Trauma

Background

Orthopaedic trauma encompasses a wide range of conditions from fracture (broken bone) management to soft tissue and multi-ligament injuries. Each case must be considered on an individual basis and there are many factors that will influence your treatment (i.e. injury, patient and surgical).

Indications

The nature of your injury and any associated conditions will determine the urgency of your care. Most trauma related injuries result in a GP or hospital (Emergency Department) presentation - these primary care doctors will assess your injury and refer you for ongoing care accordingly. Some injuries including fractures and dislocations are best treated promptly to optimise healing and recovery. In some instances it is necessary to delay treatment to allow soft tissue swelling cares. Stable injuries can often be managed semi-electively in an outpatient context.

Treatment/Pathology

The treatment required will be determined by the nature and extent of your injury including bone and soft tissue involvement as well as any wounds overlying the injured site. Trauma related injuries can be managed either non-surgically or surgically depending on the characteristics of the injury. Cast immobilisation is suitable for stable fracture patterns that are away from the joint. Low-grade soft tissue injuries may be suitable for rehabilitation under the supervision of a therapist with or without a brace or crutches. More complex injuries often require surgical management.

Surgical Detail

Surgery is indicated where the injury has failed to heal through rehabilitation or where this is unlikely to be successful based on the injury. Unstable and complex fracture patterns are often managed surgically to restore stability and improve healing potential. The timing of trauma related surgery is dependent on the injury characteristics, patient details and surgical factors. The specific details relevant to your surgical procedure will be discussed on a case-by-case basis.

Post-Operative/Recovery

Your post-operative care will depend on the nature of your injury and the treatment pathway undertaken. Non-surgical management can be followed up in an out-patient setting with concurrent rehabilitation under the supervision of a therapist. In the case of surgical management you will often be observed in hospital overnight for surveillance. In some instances, you may be discharged home with crutches and a brace to help protect any surgical repair. Dr Anderson will review you within 2 weeks and assess your treatment response.

Key Points

• Case-by-case

• Non-surgical and surgical

• Rehabilitation