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Primary trauma causes when an injury occurs, after treatment of primary trauma if it happens again and any damage at the site of injury, then it is known as revision trauma. Damage to the bones and soft tissue around the joints can occur at the site of the primary injury.

In this case, your doctor may recommend that you do a second operation to remove some or all of the original prosthesis and replace it with a new one. This process is known as revision surgery.

Revision trauma is different from primary injury because treating the area is a more complicated process. It requires extensive planning and use of implants and specialised tools to achieve good results.

Revision Trauma Care in India

Malunion and nonunion fractures:

Malunion and nonunion are complications of broken bones that have not healed well.

Malunion occurs when broken bones heal in an abnormal position, which can affect bone or leg function and appear “bent”. Likewise, the nonunion results from fracture bone failing to recover, after a long period in some cases for a period of 9 to 12 months.

There are four main factors that a surgeon should look for before treating a malunion or nonunion fracture. This includes:

  • Infection
  • Adequacy of blood supply
  • Biomechanics
  • Biology

Dr Vasu Juvvadi orthopaedic work jointly with microvascular surgeons and other specialities to ensure the unprecedented treatment to correct these complex fractures.

Both types of fractures are challenging and complex. Therefore, patients with suspected or bone malfunction should be examined and treated as soon as possible.

Malunion and nonunion fractures are fundamentally different from the original fracture. Diagnosing the cause of the fracture is essential to make the best treatment plan.

Malunion Fracture:

Malunion occurs when broken bones heal in an abnormal position. Depending on the severity, additional symptoms of malunion can be:

  • Reduced functioning in the affected area
  • Discomfort
  • Pain
  • Swelling
  • Bruising

Malunion cases do not always require treatment because some do not cause damage. However, if changes in bone position are significant and dangerous, surgical treatment is often needed to enable future mobility.

Best Revision Trauma Surgeon in Hyderabad

Surgery can help restore severe cases of malunion. Orthopaedic surgery, called an osteotomy, is usually used to restore the correct position of bones that have not healed properly. Surgeons can perform the following techniques with an osteotomy to correct deformities:

  • Shortening
  • Lengthening
  • Realignment

Nonunion Fracture:

This fracture occurs when a broken bone does not heal after a lengthy recovery period. In some cases, it can take up to nine months for bones to change completely. If your doctor or surgeon sees no signs of progressive healing during this long period, then it may be nonunion. In this case, the body does not produce the bone tissue needed to repair broken bones. Depending on the severity of the non-association, symptoms can include the following:

  • Reduced functioning in the affected area
  • Discomfort
  • Pain
  • Swelling
  • Bruising

Nonunions non-surgical treatments can consist of electrical stimulation or brace.
Surgical Treatments Options for a Nonunion Fracture

To improve nonunion, orthopaedic surgeons can do the following:

  • Repair damaged bones and tissue around the area.
  • Fill the bone gap with a plate and stabilise the bone.
  • Promote bone healing through bone grafting.

What is Infected Trauma?

Unexpected incidents and trauma cause serious injury, although the operation is suitable for debridement and infection control. Many of these trauma patients have complicated infections because of Gram-negative bacilli infections that are resistant to many drugs.

Open wounds after surgery can cause severe bacterial and fungal infections at the surgical site, which in turn can cause long-term damage, chronic injury or bone infection, and sometimes even death. Postoperative wound infection is a significant problem. If the patient is late for treatment, they will not receive definitive surgical support after surgery if the doctor has no experience after surgery problems can cause infection. Proper injury care is essential to reduce the chance of wound infection. Experienced doctors know how to prevent and treat infected wounds adequately.

Treatment For Infected Trauma:

  • Draining
  • Debridement
  • Restoration of blood flow to the bones
  • Removing foreign objects
  • Stabilising the affected bone

Dr Vasu Juvvadi, the best trauma surgeon, provide loving care through specialised orthopaedic trauma training. Contact us now or call us today if you need the best surgery to avoid infections and for more information.