Overview
About Complex Fracture Surgery
Complex fractures — including comminuted (multi-fragment), intra-articular (involving joint surfaces), open (compound), and periarticular fractures from high-energy trauma — require surgical fixation for best outcomes. These are managed using anatomical plates, interlocking nails, cannulated screws, or external fixators. Accurate reduction and stable fixation allow early rehabilitation and restore joint function.
Key Benefits
Precise anatomical reduction restores normal bone alignment
Stable internal fixation allows early controlled movement and rehabilitation
Joint surface reconstruction prevents post-traumatic arthritis
Advanced implant systems designed for complex fracture patterns
Experienced trauma surgeon managing even the most challenging cases
Frequently Asked Questions
What makes a fracture "complex"?
A fracture is considered complex when it involves multiple fragments (comminuted), the joint surface (intra-articular), is open (bone protruding through skin), occurs near a joint (periarticular), or results from high-energy trauma like road accidents.
How soon should complex fractures be operated on?
Open fractures are surgical emergencies requiring operation within 6 hours. Closed complex fractures are typically operated within 24–72 hours once the patient is stabilised and swelling permits safe surgery.
What implants are used for complex fractures?
Depending on the fracture, anatomical locking plates, interlocking intramedullary nails, cannulated screws, or external fixators may be used. Modern locking plates are particularly effective for periarticular fractures.
Will the implants need to be removed?
In most cases, implants are left permanently as they cause no harm once the bone has healed. Removal is considered if the implant causes symptoms, in children, or for specific fracture types. Your surgeon will advise.
What is recovery like after complex fracture surgery?
Recovery depends on fracture severity. Physiotherapy begins early to prevent stiffness. Full weight bearing is gradually introduced based on X-ray healing. Total recovery may take 3–6 months for major fractures.