Management of Bone Fracture
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
Bone fractures, commonly known as broken bones, happen to millions of people across the country each year. Typically caused by sports injuries, car accidents or falls, these painful injuries take time to heal. Your healthcare provider has several options to treat fractures.
Types of bone fracture: Closed or open fractures
If the injury doesn’t break open the skin, it’s called a closed fracture. If the skin does open, it’s called an open fracture or compound fracture.
Complete fractures
The break goes completely through the bone, separating it in two.
Displaced fractures
A gap forms where the bone breaks. Often, this injury requires surgery to fix.
Partial fractures
The break doesn’t go all the way through the bone.
Stress fractures
The bone gets a crack in it, which is sometimes tough to find with imaging.
Diagnosis
X-rays, Bone scan, MRI, CT scan.
Management
- Inf - Normal saline 0.9 % ' OR ' Dextrose 5 % IV x Stat
- Inj – Diclofenac (Voren) IM x stat then SOS Advice complete bed rest with immobilization of affected limb
- In case of open fracture Inj- Tetanus toxoids (TT) , 1 ampule IM x stat at one arm
- Inj - TIG , 1 ampule IM x stat at another arm
- In case of displaced fracture, usually open reduction and internal fixation is done
- In case of non - displaced fracture, usually close reduction by traction and counter traction is done
- Tab Cefixime (Caricef/Cebosh) 200mg , 1 tab PO x BD Tab- Flurbiprofen (Inflamatix) 100mg ' OR ' Diclofenac (VOltral/Voren) 50-100mg, 1 tab PO x TDS
- Tab- Calcium + Vit – D(Qalsan – D) 1 tab PO X OD.