Q. What complications can arise from a fracture?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Fractures can lead to various complications, especially if they are not promptly and properly treated. Common complications associated with fractures include:

1. Infection:
   - Open fractures, where the bone breaks through the skin, carry a higher risk of infection. Bacteria can enter the wound and lead to localized or systemic infections.

2. Delayed or Non-Union:
   - Delayed union occurs when the fractured bones take longer than expected to heal. Non-union refers to the failure of the bones to heal at all. These complications may result from factors such as poor blood supply, inadequate immobilization, or the presence of infection.

3. Malunion:
   - Malunion occurs when the fractured bones heal in an incorrect position, leading to deformities, functional impairment, and possible joint problems.

4. Compartment Syndrome:
   - Compartment syndrome can occur when swelling and increased pressure within the muscles and soft tissues surrounding the fracture impede blood flow. This can lead to tissue damage and may require surgical intervention.

5. Deep Vein Thrombosis (DVT):
   - Prolonged immobility, such as during fracture healing, can increase the risk of DVT, a condition where blood clots form in deep veins, usually in the legs. These clots can travel to the lungs and cause a pulmonary embolism.

6. Nerve Damage:
   - Fractures may injure nearby nerves, leading to sensory or motor deficits. Numbness, tingling, or weakness in the affected limb may result.

7. Joint Stiffness:
   - Immobilization during the healing process can contribute to joint stiffness. Physical therapy is often recommended to restore range of motion and function.

8. Chronic Pain:
   - Some individuals may experience chronic pain, even after the fracture has healed. This can result from nerve damage, residual inflammation, or changes in joint mechanics.

9. Osteoarthritis:
   - Fractures involving joints may increase the risk of developing osteoarthritis in the affected joint over time.

10. Muscle Atrophy:
    - Prolonged immobility and disuse of the muscles surrounding the fracture can lead to muscle atrophy, which may affect strength and function.

11. Psychological Impact:
    - Fractures can have psychological effects, including anxiety, depression, or fear of future injuries, especially in cases of severe trauma.

Minimizing the risk of complications involves prompt and appropriate medical treatment, including proper immobilization, surgical intervention when necessary, and follow-up care. Rehabilitation through physical therapy is crucial for restoring function and preventing long-term complications. Individuals with fractures should adhere to their healthcare provider's recommendations and attend scheduled follow-up appointments to monitor healing and address any potential issues.

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