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Suggest Treatment For Mandibular Fracture

Posted on Wed, 30 Jul 2014

Question: I had an unfortunate misplaced foot and the X-ray showed that the the joint between Meta Tarsal Bones and Cuboid has opened up.They usually stay connected.It happened just 1 day ago,the doctor said they will put a cast(plaster) next week.

Answered by Dr. Saurabh Gupta (4 hours later)

Brief Answer:
plaster cast is required for immobilization.

Detailed Answer:
Hello,
Thanks for your query.

I have gone through the image provided. Your treating doctor is correct. For subluxation(disruption) between cuboid and metatarsal bone, plaster cast is required for immobilization.

Meanwhile do icing and elevate the limb. Avoid putting weight and rest well.

I do hope that you have found something helpful and I will be glad to answer any further query.

Take care

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Saurabh Gupta (13 hours later)

Hi,
I found more info on the fracture.it is the 5th mandibular fracture also known as XXXXXXX Fracture.i want to know what is the possibility of the fracture to heal via non surgical means?

Answered by Dr. Saurabh Gupta (25 hours later)

Brief Answer:
Possibility is 70% via non surgical means.

Detailed Answer:
Hi Somenath,

Sorry for late reply.

Possibility of XXXXXXX fracture to heal via non surgical means is 70%.

Hope this helps you.

Warm regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saurabh Gupta (47 hours later)

Hi,

I have uploaded my X-Rays.Can you review and let me know if it qualifies as XXXXXXX Fracture?

Answered by Dr. Saurabh Gupta (14 hours later)

Brief Answer:
It qualifies as XXXXXXX Fracture

Detailed Answer:
Hi,

I have gone through the x-rays attached with the query. It qualifies as XXXXXXX Fracture.

Wishing you speedy recovery.

Warm regards.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Saurabh Gupta (19 hours later)

Hi,
Thanks for the info.I want an independent opinion from you w.r.t to the treatment of my fracture.

Assume my case was brought to you as it is,what steps would u take to fix it?

a. Heal it non-surgical way using cast ?

b Heal it surgically?

By looking at my fracture what is your assessment?Do u think there is a chance of healing by cast?

Answered by Dr. Saurabh Gupta (33 hours later)

Brief Answer:
I would like to treat it surgically.

Detailed Answer:
Hi,

However there is a chance of healing by cast, I would like to treat it by percutaneous intramedullary screw fixation. The surgery is relatively simple with low morbidity and it facilitates faster and higher union rates.

Wishing you speedy recovery...

Warm regards.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar