I'm curious whether anyone has background (experience or otherwise) in
what happens when a limb is broken completely thru (I mean both bones,
such that it "flops") and casted but not "pinned"? Does anyone have
experience with actually seeing in what ways the progress of healing is
changed by pin/plate?
Thanks,
Shannon
Broken bones
Re: Broken bones
If it has been pinned/plated properly I have never known a problem. What are
you thinking of? Have you come across a problem? Just don't give them Silica
Rochelle
Registered Homeopath
EFT(Advanced) Practitioner
www.southporthomeopathy.co.uk
you thinking of? Have you come across a problem? Just don't give them Silica
Rochelle
Registered Homeopath
EFT(Advanced) Practitioner
www.southporthomeopathy.co.uk
-
Shannon Nelson
- Posts: 8848
- Joined: Fri Jun 28, 2002 10:00 pm
Re: Broken bones
Actually I'm less wondering about problems, rather than just what the
advantage actually is. Comparing my own experience (currently 9 weeks
along with a new plate and pin, sigh), and wondering just how much of
my current recovery process has to do with the *surgery* rather than
the break (now well healed, I am told, but full recovery said to take
upwards of a year!). My brother had a similar break, which did not
receive the surgery because he didn't have insurance; instead just
yank-set (you know, hang on to the gurney while the doc gives your leg
a yank) and a walking cast. I'm suspicious of his memory re the
time-frame (six weeks doesn't seem credible for having broken *both*
bones?), but he does not remember anything dramatic about the healing
process. (No physical therapy, for instance, which apparently is
necessary after the operation?)
Re silica--nah, that is a myth!!!! Sheilagh Creasy convinced me years
ago; if I feel need of silica I shall take it without fear...
Basically I guess I was just intrigued by how simple and
straightforward his episode *seemed* by contrast to my own (I HATE
STAPLES, esp. when the remove an inch of skin from the already-snug
ankle area!).
Shannon
advantage actually is. Comparing my own experience (currently 9 weeks
along with a new plate and pin, sigh), and wondering just how much of
my current recovery process has to do with the *surgery* rather than
the break (now well healed, I am told, but full recovery said to take
upwards of a year!). My brother had a similar break, which did not
receive the surgery because he didn't have insurance; instead just
yank-set (you know, hang on to the gurney while the doc gives your leg
a yank) and a walking cast. I'm suspicious of his memory re the
time-frame (six weeks doesn't seem credible for having broken *both*
bones?), but he does not remember anything dramatic about the healing
process. (No physical therapy, for instance, which apparently is
necessary after the operation?)
Re silica--nah, that is a myth!!!! Sheilagh Creasy convinced me years
ago; if I feel need of silica I shall take it without fear...
Basically I guess I was just intrigued by how simple and
straightforward his episode *seemed* by contrast to my own (I HATE
STAPLES, esp. when the remove an inch of skin from the already-snug
ankle area!).
Shannon
-
Dr. Joe Rozencwajg, NMD
- Posts: 2279
- Joined: Wed Jul 31, 2002 10:00 pm
Re: Broken bones
My experience as a surgeon...........
If you can align the bones properly, anatomically, by manipulating under a scope, and the alignment does not disappear while putting the cast on (easily corrected though), then it is better not to do surgery.
If the alignment is not possible, often because parts of tendons or muscles are imbedded into the fracture, which will prevent healing, then it is better to open and correctly repair the jig-saw puzzle....nevertheless there is always a risk of infection and a risk of destroying the vascularisation of the area. If we are talking about open, comminuted fractures, the area is already open, better use the opportunity for a good cleanse.
As you can see, even in surgery, individualisation is the key to success, along with being very careful and very conservative in your intervention (at least that is what I did.....).
Do I really have to add this? It pays a lot more to insert a plate or a pin than to manipulate a broken bone and put a plaster cast, and often can even go faster.................paranoia?????
Dr. J. Rozencwajg, MD, PhD, NMD.
"The greatest enemy of any science is a closed mind".
If you can align the bones properly, anatomically, by manipulating under a scope, and the alignment does not disappear while putting the cast on (easily corrected though), then it is better not to do surgery.
If the alignment is not possible, often because parts of tendons or muscles are imbedded into the fracture, which will prevent healing, then it is better to open and correctly repair the jig-saw puzzle....nevertheless there is always a risk of infection and a risk of destroying the vascularisation of the area. If we are talking about open, comminuted fractures, the area is already open, better use the opportunity for a good cleanse.
As you can see, even in surgery, individualisation is the key to success, along with being very careful and very conservative in your intervention (at least that is what I did.....).
Do I really have to add this? It pays a lot more to insert a plate or a pin than to manipulate a broken bone and put a plaster cast, and often can even go faster.................paranoia?????
Dr. J. Rozencwajg, MD, PhD, NMD.
"The greatest enemy of any science is a closed mind".
-
Shannon Nelson
- Posts: 8848
- Joined: Fri Jun 28, 2002 10:00 pm
Re: Broken bones
Dr. Roz,
Thank you! Re your paranoia --I've been having the same, since
hearing my brother's experience.
area"--what happens then? (Again, just curious!)
Shannon
Thank you! Re your paranoia
--I've been having the same, since hearing my brother's experience.
area"--what happens then? (Again, just curious!)
Shannon
-
Dr. Joe Rozencwajg, NMD
- Posts: 2279
- Joined: Wed Jul 31, 2002 10:00 pm
Re: Broken bones
Part of the blood supply to the bone comes through the periosteum which is sometimes stripped from the area where a plate is screwed; and when there are a few unstable fragments, the heavy jerking done when realigning during open surgery can cut the residual arterioles, paving the way to bone necrosis.
There is indeed heavy jerking during closed reduction, but rarely to the extent of tearing vessels that are supported by the surrounding tissues; that support is a lot less strong when the limb is opened.
Dr. J. Rozencwajg, MD, PhD, NMD.
"The greatest enemy of any science is a closed mind".
There is indeed heavy jerking during closed reduction, but rarely to the extent of tearing vessels that are supported by the surrounding tissues; that support is a lot less strong when the limb is opened.
Dr. J. Rozencwajg, MD, PhD, NMD.
"The greatest enemy of any science is a closed mind".
Re: Broken bones
You poor thing!! I don't think the surgeons would have put a plate and pins in unless it was absolutely necessary to fix the bones together. I presume you are taking Symphytum to help things along, Calc Phos cell salts to build up the strength in your bones and Calendula to heal the staple wounds (probably too late for that one now)
Rochelle
Registered Homeopath
EFT(Advanced) Practitioner
www.southporthomeopathy.co.uk
Rochelle
Registered Homeopath
EFT(Advanced) Practitioner
www.southporthomeopathy.co.uk