segmental fracturesĬomminuted fractures and segmental fractures are both serious types of bone fractures. Most people need up to a year to recover from a comminuted fracture if it involved one of the long or larger bones in your body, especially if it requires surgery. How long it takes to recover depends on which of your bones are fractured and what caused the breaks. Sometimes, comminuted fractures happen to smaller bones and can heal without surgery. They are very serious in large bones, and you will often need surgery to repair your bones. Some of the most common include:Ĭomminuted fractures are almost always caused by serious traumas like car accidents or falls from a high place. These fractures can affect any large or long bone in your body. The term comminuted fracture refers to a bone that is broken in at least two places. A second operation to remove the nail will be performed after 2-3 months.Comminuted (pronounced “kah-meh-noot-ed”) fractures are a type of broken bone. Then the nail is passed on to reach the fracture site. It involves a small 1 cm skin incision near the sternoclavicular joint, and then a hole is drilled in the anterior cortex after which an elastic nail is inserted into the medullary canal of the clavicle. The procedure is performed under fluoroscopic guidance. It is considered as a safe method for fixation of displaced clavicle fractures in adolescents and athletes as it allows rapid healing and faster return to sports. Percutaneous elastic intramedullary nailing of the clavicle is a newer and less invasive procedure with lesser complications. In addition to the risks that occur with any major surgery, certain specific risks of clavicle fracture surgery include difficulty in bone healing, lung injury and irritation caused by hardware. Patients with diabetes, the elderly individuals and people who make use of tobacco products are at a greater risk of developing complications both during and after the surgery. They often cause irritation in the skin at the site of insertion and must be removed once the fracture heals. Placement of pins may also be considered to hold the fracture in position and the incision required is also smaller. If they cause any irritation, they can be removed after fracture healing is complete. ![]() These plates and screws are usually left in the bone.
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