When a bone is fractured, preliminary diagnosis and management can be taken to determine the patient's condition and to provide emergent treatment. Avoid unnecessary movements and look for medical attention as soon as possible. At hospital, physicians provide treatment depending on patient condition. It is essential to listen to the physician's professional decision, which facilitates the selection of the most appropriate treatment before and after surgery as well as recovery.

Typical bone crack

Bone fractures presented as cracking without displacement. These are immobilized with casting. Casting facilitates recovery but requires at least 6 weeks, and usually affects daily activities as neighboring joints are also immobilized.

Bone fracture with displacement

If the displacement is not serious, casting is used following initial reduction. With a treatment effect of up to 50%, casting is also associated with inconvenience and complications. Recently, surgical procedures have been popular in developed nations in Europe and America, and the most frequently applied is the implantation of a metal plate.

When the bone plates selected are able to provide the following functions, they not only support rehabilitative activities, but also the restoration of function.
For a serious fracture (e.g. comminuted fracture), lower limb fracture or slowed bone growth due to age, constitution or dietary habit, the use of an artificial bone graft is recommended to rapidly manage bone defects and to reduce the time required for bone healing.
    • Keep an eye on the location of the bladder catheter and drainage tube to prevent it from pulling during rolling or activity.
    • Keep surgical site elevated at rest and/or apply ice compression to reduce swelling and pain.
    • Perform deep breath, coughing and rolling and patting every 2 hours.
    • Try drinking water first, then introduce a light diet when vomiting does not occur.
    • Patients managed with general anesthesia can be given cool water if they suffer from a sore throat (due to intubation).
    • For patients with leg fractures, lift up the headside of bed as early as possible, and leave the bed with the assistance of a walker or cane.
    • The first time the patient leaves the bed, medical personnel must be present. The patient should start with sitting at their bedside for 5 minutes, and try to leave the bed if they do not complain of dizziness.
    • There is no special limitations on diet; do not smoke cigarettes, consume alcohol or irritating foods.
    • Consume more foods rich in protein and vitamin C
    • Patients who have received leg surgery: wear basketball pants with zippered trousers
    • Patients who have received hand surgery: select clothes with front buttons.
    • Use a sling to support affected limbs, and release the sling to allow mobilization and to prevent stiffness.
    • Keep the surrounding are safe and tidy.
    • Use hand rails and a non-slip floor in the toilet and/or bathroom.
    • Use a long-handled brush and sponge to assist in bathing.
    • Hang the towel on a hanger and try drying with healthy side.
    • Perform as instructed by orthopedist and nurse
    • Ruturn to the clinic again 7-14 days after surgery to remove sutures
    • Return to the clinic as indicated by the physician. For those managed with bone screws, the follow up should be half a year or longer.
    • Look for immediate medical attention for wound reddening, feeling hot, swelling and pain or exudation.

Exercise can be performed in bed; refer to physician's instructions for more details

Rehabilitative exercises should be continued, once in the morning, once in the afternoon, and one at night (20-30 repetitions every session)

Practice can be divided into portions, starting with low-intensity movements Do not force, avoid inflicting pain

Do not lift heavy objects or do high-intensity exercises two months following bone fracture or nail removal.

Introducing physical therapy early helps limbs restore normal function. However, large range motions are contraindicated at the early phases of the rehabilitation of affected joints, or the sudden changes of biomechanical loading could lead to damaged bone or bone plates.

Adequate exercises should be given for uninjured joints to prevent joint stiffing and contracture; this also improves joint swelling.

Early introduction of physical therapy helps prevent stiffening of joints and muscular atrophy.

Adequate exercises should be given for uninjured joints to facilitate the restoration of limb function.

Lower limbs are responsible for weight bearing. However, weight bearing should be reduced at first and slowly scaled up; this is especially true after the occurrence of hip (pelvic) or knee fractures.

The use of a cane is cane is required to avoid the risk of breaking the bone or bone plates associated with excess biomechanical force.