Fracture Treatment Moradabad

1. Closed (Simple) Fractures

The bone is broken, but the skin remains intact. These are the most common fractures seen in everyday accidents and falls. Many closed fractures can be managed effectively without surgery using casting or bracing, provided they are correctly aligned from the outset. Early and accurate treatment prevents malunion and long-term functional problems.

2. Open (Compound) Fractures

The broken bone pierces or is exposed through the skin. Open fractures carry a significant risk of infection and almost always require urgent surgical attention to thoroughly clean the wound and stabilise the bone. Delayed or inadequate treatment of an open fracture can result in serious bone infection (osteomyelitis) that is far more difficult to treat than the original fracture.

3. Greenstick Fractures

Common in children, where the bone bends and cracks on one side rather than breaking completely — much like a green twig. Children's bones are more flexible than adult bones, which accounts for this distinctive fracture pattern. While children heal faster, correct alignment must be ensured from the start to prevent growth disturbance.

4. Comminuted Fractures

The bone shatters into three or more fragments. These are typically caused by high-energy trauma such as road accidents or a heavy object falling on a limb. Surgical fixation is usually required to reconstruct the bone precisely. At Jigyasa Hospital, intramedullary nails, plates, and screws are available to manage even complex comminuted fracture patterns.

5. Stress Fractures

Tiny cracks caused by repetitive force — common in athletes, military recruits, and labourers who perform the same motion hundreds of times a day. The pain is gradual and progressively worsening rather than sudden. Rest and activity modification are key. Some stress fractures need immobilisation, and certain high-risk locations such as the femoral neck require surgical fixation to prevent complete fracture.

6. Pathological Fractures

Fractures that occur through bone that has been weakened by osteoporosis, bone tumours, or other systemic diseases. Even a minor fall or normal activity can snap a pathologically weakened bone. Treatment at Jigyasa Hospital addresses both the fracture and the underlying condition — including initiating osteoporosis management to prevent the next fracture.

Before Treatment

• A full clinical assessment and appropriate imaging are performed to diagnose the fracture type and plan treatment accurately.
• For patients requiring surgery, pre-operative investigations including blood tests, ECG, and chest X-ray are completed, and the anaesthesia team assesses fitness for the operation.
• Dr. Shariq Ahmad explains the planned procedure, the type of implant to be used where relevant, expected outcomes, and possible risks in clear, accessible language.
• Pain relief is initiated promptly so patients are comfortable throughout the assessment and treatment planning process.

During Treatment (Surgical)

1. The operation is performed under spinal, regional, or general anaesthesia depending on the fracture site and patient profile.
2. Modern intraoperative fluoroscopy (real-time X-ray) is used to confirm accurate fracture reduction and implant positioning during surgery, minimising the risk of malalignment.
3. Implants including plates, screws, intramedullary nails, dynamic hip screws, or proximal femoral nails are selected based on the specific fracture pattern and patient requirements.
4. The wound is closed carefully and a post-operative dressing applied. The entire procedure is explained to the family immediately afterward.

After Treatment

• A structured post-operative protocol begins immediately — effective pain management, wound care, and graded physiotherapy.
• For most limb surgeries, patients are encouraged to begin gentle movement within 24 to 48 hours to prevent stiffness and maintain muscle tone.
• Weight-bearing timelines are defined individually based on the fracture type, fixation achieved, and the patient's bone quality and general health.

Hip Fractures in the Elderly

Hip fractures in patients above 60 years of age are among the most serious orthopaedic emergencies. Without surgical treatment, many elderly patients are unable to get out of bed, leading to life-threatening complications including pneumonia, deep vein thrombosis, and pressure sores. At Jigyasa Hospital, the approach is to operate early and mobilise early — most patients are taken to surgery within 24 to 48 hours of injury. Post-operative physiotherapy begins on Day 1.

Long Bone Fractures (Femur, Tibia, Humerus)

Shaft fractures of major long bones are typically managed with intramedullary nailing at Jigyasa Hospital. A metal rod inserted down the hollow centre of the bone provides stable fixation that allows early mobilisation and significantly reduces healing time compared to prolonged casting. This approach is particularly important for working adults and young patients where time off work and loss of independence must be minimised.

Wrist, Forearm, and Ankle Fractures

These common fractures from falls are precisely assessed and managed at Jigyasa Hospital. Where displacement is minimal, a well-applied cast gives excellent results. Where the fracture is displaced or involves the joint surface, open reduction and internal fixation with plates and screws restores anatomy and protects against long-term arthritis and joint stiffness.

Paediatric Fractures and Growth Plate Injuries

Children's fractures are not simply smaller adult fractures. The presence of growth plates means that certain fractures can affect future bone growth if not managed correctly. Greenstick fractures, torus fractures, and Salter-Harris growth plate injuries require specialist paediatric orthopaedic evaluation. Dr. Shariq Ahmad manages paediatric fractures with the minimum intervention necessary to achieve good alignment, avoiding unnecessary surgery wherever possible.

Sports Fractures and Return to Sport

Athletes in Moradabad whether playing cricket, kabaddi, football, or weightlifting are at risk of specific fracture patterns. Clavicle fractures from falls, stress fractures of the metatarsals or tibia from overtraining, and ankle fractures from contact sports are common. Dr. Shariq Ahmad's management of sports fractures focuses not just on healing but on return-to-sport timelines and performance preservation.

Fractures with Nerve or Vessel Injury

Some fractures occur close to major nerves or blood vessels and can injure them at the time of trauma. Radial nerve injury with humeral shaft fractures and popliteal artery injury with knee dislocations or distal femur fractures are recognised complications that require immediate identification and management. At Jigyasa Hospital, neurovascular status is assessed at the first point of contact and reassessed at every stage of treatment — because a missed vascular injury can result in limb loss.

Osteoporotic and Pathological Fractures

Fractures occurring after trivial injury in patients above 50 years of age are frequently caused by underlying osteoporosis. Treatment at Jigyasa Hospital addresses both the fracture and the root cause — with calcium and Vitamin D supplementation, bisphosphonate therapy, and lifestyle counselling initiated as part of the acute fracture management to prevent future fractures.