, the number of fractures can either increase due to increased fragility of bones, or decrease as a result of the calmer and more careful life that older people lead.
A leg fracture is diagnosed by the following possible symptoms:
The following reliable signs are also identified:
Fractures are divided into open and closed.
An open leg fracture is a more severe type of injury, characterized by disruption of the outer skin, muscle rupture, and bleeding. A closed fracture is easier in this regard, but is more difficult to diagnose.
According to the location, leg fractures are divided into fractures of the hip, leg and foot.
The femur is the longest bone in the human body. One end of it is involved in the hip joint, the other in the knee joint.
Therefore, femur fractures are divided into fractures of the proximal part and hip joint, fractures of the body of the bone, fractures of the distal part of the femur.
Fractures of the upper thigh are more common in older people and women.
In the elderly, such injuries are associated with the fact that with age the bone tissue of the acetabulum becomes thinner, and an ordinary fall is enough to cause a fracture.
Women have a slightly different structure of the pelvic region, and it bears an increased load. In addition, in older women, when menopause occurs, there is often a lack of calcium in the skeleton, and the bones are more fragile.
The most common fractures are the neck, head and base of the femoral neck.
A symptom of a fracture of the upper thigh is swelling of the injured leg, and its incorrect position, it is deviated outward, as if the hip joint has failed.
Fractures of the diaphysis of the bone and the distal part of the femur are often caused by physical exposure to high energy, that is, the result of road accidents, fights, falls and other disadvantages of an active lifestyle.
According to the type of injury, closed fractures of the diaphysis are divided into:
A fracture of the diaphysis can be recognized by the fact that the leg is shortened, abnormally mobile where there is no joint, and deformed.
Fractures are accompanied by severe pain and the inability to stand on one's leg.
The distal part of the femur has two ends - the condyles. Fractures of this part of the leg can be intra-articular - fractures of both or one condyle - and extra-articular.
A common cause of such injuries is road traffic accidents where sudden braking causes the knee to hit the dashboard. In old age, when the bones are quite fragile, a fall on the knee is enough to cause a fracture.
When the patella is fractured, the knee looks enlarged externally, fractures are often accompanied by internal bleeding, and blood accumulates in the joint capsule.
Mobility is limited, sometimes a limb is shortened, as well as severe pain and the inability to move independently.
The fibula and tibia make up the tibia. Accordingly, both bones or one of them can be broken.
Based on location, such injuries are divided into fractures of the proximal, middle and lower parts of the tibia.
Photo of an open leg fracture
This includes fractures of the bones that go into the knee joint, ankle fractures, and ankle fractures.
Common symptoms of such fractures include acute pain, swelling, and hematoma at the fracture site. The leg is forced to bend at the knee, displacement of the lower leg, swelling under the knee.
If the tibia is broken, then support on the leg is impossible. The fibula bears less load and you can lean on it lightly. Ankle fractures are accompanied by severe swelling, the foot is unnaturally twisted, and it is impossible to stand on your leg.
There are 26 different bones in the foot. The foot bears the person’s weight, and any violation of its integrity if treatment is unsuccessful in the future can deprive the person of the ability to move comfortably and freely.
Therefore, it is very important to properly treat such an injury. Foot fractures occur due to unsuccessful jumps from heights, excessive pressure on the foot, or as a result of physical impact.
The bones of the foot form three main sections:
The tarsus consists of:
The talus connects to the tibia at the ankle joint, and the cuneiform bones join the metatarsals. The metatarsal bones connect to the phalanges of the fingers.
Common symptoms for diagnosing a fracture of the foot bones: pain in the foot area, swelling or swelling, bruising in the area of the suspected fracture, inability to put weight on the foot, and sometimes deformity and crepitus in the case of a metatarsal fracture or a broken toe.
First, determine the appearance of the fracture, open or closed.
Splinting - first aid for a broken leg
If the fracture is open and accompanied by bleeding, a tourniquet should be applied and the wound itself should be sprinkled with streptocide powder.
You should properly immobilize the injured leg by applying a splint from available material, and immediately call an ambulance or take the patient to the hospital.
For a closed fracture, we proceed in the same way, with the exception of the tourniquet, that is, we immobilize the leg and call an ambulance. You can give a painkiller injection, it won't hurt.
The very first thing they will do in a medical facility for a person with a fracture is to numb the limb.
Then they will conduct an examination and take an x-ray of the damaged bone in order to establish an accurate diagnosis.
An operation is performed that can last from 20 minutes to several hours depending on the severity of the damage. In case of open fractures, the vessels and muscles will be sutured, and the edges of the wound will be treated.
They will correctly fold and fasten the bones, if necessary, sew up the wound, apply a bandage and plaster.
With a closed fracture, diagnosis decides everything.
Sometimes it is enough to achieve the correct position of the bones using closed reduction followed by the application of a cast. This is done for displaced fractures of the diaphysis of the femur and tibia.
In case of fractures of the tibia, skeletal traction with hanging an individual load is sometimes required for the correct placement and fusion of the shin bones.
In the most severe cases, it is necessary to open the fracture area surgically in order to fasten the bone fragments so that they heal properly.
For fractures of the proximal femur, this type of intervention is usually required.
If the patella is fractured, simply immobilization for a certain period of time is sufficient for the bone to heal. Treatment is monitored by a doctor using an x-ray.
The treatment period for a fracture ranges from one month in mild cases to a year in severe cases.
During the process of bone fusion, the patient uses crutches for fractures of the leg, foot, middle and lower thigh.
For fractures of the proximal femur, movement on the limbs is prohibited and bed rest is prescribed.
After fusion, the doctor prescribes physical therapy to restore motor activity of the leg, train atrophied muscles, and restore their tone. Medical therapeutic massage is used.
The muscle surrounding the damaged bone is warmed up using baths with medicinal herbs and sea salt.
The diet of a patient with a fracture should be enriched with foods containing calcium and phosphorus, and various microelements. These beneficial substances are found in dairy products, eggs, nuts, some cereals, and fish.
Also, during bone healing, you should include in your diet foods containing jelly-forming substances - jelly, jellied meat, mousses, jelly, concentrated bone broth. Food should be rich in vitamins B, D, C, A. You should be exposed to sunlight more often - vitamin D helps calcium to be absorbed.
A fracture of a leg bone or both legs is a dangerous test for a person, especially if he is used to leading an active lifestyle.
Sometimes forced inaction helps you rethink your life and draw the necessary conclusions.
To prevent fractures, try to adhere to safety precautions in any activity, be it driving or climbing.
Don't take unnecessary risks; the payout for this can be very high. Unfortunately, not all fractures can be completely healed. In some cases, a person remains disabled for the rest of his life.
A sick leave for a fracture, as for other diseases, provides temporary release from work in the same sequence as for a regular respiratory disease, with the exception of the longest period of time.
On the sick leave form, the doctor indicates the correct diagnosis and the approximate date of treatment. The task is to look at the correct format of the document, the exact address of the work.
The universal act provides sick leave for a fracture and indicates temporary suspension from work in some cases of the disease.
Apply for sick leave for a broken leg. The medical worker issues a sick leave with a period of 10 working days, taking into account the extension of the notice period. By decision of the medical commission.
Disability for work due to a specific leg injury is approximately 120 calendar days. A broken leg in a special case, at the end of long-term treatment, is sent for registration of disability
If a person is insured against accidents, insurance is issued.
The issuance of insurance is carried out in the presence of certain documents: an application for the provision of insurance, an identity card, a confirmation certificate confirming the purpose of the insured event, an insurance document.
The basis for assigning a sick leave is a fracture of a finger on the hand; this is not only pain, the injury takes a person out of his normal lifestyle. Most often, the injury occurs on the thumb.
The diagnosis of the disease is made by a specialist and a sick leave is issued; a fracture of a finger is issued depending on the type of severity of the injury; a closed fracture period is 20-30 days.
A cryptic toe fracture requires surgical treatment. The average length of sick leave is from 30 to 35 days.
The ribs suffer, with a blow to the chest, accompanied by severe pain and it becomes difficult to breathe. It is necessary to take an x-ray to see the whole picture of the disease. If they see no limitations in treatment, the patient is undergoing outpatient treatment for an injury to one rib. More than 2 broken ribs can only be treated in the hospital. Depending on the severity of the fracture, the traumatologist opens a sick leave for a rib fracture.
The time for bone fusion is determined strictly individually. With timely treatment, the body recovers within 1.5 months. A sick leave for a rib fracture is issued for a period of illness of 21-50 days, taking into account rehabilitation.
Typically, an ankle fracture occurs during some kind of training, or a fall on the leg. The symptom of an ankle fracture in a closed form is difficult to guess; it is difficult to determine for yourself. The reason may be ice and so on.
While examining the injury, the doctor identifies a small tumor in the ankle joint. Swelling is visible on the outside of the affected leg compared to the healthy leg.
Such an injury is prescribed by a medical professional to be treated at home. The plaster cast is worn for 21-35 days, and x-rays are re-administered. Sick leave is 35-40 days.
In case of a broken arm, sick leave is established for a period of 10 working days, after clarification of the exact diagnosis it increases to 30 days.
The patient has the right to be on incapacity for up to 2 months without interruption. In a single case of non-recovery, the medical commission assigns disability. The medical commission is obliged to decide whether to extend the sick leave (for a maximum of 120 days) or to assign a disability.
As a rule, in case of arm fractures, the medical commission extends the sick leave without any particular difficulties.
The sick leave for a fracture of the radius is open and closed in a typical place.
The radius is injured, a typical situation, the number of injuries especially increases during ice conditions. The fracture is determined by X-ray. The closed type is secured with plaster to prevent displacement. Rehabilitation of a beam injury lasts an average of 4-5 weeks.
An open fracture of the radius is treated surgically, the bone fragments are corrected, the displacement is removed and secured using a special structure (wires, plates)
Recovery occurs in 60 - 65 working days; sick leave is issued for this period
A hip fracture is a more serious disease that affects people of the older generation; due to a lack of calcium, osteoporosis is considered a disease. This injury is treated with strict bed rest. The duration of recovery and rehabilitation is a long period.
The femoral neck is the small part of the femur that connects the head to the body.
To clarify the diagnosis, the specialist prescribes an x-ray. But in rare situations, for example if the patient has a fissure, a CT scan is required. Almost always requires surgical treatment.
If the front is closed and proceeds without any particular complications, the sick leave for a femoral neck fracture is 90-100 days; with an open fracture, the time of disability increases to 195-210 days.
Clavicle fracture ranks 3rd among all injuries. The structure of the collarbone is quite brittle. A strong blow to the shoulder during a fall results in a collarbone injury. Mostly children or people who are fond of sports receive such injuries, more often children and people involved in sports. Examination of the clavicle with displacement is determined by a medical professional.
Decides whether the treatment will be outpatient or surgical. Outpatient treatment with local anesthetics, bone alignment. On the 21st - 40th day of treatment, recovery occurs. Plaster casts are used. Displaced clavicle injury is best treated surgically. With proper treatment, it will completely grow together in 3-7 weeks.
A sick leave certificate for a diagnosis of a displaced clavicle fracture is issued by a traumatologist within 50-60 days, taking into account rehabilitation.
A person is issued a sick leave certificate based on his illness. For how long a sick leave certificate is issued is decided by the attending physician and the leading health certificate. What to do if recovery does not occur, and the sick leave is closed, there are statements to the question.
Medical workers have the right to take sick leave for the period prescribed by law. An increase in the period of sick leave is strictly carried out after the consideration of a medical commission.
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A broken leg can greatly change the rhythm of a person’s life. If the victim has one leg injured, he will not be able to walk freely or do his normal work activities.
The diagnosis is made based on:
An X-ray examination is carried out (using this method it is possible to clarify the location and nature of the fracture, the location of fragments and foreign bodies);
Treatment of a broken leg is carried out in two ways:
Conservative treatment is carried out by skeletal traction. A metal pin is passed through the bone. The victim's lower limb is then placed on a therapeutic splint and a weight is attached.
Skeletal traction in the patient continues for 2-2.5 months. After removing the skeletal traction, the doctor allows the patient to walk with the help of crutches and prescribes a set of rehabilitation measures: physical therapy, physiotherapy, massage.
The doctor allows full weight bearing on the lower limb no earlier than 3 months after the injury.
A leg fracture in children and people with good immunity usually heals in 2-3 months; weakened and sick people may need six months for this.
Advantages of surgical treatment:
There are two methods of surgical intervention for a broken leg:
With an open surgical procedure, the surgeon exposes the site of the bone fracture and inserts a metal nail into the fragment. This type of treatment is used very rarely in traumatology, since the operation is poorly tolerated by the patient and is accompanied by significant damage to soft tissues.
The type of operation for each patient admitted to the hospital very often depends on the type of bone damage, the severity of the fracture and displacement of the fragments.
Elderly patients are given a pin or plate when a leg is broken, but it is not subsequently removed and remains in the bone for the rest of their lives.
Surgical treatment is indicated if there is:
Advantages of open reduction:
Typically, a week after surgery, the patient is allowed to get out of bed on crutches, and then gradually expand their physical activity.
Complications of a displaced leg fracture:
The period of physiological function of the lower limb usually lasts 6-12 months.
The rehabilitation program for a broken leg includes:
During the rehabilitation period, great importance is given to learning to walk on crutches . If there is an incorrect distribution of physical load on the leg and non-compliance with the rules of walking, then the patient may “unsuccessfully” fall and injure the leg a second time.
First, the patient must, under the guidance of a rehabilitation therapist, learn to walk along a hospital corridor with two crutches, and only after he has acquired this skill and feels confident in his abilities can he carefully go up and down the stairs. If a person has learned to walk with the help of two crutches, you can gradually switch to a cane or walking stick.
All physical exercises during the recovery period for a patient with a broken leg should be performed under the guidance of an instructor.
In order for the fracture to heal faster, the patient is recommended to take calcium supplements, as well as Teroflex and Osteogenon.
After the cast is removed, some patients come to the traumatologist with complaints: “My leg is swollen after the cast is removed,” or “My leg hurts after the fracture,” “After the fracture, my toes are numb.”
After prolonged immobilization of a broken leg with a plaster cast, the patient's functionality of large joints is significantly reduced and swelling of the soft tissues occurs and limited mobility of the leg.
Drugs that are used to reduce pain and swelling of soft tissues after a fracture:
Pain in the leg after removing a cast or after surgery is very often due to the fact that the leg is not yet fully developed.
In case of severe pain, the traumatologist prescribes the patient a short course of non-steroidal anti-inflammatory drugs or non-narcotic analgesics; it is also recommended to rub the leg with ointments and take warm baths.
In victims with a broken leg, an increase in temperature is usually associated with blood absorption processes, destruction of soft tissue and bone marrow. Fever is not observed in all patients after injury and usually lasts no more than 7 days.
A fracture of the leg bones is a stress for the whole body, so an increase in body temperature is directly related to the type of reactivity of the body and immune defense.
An increase in temperature to subfebrile and febrile levels is most often observed in people with weak immunity, the elderly and patients with severe somatic diseases.
Victims with a broken leg, who have a strong immune system and are physically well developed, as a rule, have a temperature of about 37-38 ° C. The body's temperature reaction is pronounced in patients with open leg fractures. At the appointment, the doctor should always carefully examine the leg, pay attention to the color of the skin and the condition of the stitches. In some cases, temperature can be caused by purulent-septic and infectious complications (osteomyelitis, gangrene, sepsis). In these cases, the patient is indicated for urgent hospitalization in a hospital and the appointment of powerful antibacterial therapy and infusions.
In most patients, the temperature after a leg fracture usually lasts for three days and does not tend to increase subsequently.
To reduce pain and swelling of the leg during a fracture, the patient is recommended to wear an orthopedic bandage.
Benefits of wearing a brace for a broken leg:
A leg fracture is a bone injury that disrupts its integrity. The leg consists of 30 bones: femur, patella, tibia, fibula, and foot bones. She bends at the hip, knee and ankle. During injury, these bones can break into two or more fragments.
If the broken bone is visible from the outside or it has damaged tissue and cut through the skin, then this is an open leg fracture.
It usually takes enormous force to break a leg bone, as it is the strongest part of the skeleton. But bone tissue can be weakened due to osteoporosis or other diseases. If a bone is subjected to a force that exceeds the skeleton's ability to withstand, the bone breaks.
The following reasons are identified.
Can a patient identify a fracture based on symptoms alone? Often bruises and sprains have similar symptoms to a fracture. A definitive diagnosis can only be made using x-ray examination.
You have a fracture if you experience the following symptoms.
Infants and young children who break a leg stop walking, although they cannot explain why. Unreasonable crying in a child may be a sign of a fracture.
Redness of the skin around the fracture, fever, increased swelling and pain are symptoms of a possible infection
Place your injured leg on an elevated surface, such as a pillow, or cover it with ice packs wrapped in a towel. This will prevent swelling while you wait for help.
The main signs of a fracture are pain, swelling and deformation of the limb.
If, after reviewing the symptoms, you suspect a leg fracture, contact the nearest medical facility. If you cannot move independently, call an ambulance.
If you have injured your leg and the signs indicate a fracture, then use the following recommendations.
If you are helping a victim...
How long it will take for treatment and rehabilitation largely depends on the correct actions during transporting the victim to the hospital.
To clarify the diagnosis, the patient is prescribed an X-ray examination. The doctor will determine whether the bone is broken and locate the fracture. The image will show how many bone tissue breaks have occurred.
In complex cases, computed tomography (CT) and magnetic resonance imaging (MRI) are used for additional diagnostics.
After making a diagnosis, the traumatologist returns the damaged bones to their normal anatomical position. This position is fixed with a plaster cast. For more severe and open fractures, an Ilizarov apparatus is used or operations are performed in which special metal structures (plates, screws, rods, knitting needles) are placed on the torn bones. Their goal is to stabilize the position of the debris.
At this stage, the bone is left fixed for a certain period of time and it will begin to heal. The doctor determines how long this will take. In mild cases, a cast is applied and sent home to recover. They remove it after a month or more. If necessary, the attending physician prescribes painkillers.
For open fractures, treatment is carried out in a hospital setting. After surgery or installation of a compression-distraction device, drug treatment includes a course of antibiotics. They are prescribed to avoid possible infections. The site of skin damage is treated daily with antiseptic agents. If the dynamics are positive, the patient continues treatment at home. How long it takes for a fracture to heal depends on the characteristics of the body, the nature and severity of the injury.
The main thing in treating a fracture is timely contact with a specialist. It is important not to try to set it yourself.
After treatment is completed, a repeat X-ray examination is used to check whether the damaged bone is healing properly.
The recovery time and complete restoration of limb function depend on the severity of the fracture and the intensity of treatment. If surgery has been performed or an infection has occurred, the leg heals much more slowly. The duration of treatment varies from several months to a year.
While wearing a plaster cast and after its removal, the patient is prescribed a number of rehabilitation measures:
Most of the treatment for a fracture involves waiting for the bone to heal. During this period, you need to rest and avoid physical and emotional stress.
A correctly selected scheme of rehabilitation procedures and their systematic implementation will have a beneficial effect on how long it will take for a full recovery.
Any injury is definitely an unpleasant situation, especially a broken leg, because it is a complete or partial violation of the integrity of the bone.
The third type is the most common, it occurs mainly in the middle working age (20-50 years) and is caused by mechanical damage to the limb due to bruises, falls, blows, accidents and other similar phenomena. In old age, a person develops osteoporosis, and the bones become much more fragile and brittle, so in old age, limb injuries are a common occurrence.
In childhood, fractures are less common than in adults and the elderly, due to the flexibility of the child’s bones.
There are also complete and incomplete fractures. The first includes cases when the bone is completely damaged, and the second type of injury is a partial violation of the integrity of the bone, for example, a break or crack.
Classification of leg fractures relative to the direction of the plane:
Splintered bones are among the most severe because they carry with them certain complications: pinching of muscles, blood vessels and nerves between bone fragments.
Among leg fractures there are open and closed. The first occurs inside soft tissues and does not touch the skin. The second means that the skin at the site of injury is torn by a bone fragment. The course of such injuries is usually more severe, since the integrity of the skin is damaged, and various pathogenic microbes can penetrate into the blood through the wound.
Both closed and open entail damage to soft tissues of varying severity. The symptoms, signs and treatment of all types of injuries associated with casting and limitation of motor function are usually almost identical.
There are many signs that help identify a fracture, but not all of them are fully capable of providing an accurate diagnostic picture without a medical examination.
Symptoms primarily include increasing swelling of nearby soft tissues, changes in skin color in the injured area, pain that sharply increases when the rest of the leg is disturbed (displacement of bone fragments may also occur), hemorrhage, crepitus (crunching), abnormal mobility of the limb, with subsequent deformation in the damaged area.
The place of impact hurts almost continuously. It becomes especially unbearable when trying to stand up or move your leg. Often with this type of injury, an increased body temperature (up to about 39 degrees) is noted. By the way, it can persist throughout the entire period of treatment, since it is caused by an inflammatory process in the body.
Often the symptoms can be confused with other limb injuries (bruises, dislocations). Only R-study helps determine the presence of a fault, find out its nature, the location of fragments, in the case of splintered ones.
An open fracture is determined unmistakably by the patient himself due to severe visible damage to soft tissues and skin.
If there are obvious symptoms that make it possible to determine the presence of bone damage, namely: fever, deformation of the leg, sharp pain when its rest is disturbed and swelling, the patient must be given first aid.
First aid to the patient is provided, first of all, by creating immobilization of the limb using splints, sticks, and planks. This allows you to create immobility of bone fragments of the injured leg.
If the fracture is open and there is a bleeding wound, a bandage with an antiseptic substance is applied to the affected area of the limb. If severe bleeding occurs, a hemostatic tourniquet must be applied immediately.
If, after providing first aid, the patient complains that the injured area still hurts greatly, it is necessary to urgently call an ambulance . You should not continue manipulations to provide assistance; it is better to leave the patient in complete peace and immobility until specialists arrive. Under no circumstances should you try to straighten deformed bones yourself.
It is impossible to treat such a violation of bone integrity on your own. Treatment is always carried out on an outpatient basis, and in case of severe injuries, inpatiently. It should be carried out by a traumatologist who can accurately determine the presence and nature of the injury, as well as the position of the bone fragments.
The first aid provided by the doctor during treatment is to normalize the position of the fragments (reduction to their anatomical position), and maintain it throughout the entire period of treatment until the bone is completely consolidated. Reduction and fixation of bone fragments is achieved by applying plaster casts, traction devices, or surgical operations using metal structures (plates, knitting needles, nails, rods, screws).
When treating open fractures, an Ilizarov apparatus (compression-distraction apparatus) is often installed. A course of antibiotics, washing the wound to avoid the development of infections and sepsis, and treating the injury site are also prescribed. In general, the treatment of open and closed fractures no longer differs much.
Complex treatment also includes massages, physical therapy and gymnastics, physiotherapeutic procedures aimed at preventing complications of leg injury, prescribing a diet rich in calcium, vitamins and microelements, and administration of vitamins D, C and B12.
After undergoing inpatient treatment, when signs of successful bone fusion are noted, the patient is sent home for rehabilitation and to achieve a full recovery. The patient can continue the course of massage provided for in treatment independently, or seek the help of chiropractors.
Treatment and rehabilitation after a severe leg injury is a rather lengthy process that requires patience and effort. However, correct early diagnosis of symptoms, the ability to determine a fracture immediately after an injury, well-chosen comprehensive treatment and rehabilitation carried out in accordance with the doctor’s instructions will help not only to avoid serious complications, but also to quickly bring the leg back to normal.