What should be done for a fracture with a 2 cm gap between the fractured ends resulting in malunion?

Nov 28, 2024 Source: Cainiu Health
Disease description:

I had a fracture a while ago, but it wasn't properly treated. Now the fracture site has healed abnormally with a 2 cm gap between the broken ends. I feel some pain at the injured site and have limited mobility. Is it still possible to correct this condition? What can be done to improve the current situation?

Doctor's answer (1)
Dr. Chen Jian

A situation where the fracture ends are displaced by 2 cm and malunion has occurred is present. Below are some management suggestions:

1. Observation and follow-up: If the patient does not experience other discomfort symptoms, usually no special treatment is required. However, following medical advice for regular follow-up is necessary to ensure stable condition.

2. Daily management: In daily life, the patient should avoid strenuous activities to prevent worsening of the condition. Additionally, adequate rest should be taken to avoid excessive fatigue, which will aid in recovery.

3. Physical therapy: If local pain occurs, physical therapy such as infrared therapy or ultrashort wave therapy may be used to improve local blood circulation and alleviate symptoms.

4. Surgical treatment: If the malunion is severe and significantly affects limb function, orthopedic surgery can be performed to reposition the fracture ends. During the surgery, internal fixation devices such as metal plates and screws may be used to stabilize the fracture site and promote proper healing. Postoperative rehabilitation exercises are also required to restore limb function.

In addition, maintaining good nutrition and engaging in appropriate exercise can also aid in fracture recovery.