Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Orthopaedics · Trauma
Bone Fracture Treatment in Hyderabad: 24/7 Trauma Care at Lux Hospitals
A fracture is a break in the continuity of a bone, and the treatment is more varied than most people expect: many need nothing but a cast and time, while others need plates, screws or a rod to heal in the right position.
The decision turns on whether the bone is displaced, whether the joint surface is involved and whether the fracture is stable. Our orthopaedic surgeons at Lux Hospitals, HITEC CITY treat fractures around the clock, from simple wrist breaks to complex hip and pelvic injuries.
- 24/7 Emergency Care
- Accurate Imaging
- Casting & Surgical Fixation
What is a Bone Fracture?
A fracture is a break in a bone, ranging from a hairline crack to a complete break in several pieces. What determines treatment is not how painful it is but three things: whether the fragments are displaced, whether the break enters a joint surface, and whether it is stable enough to hold position while it heals.
Fractures are described by pattern and by whether the skin is broken. A closed fracture leaves the skin intact; an open or compound fracture has a wound communicating with the bone, which makes it an emergency because of infection risk. Comminuted fractures are in multiple pieces, and a stress fracture is a hairline crack from repetitive loading rather than a single injury.
We treat fractures throughout the skeleton: wrist and scaphoid, forearm, elbow, humerus, clavicle, hip and femur, knee, ankle and foot. Each has its own healing time and its own threshold for surgery, which is why an ankle fracture and a wrist fracture of similar severity are managed quite differently.
Causes of Bone Fractures
Fractures result either from force exceeding what normal bone can take, or from normal force acting on weakened bone.
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Falls
The commonest cause across all ages. A fall on an outstretched hand fractures the wrist; a fall onto the side fractures the hip in older people.
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Road traffic accidents
High-energy trauma causing complex, often multiple fractures with significant soft tissue damage.
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Sports injuries
Direct impact, twisting forces or awkward landings: common causes of ankle, wrist and collarbone fractures.
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Osteoporosis
Thinned bone fractures under force that healthy bone would tolerate. Wrist, spine and hip are the classic fragility fracture sites.
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Repetitive stress
Stress fractures from cumulative loading without adequate recovery, seen in runners, dancers and military recruits.
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Vitamin D and calcium deficiency
Widespread in India and a significant contributor to fragility fractures and to poor healing afterwards.
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Pathological weakening
A tumour, cyst or infection weakening the bone so it fractures with minimal or no trauma.
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Long-term steroid use
Reduces bone density substantially and raises fracture risk, particularly in the spine and hip.
A fragility fracture, one from a fall from standing height in someone over fifty, is a marker for osteoporosis. Treating the fracture without investigating the bone underneath misses the chance to prevent the next one.
Symptoms of a Bone Fracture
Most fractures are obvious after a clear injury. Some, particularly stress fractures and hip fractures in the elderly, are considerably less so.
Typical signs
- Immediate pain at the site, worse on any movement or pressure
- Swelling and bruising developing over hours
- Visible deformity or an abnormal angle to the limb
- Inability to bear weight or use the limb
- A grating sensation when the limb is moved
- Tenderness precisely over one point of bone
Emergency features
- A wound over the fracture, or bone visible: an open fracture
- Numbness, tingling or inability to move the fingers or toes
- A cold, pale or pulseless hand or foot
- Severe worsening pain out of proportion to the injury
- Obvious deformity with the limb clearly out of alignment
- A hip injury in an older person unable to stand
Severe, escalating pain with a tense swollen limb and pain on passive stretching can indicate compartment syndrome: a genuine emergency where pressure within the muscle compartment cuts off circulation. It needs surgery within hours.
How Fractures are Diagnosed
X-rays confirm most fractures. Some need cross-sectional imaging, and a few do not show on the first film at all.
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X-rays
The first-line investigation, taken in at least two planes. A single view can miss a fracture entirely, which is why two are standard.
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Clinical examination
Assessing deformity, swelling and point tenderness, along with the circulation and nerve function beyond the injury.
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CT scan
Defines complex fractures and those involving a joint surface in three dimensions, which is essential for planning fixation.
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MRI scan
Detects stress fractures and scaphoid fractures that do not show on initial X-rays, and assesses associated ligament damage.
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Bone density scan
A DEXA scan in anyone over fifty with a fragility fracture, to diagnose osteoporosis and prevent the next fracture.
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Blood tests
Vitamin D, calcium, and pre-operative bloods where surgery is planned. Vitamin D deficiency is very common and impairs healing.
A scaphoid fracture in the wrist commonly does not show on the first X-ray. Where the clinical signs are there, the wrist is treated as fractured and re-imaged rather than declared normal.
Treatment Options for Fractures
The aim is to hold the bone in acceptable alignment until it heals. Whether that needs a cast or an operation depends on the fracture, not on preference.
Non-surgical
Non-surgical treatment
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Casting and splinting
Immobilising an undisplaced or stable fracture in plaster or fibreglass while it heals. Effective for the majority of simple fractures.
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Closed reduction
Realigning a displaced fracture without opening the skin, under sedation or anaesthesia, then holding it in a cast.
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Functional bracing
A removable brace allowing controlled movement while supporting the fracture, used for selected humerus and tibial fractures.
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Protected weight-bearing
Crutches or a walking boot allowing controlled loading, which actually stimulates healing in stable lower limb fractures.
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Rest and activity modification
The treatment for most stress fractures, alongside correcting training errors and any nutritional deficiency.
Surgical
Surgical fixation
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Plate and screw fixation
A metal plate contoured to the bone and secured with screws, holding fragments in exact position. Standard for fractures involving joint surfaces.
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Intramedullary nailing
A rod passed down the centre of a long bone, sharing load with the bone and allowing early weight-bearing. Ideal for femur and tibia shaft fractures.
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Percutaneous screw fixation
Screws placed through tiny incisions under X-ray guidance, minimising soft tissue disruption in suitable fractures.
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External fixation
A frame outside the limb holding the bone through pins. Used in open fractures and where swelling makes immediate internal fixation unsafe.
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Hip fracture surgery
Screws, a dynamic hip screw, or hemiarthroplasty depending on the fracture pattern. Almost always operated on within forty-eight hours.
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Bone grafting
Adding bone graft where there is a defect or where a fracture has failed to unite.
Hip fractures in older people are operated on urgently, usually within forty-eight hours, because early surgery and mobilisation substantially reduce complications and improve survival. Waiting is not a neutral option there.
What Fracture Fixation Involves
The operation varies with the bone and the pattern, but the principles are the same: restore alignment, hold it securely, and allow early movement.
Open reduction and internal fixation
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Emergency assessment
X-rays, assessment of circulation and nerve function, pain relief, and a temporary splint. Open fractures get antibiotics immediately.
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Timing the surgery
Some fractures are fixed immediately; others wait for swelling to settle, since operating through swollen skin risks wound breakdown.
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Anaesthesia
General or regional anaesthesia depending on the site, often with a nerve block for post-operative pain relief.
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Reduction
The fragments are realigned, either through an incision or manipulated under X-ray guidance. Accurate reduction matters most where a joint surface is involved.
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Fixation
Plates, screws, a nail or wires are applied to hold the reduction. The choice depends on the bone, the pattern and the quality of the bone.
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Checking with imaging
X-ray images taken during the operation confirm alignment and implant position before closing.
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Closure and early mobilisation
Wound closed, and movement of the adjacent joints started as soon as the fixation allows, often the same day.
The purpose of fixing a fracture is not simply to hold the bone: it is to hold it securely enough that the neighbouring joints can move early. Stiffness from prolonged immobilisation is often a bigger problem than the fracture itself.
Why Choose Lux Hospitals for Fracture Treatment?
Fractures need prompt assessment, accurate imaging and a decision about surgery made on the fracture rather than by default. Here is why patients trust us:
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24/7 trauma care
Fractures assessed and treated around the clock, with urgent surgery for hip fractures and open injuries.
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Experienced trauma surgeons
Orthopaedic surgeons treating fractures throughout the skeleton, from simple wrist breaks to complex pelvic injuries.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Rehabilitation
Most fractures unite in six to twelve weeks, though the bone continues remodelling for far longer. Regaining function takes longer than the bone takes to heal.
- Weeks 0–2
Pain and swelling settle. Elevation and ice for limb fractures. Movement of adjacent joints begins where the fixation allows.
- Weeks 2–6
Early callus forms. Protected weight-bearing or movement progresses according to the fracture. Cast changes if needed.
- Weeks 6–12
Most fractures unite over this period. Cast removed, and physiotherapy begins in earnest to restore movement and strength.
- Months 3–6
Strength and function return progressively. Return to work depends on the job: desk work far earlier than manual.
- Months 6–12
Full remodelling of the bone. Return to sport, and consideration of removing implants if they cause irritation.
Aftercare
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Move the neighbouring joints
Stiffness from immobilisation is often more disabling than the fracture. Move every joint you are allowed to, from the start.
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Elevate to control swelling
Keep the limb above heart level in the first weeks. Swelling delays healing and causes cast tightness.
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Nutrition for healing
Adequate protein, calcium and vitamin D. Deficiency is common in India and measurably slows fracture healing.
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Do not smoke
Smoking substantially delays fracture healing and increases the risk of non-union. Stopping while the fracture heals genuinely matters.
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Watch for warning signs
Increasing pain, numbness, a cold or pale limb, a tight cast, or fever and wound discharge all need same-day assessment.
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Investigate osteoporosis
A fracture from a simple fall after fifty warrants a bone density scan. Treating osteoporosis prevents the next fracture.
A fragility fracture is a warning, not just an injury. Around half of patients who fracture a hip have already had a wrist or spine fracture: investigating bone health after the first one is what prevents the second.
When Should You Seek Care?
Come to the emergency department immediately for any of the following.
- Obvious deformity of a limb after an injury.
- Inability to bear weight or use the limb.
- A wound over a suspected fracture, or visible bone.
- Numbness, tingling, or a cold pale hand or foot.
- Severe worsening pain with a tense swollen limb.
- A hip injury in an older person who cannot stand.
Cost of Fracture Treatment in Hyderabad
Simple fractures cost very little. Surgical fixation costs depend on the implant and the complexity of the injury.
| Procedure | Estimated Cost |
|---|---|
| Consultation & X-rays Assessment and imaging | ₹1,500 – ₹4,000 |
| Casting or splinting Including subsequent cast changes | ₹3,000 – ₹10,000 |
| Closed reduction under sedation Day care, with cast application | ₹15,000 – ₹35,000 |
| Wrist or ankle fracture fixation One to two nights; plate and screws | ₹80,000 – ₹1,60,000 |
| Intramedullary nailing: femur or tibia Three to five nights’ stay | ₹1,50,000 – ₹2,80,000 |
| Hip fracture fixation or hemiarthroplasty Four to seven nights’ stay | ₹1,60,000 – ₹3,20,000 |
| Complex or open fracture surgery Often staged, with longer admission | ₹2,50,000 – ₹5,50,000 |
What changes the estimate
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Which bone and which pattern
A wrist fracture and a complex pelvic fracture are entirely different operations in time, implants and stay.
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Implants used
Plates, screws, nails and locking implants vary considerably in cost, and complex fractures need more of them.
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Open versus closed fracture
Open fractures need urgent debridement, often staged surgery, and a longer admission with intravenous antibiotics.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Orthopaedics Treatments
Our Surgeons
Bone Fracture Specialists at Lux Hospitals
The orthopaedic and trauma surgeons who treat fractures at our HITEC CITY hospital.
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Dr. Sai Kishan Sirasala
Consultant Orthopaedic Surgeon: Joint Replacement & Arthroscopy
MS (Ortho), FIJR, FIASM (UK), FIKS (Italy), FIRJR
8 years experience
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Dr. Bathini Hithesh
Consultant Orthopaedic Surgeon
MBBS, MS, FIJR
6 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from patients treated for fractures and orthopaedic injuries at Lux Hospitals, Hyderabad.
From the Blog
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Got Questions?
Frequently Asked Questions
Common questions about bone fractures, their treatment, and what surgery costs at Lux Hospitals.
What types of bone fractures do you treat?
Fractures throughout the skeleton: wrist and scaphoid, forearm, elbow, humerus, clavicle, hip and femur, knee, tibia, ankle and foot, along with pelvic and spinal fractures. Each has its own healing time and its own threshold for surgery.
What is the best treatment for a fracture?
It depends entirely on the fracture. Undisplaced, stable fractures heal well in a cast. Displaced fractures, those involving a joint surface, and unstable patterns usually need surgical fixation with plates, screws or a nail to heal in the right position.
What are the symptoms of a bone fracture?
Immediate pain worse on movement, swelling and bruising, tenderness precisely over one point of bone, inability to use the limb, and sometimes visible deformity. Stress fractures are subtler: a gradually worsening ache with activity and pinpoint tenderness.
How long does it take for a fracture to heal?
Most fractures unite in six to twelve weeks, though it varies with the bone and your age. Children heal considerably faster; the femur and tibia take longer than the wrist. The bone continues remodelling and strengthening for up to a year afterwards.
Do all fractures need surgery?
No: the majority do not. Undisplaced and stable fractures heal perfectly well in a cast. Surgery is needed when fragments are displaced, when a joint surface is involved, when the fracture is unstable, or when early movement matters more than the immobilisation a cast would require.
How can I prevent a stress fracture during sport?
Increase training load gradually rather than in jumps, allow adequate recovery between sessions, maintain adequate calcium and vitamin D, ensure sufficient overall energy intake, and address any biomechanical issues. Persistent bone pain during training should be assessed rather than trained through.
Will the metal implants need removing?
Usually not. Modern implants are designed to remain permanently and cause no problems. Removal is considered where an implant causes irritation (particularly plates close to the skin, such as on the ankle or collarbone) and is generally done no earlier than a year after fixation.
Why does a fracture after a simple fall need further investigation?
Because a fracture from a fall from standing height in someone over fifty is a fragility fracture, and it indicates osteoporosis. Around half of patients who fracture a hip have already broken a wrist or spine. Investigating and treating bone health after the first fracture prevents the next.
How can I book an appointment for fracture treatment in Hyderabad?
For an acute injury, come straight to the emergency department. For follow-up, a fracture that is not healing, or a fracture clinic review, you can call us, message us on WhatsApp, or walk into Lux Hospitals, HITEC CITY.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Suspected Fracture? Come In Today
24/7 emergency assessment with accurate imaging and treatment matched to the fracture, from casting to surgical fixation.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032