Advanced Fracture Treatment and Bone Injury Management by Dr. Ishan Shevate

1. Advanced Fracture Treatment and Bone Injury Management by Dr. Ishan Shevate Fractures are one of the most common and critical orthopedic emergencies, affecting people of all age groups due to accidents, sports injuries, falls, or medical conditions such as osteoporosis. The impact of a bone fracture goes beyond just physical pain—it limits mobility, independence, and can cause long- term complications if not treated properly. Dr. Ishan Shevate, a renowned orthopedic surgeon, is dedicated to delivering precise, evidence-based, and patient-centric fracture treatment using both surgical and non-surgical methods. With a reputation for clinical excellence and compassionate care, Dr. Ishan Shevate has successfully treated thousands of patients with simple and complex fractures alike. This comprehensive document provides a detailed overview of fracture types, diagnosis, treatment protocols, surgical advancements, rehabilitation strategies, and case examples—all reflecting Dr. Ishan Shevate’s approach to holistic bone healing and long-term joint preservation.

2. Understanding Fractures A fracture is a break or crack in a bone that can occur from high-impact trauma or weakened bones due to age, disease, or repetitive stress. Types of Fractures: Closed (Simple) Fracture: Bone breaks but skin remains intact Open (Compound) Fracture: Bone pierces the skin, increasing infection risk Greenstick Fracture: Incomplete break, common in children Comminuted Fracture: Bone breaks into several pieces Transverse Fracture: Straight horizontal break across the bone Oblique Fracture: Diagonal break Spiral Fracture: Caused by twisting force Compression Fracture: Often seen in the spine, common in osteoporosis Stress Fracture: Hairline cracks from repetitive activity (e.g., running) Common Causes: Road traffic accidents Falls (especially in elderly) Sports injuries Occupational hazards Pathological conditions (osteoporosis, tumors) Diagnosis and Assessment Dr. Ishan Shevate follows a thorough, step-by-step evaluation process: History and Physical Examination Mechanism of injury Pain level and physical limitations Imaging Studies X-rays (initial assessment) CT Scan (for complex or joint fractures) MRI (soft tissue and bone marrow evaluation) Bone Scan (for stress or pathological fractures) Fracture Classification and Planning AO/OTA classification for surgical decision-making Consideration of patient age, activity level, and bone quality

3. Non-Surgical Fracture Management In cases where the bone alignment is maintained or easily corrected, non- operative treatment is preferred. Techniques: Casting and Splinting: Used for stable fractures to immobilize and support bone healing Traction: Applies mechanical force to align bone fragments Bracing: Functional braces allow partial movement for quicker rehab Ideal For: Pediatric fractures Hairline/stress fractures Wrist and ankle fractures without displacement Rib or clavicle fractures Surgical Fracture Treatment (Open Reduction and Internal Fixation – ORIF) For displaced, unstable, or joint-involved fractures, surgery becomes necessary. Dr. Ishan Shevate uses modern orthopedic surgical techniques to ensure optimal recovery. Surgical Methods: Plating and Screws: Internal fixation for long bones (humerus, femur, tibia) Intramedullary Nailing: Rod inserted into bone canal (especially in femur/tibia) External Fixators: Temporary frame used in open or complex fractures Bone Grafting: When there is bone loss or delayed union Minimally Invasive Techniques: Percutaneous fixation Arthroscopically assisted fracture fixation (joint fractures)

4. Anesthesia and Pain Management: Spinal anesthesia preferred for lower limbs Regional nerve blocks Post-op pain control with multimodal analgesia Rehabilitation and Physiotherapy Healing doesn’t end with surgery or casting—it continues with structured rehab. Dr. ishan Shevate emphasizes early mobilization and personalized physiotherapy programs: Goals of Rehab: Restore strength and flexibility Improve balance and coordination Prevent joint stiffness and muscle wasting Return to daily activities or sports Rehab Timeline: Week 1–2: Immobilization and pain control Week 3–6: Assisted movements, basic weight-bearing Week 6–12: Active exercises, proprioceptive training Month 3+: Full function restoration and sport-specific training Challenges in Fracture Healing Certain patients may face difficulties in fracture healing, including: Non-union or delayed union Malunion (incorrect healing position) Infection (especially in open fractures) Re-fracture after implant removal Solutions Offered by Dr. Shevate: Re-fixation surgeries Bone stimulation therapy Bone grafts and BMPs (Bone Morphogenetic Proteins) Infection control and implant replacement

5. Special Considerations in Children and Elderly Pediatric Fractures: Managed conservatively due to excellent healing potential Growth plate injuries carefully monitored Geriatric Fractures: Fragility fractures (hip, vertebrae, wrist) Surgical intervention with early mobilization to prevent bedrest complications Advanced Technologies Used by Dr. Shevate Digital X-ray and PACS integration 3D CT-based surgical planning Biodegradable implants Image-guided navigation systems Locking compression plates for osteoporotic bones Real-Life Patient Success Stories A 60-year-old female with hip fracture walked independently within 6 weeks post hip nailing A school athlete recovered fully from tibial fracture with nail fixation and returned to sports A 70-year-old diabetic male with infected compound fracture underwent successful staged reconstruction Preventive Strategies for Bone Health Calcium and Vitamin D supplementation Fall prevention (home safety, balance training) Osteoporosis screening and treatment Lifestyle modification (diet, weight-bearing exercises)

6. Why Choose Dr. Ishan Shevate for Fracture Treatment Expertise in simple and complex fracture management Personalized treatment planning Focus on minimally invasive solutions Integrated rehab and recovery programs Track record of high patient satisfaction and recovery rates Conclusion Fractures require timely, skilled, and comprehensive care to ensure full recovery and return to active life. With Dr. Ishan Shevate’s advanced orthopedic training and commitment to patient well-being, you are assured of the best possible outcomes in fracture care. Whether it’s an emergency, post-surgical complication, or sports injury, trust Dr. Ishan Shevate for modern, evidence- based solutions tailored to your individual needs. Fracture treatment is not just about mending bones—it’s about restoring life. Contact us:- Dr. Ishan Shevate - Shoulder & Knee Arthroscopy Surgeon in Erandwane, Pune Address : Deenanath Mangeshkar Hospital and Research Centre, Vakil Nagar, Erandwane, Pune, Maharashtra 411004 Mobile : +919405783493 E-mail : drishanshevateorthopedic@gmail.com Website : https://drishanshevateortho.com