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At Slocum Center for Orthopedics & Sports Medicine, several of our orthopedic surgeons specialize in fracture care. In fact, we have provided orthopedic surgery, such as fracture repair, for more than four decades. That means your procedure will be performed by a team whose skill-set is incomparable in Eugene and the surrounding areas. 

Fractures may be simple with the bone pieces aligned and stable. Other fractures are unstable, and the bone fragments tend to shift. Some fractures occur in the shaft (main body) of the bone, while others break the joint surface. Fractures where the bone is shattered into many pieces usually result from a high energy force and are usually unstable. A compound or open fracture occurs when a bone fragment breaks through the skin. There is some risk of infection with compound fractures.

Cause

A fracture occurs when enough force is applied to a bone to break it. When this happens, there is pain, swelling, and decreased use of the injured area.

Prevention

Avoid situations where a fracture to the hand could occur.

Treatment

Medical evaluation and X-rays are usually needed to identify a fracture and help determine the best course of treatment. Depending upon the type of fracture, several treatment methods are possible. A splint or cast may be used to treat a stable fracture or to protect a fracture that has been set. Some displaced fractures may need to be set and then held in place with wires or pins without making an incision. This is called closed reduction and percutaneous fixation.

Other fractures may need surgery to set the bone, which will be held together with pins, plates, or screws; this is referred to as open reduction. Fractures that disrupt the joint surface (articular fractures) usually need to be set more precisely to make the joint surface as smooth as possible. On occasion, the bone may not be able to be repaired. In such cases, a bone graft may be necessary. In this procedure, bone is taken from another part of the body.

Fractures that have been set may be held in place by an external fixator, a set of metal bars outside the body attached to pins, which are placed in the bone above and below the fracture site to stabilize the fracture until the bone heals.

Once the fracture has enough stability, motion exercises will help avoid stiffness.

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