Complicated Fractures in Multan
Specialist treatment in Multan for fractures that are shattered, involve a joint surface, or have failed to heal after earlier surgery elsewhere.
Complicated Fractures: what it involves
Some fractures are simply harder than others. The bone may be broken into many pieces, the break may run into a joint surface where a millimetre of step-off matters, the skin over it may be torn open, or the bone may be soft with osteoporosis and unable to hold ordinary screws. These injuries need a plan, not a routine.
This group includes comminuted and intra-articular fractures, open fractures with soft-tissue loss, fractures around an existing implant, and fractures through osteoporotic bone. Where a fracture has already been treated and gone wrong, the work becomes reconstructive: clearing infection, taking down a non-union, grafting the gap, correcting the angle and re-fixing the bone so it finally unites in the right position.
Every complicated fracture is worked up with dedicated imaging and, where needed, blood tests for infection and bone metabolism. The reasons a bone did not heal the first time (poor blood supply, instability, infection, smoking, uncontrolled diabetes, vitamin D deficiency) are treated alongside the mechanical problem, because fixing only the metalwork tends to fail twice.
This page gives general information about complicated fractures and is not a diagnosis or a treatment plan. What is right for you depends on your own examination, imaging and medical history. Please discuss your case at a consultation.
Consultation details
- Consultation
- Rs. 2,500
- Timings
- Mon to Sat, 4 to 9 PM
- Clinic
- Fatima Medical Centre, Rasheedabad, Multan
Treated by Dr. Rizwan Ghafoor, BSc, MBBS, MRCPS(Glasg), FCPS (Tr & Orth), FACS(USA).
- Member: AAOS, USA
- Member: Pakistan Orthopaedic Association
- Member: College of Physicians and Surgeons of Glasgow
- Fellow: College of Physicians and Surgeons Pakistan
- Fellow: American College of Surgeons, USA
What this treatment addresses
- Comminuted fractures broken into multiple fragments
- Intra-articular fractures involving the joint surface
- Open and compound fractures with skin or muscle loss
- Non-union, where a fracture has stopped healing
- Mal-union, where a fracture heals at the wrong angle or length
- Infected fractures and infected metalwork
- Periprosthetic fractures around a knee or hip implant
- Fragility fractures in osteoporotic bone
What to expect
- 01Detailed imagingX-rays in multiple planes, CT for joint surfaces, and blood tests where infection or metabolic bone disease is suspected.
- 02A written planUnderstanding what has gone wrong, what can realistically be corrected, and how many stages the treatment is likely to take.
- 03ReconstructionDebridement, bone grafting, deformity correction and stable re-fixation, staged where infection has to be cleared first.
- 04Union and rehabilitationClose X-ray follow-up until union is confirmed, with a graded loading and physiotherapy programme alongside.
Recovery
Complicated fractures take longer than simple ones, commonly three to nine months to solid union, and longer still where infection has to be cleared before reconstruction can begin. Progress is checked with serial X-rays, and the plan is adjusted rather than left to chance.
Complicated Fractures: common questions
- What is a non-union and why does a fracture stop healing?
- A non-union is a fracture that has failed to unite in the expected time. The usual reasons are instability at the fracture site, poor blood supply, infection, a gap between the bone ends, or patient factors such as smoking, uncontrolled diabetes and vitamin D deficiency. Successful treatment addresses the cause, not just the bone.
- Can a bone that healed crooked be straightened?
- In most cases, yes. A mal-union is corrected by cutting the bone at the site of the deformity (an osteotomy), realigning it under image guidance and fixing it. This is planned carefully beforehand, because the aim is to restore length, angle and rotation together.
- Is bone grafting painful, and where does the graft come from?
- Graft is usually taken from your own pelvis, which gives the best healing potential. The donor site is sore for a few weeks and then settles. Where a large gap needs filling, bone substitutes and biological adjuncts can be used alongside your own graft.
- Should I get a second opinion before revision surgery?
- Yes, and you are welcome to bring your X-rays, operation notes and reports here for one. Revision surgery is more demanding than the first operation, so it is worth being certain about the diagnosis and the plan before committing.
Areas of expertise
- Complex trauma
- Complicated fractures
- Spinal disorders & injuries
- Sports injuries
- Joint disorders & replacements
- Hand surgeries
- Muscular problems
- Pediatric orthopaedics
Inside the clinic
Frequently asked questions
Everything you need to know before your first visit with Dr. Rizwan Ghafoor.
Book online or call us at 0321 7327777 for booking an appointment. Consultations run Monday to Saturday, 4:00 PM to 9:00 PM at Fatima Medical Centre, Rasheedabad, Multan.
BSc, MBBS, MRCPS(Glasg), FCPS (Tr & Orth), FACS(USA). He is a Member of the American Academy of Orthopaedic Surgeons (USA), a Member of the Pakistan Orthopaedic Association, a Member of the College of Physicians and Surgeons of Glasgow, a Fellow of the College of Physicians and Surgeons Pakistan, and a Fellow of the American College of Surgeons (USA).
Complex trauma, complicated fractures, spinal disorders and injuries, sports injuries, joint disorders and replacements, hand surgeries, muscular problems, and pediatric orthopaedics.
Rs. 2,500 for consultation.
Fatima Medical Centre, Rasheed Abad, Multan.
Monday to Saturday, 4:00 PM to 9:00 PM.
Patients look for training, results and honest advice. Dr. Rizwan Ghafoor is a Consultant Orthopaedic Surgeon trained in Pakistan, the UK and the USA, holding FCPS (Tr & Orth), MRCPS (Glasgow) and FACS (USA), and is rated 4.9/5 across more than 140 verified patient reviews. He treats bone, joint, muscle and spine conditions at Fatima Medical Centre, Rasheedabad, Multan.
Yes. The clinic is at Fatima Medical Centre, Rasheedabad, Multan, which is within reach of most of South Punjab. If you are travelling any distance, call 0321 7327777 first to confirm your slot before you set out.
Yes. Bring your X-rays, MRI films, operation notes and discharge summary to the consultation so they can be reviewed alongside a fresh examination.
Yes. Paediatric orthopaedics is one of the eight areas of expertise, covering children's fractures, limb deformities such as bow legs and knock knees, and congenital conditions.
Visit Dr. Rizwan Ghafoor’s clinic
Book an in-person consultation online, or by phone on 0321 7327777.
- Clinic
- Fatima Medical Centre, Rasheedabad, Multan
- Timings
- Monday to Saturday, 4:00 PM to 9:00 PM
- Consultation fee
- Rs. 2,500