Fracture Fixation Surgery in Hyderabad

A fracture is one of the most frightening medical events for any patient or family. The pain is immediate, the disruption to life is significant, and the right surgical decision in the first few days can determine whether you recover fully or are left with long-term stiffness, deformity, or weakness. Getting fracture care right the first time is everything.

At our clinic, we provide expert fracture fixation surgery in Hyderabad, performed by Dr Karthik Rao, a fellowship-trained orthopaedic and trauma specialist. From simple wrist fractures to complex multi-bone injuries, we offer the full range of modern fracture fixation techniques chosen precisely for your fracture, your bone quality, and your lifestyle.

Call Us Today for Urgent Fracture Care or a Second Opinion

What is Fracture Fixation?

Fracture fixation is the surgical procedure of realigning a broken bone and holding it in the correct position with implants such as plates, screws, nails, wires, or external frames — until the bone heals naturally. The goal is twofold: restore the bone’s anatomy precisely, and allow early movement so muscles, joints, and patients do not stiffen up.

Modern fracture fixation has moved well beyond simple casts. Today, we use precision-engineered implants, image-intensifier guidance, and minimally invasive techniques to fix even the most challenging fractures often through tiny incisions, with strong fixation that allows early mobilisation.

Types of Fractures We Treat

Upper Limb Fractures

• Clavicle (collarbone)
• Proximal humerus (shoulder)
• Humeral shaft (arm)
• Distal humerus and elbow
• Olecranon (elbow tip)
• Radius and ulna (forearm)
• Distal radius (wrist) — one of the most common fractures
• Scaphoid and other wrist bones
• Hand and finger fractures

Lower Limb Fractures

• Hip fractures — neck of femur, intertrochanteric, subtrochanteric
• Femoral shaft (thigh bone)
• Distal femur (above the knee)
• Patella (kneecap)
• Tibial plateau (top of shin)
• Tibial shaft (shin bone)
• Ankle fractures (uni-, bi-, and tri-malleolar)
• Pilon fractures (severe ankle joint fractures)
• Calcaneus (heel) and foot fractures

Pelvis & Specialised Fractures

• Pelvic ring fractures
• Acetabular (hip socket) fractures
• Spine compression fractures (selected cases)
• Stress fractures
• Pathological fractures (through abnormal bone)

Complex Fracture Care

• Open (compound) fractures
• Intra-articular fractures (fractures involving a joint surface)
• Periprosthetic fractures (around an existing implant)
• Polytrauma — multiple fractures in one patient
• Non-union and malunion fractures (fractures that have not healed correctly)

Fracture Fixation Methods We Offer

1. Plate & Screw Fixation

A metal plate is fixed to the bone with screws to stabilise the fracture. Modern locking plates work as ‘internal fixators’ and are especially useful around joints, in osteoporotic bone, and for complex fracture patterns.

2. Intramedullary Nailing

A strong titanium or steel nail is passed through the inside (medullary canal) of a long bone. The gold-standard treatment for most femoral and tibial shaft fractures with the benefit of small incisions and early weight-bearing.

3. Percutaneous Screw Fixation

Small screws placed through the skin under X-ray guidance ideal for certain wrist, ankle, hip, and pelvic fractures.

4. Tension Band Wiring

A reliable technique using wires and a figure-of-eight loop commonly used for kneecap (patella) and elbow tip (olecranon) fractures.

5. External Fixation

Pins are placed into the bone and connected by an external frame outside the skin. Used for severely open fractures, infected fractures, polytrauma stabilisation, or as a temporary measure before definitive surgery.

6. Hip Hemiarthroplasty / Total Hip Replacement

For displaced neck-of-femur fractures in elderly patients, replacement (bipolar or total hip) is often better than fixation and gives faster recovery and lower revision rates.

7. Cast & Brace Immobilisation

For selected fractures that align well without surgery, modern lightweight casts and braces give excellent results. We always choose non-surgical treatment when it gives an equal or better outcome than surgery.

When is Fracture Surgery Needed?

Not every fracture needs surgery. We carefully assess each case and recommend surgery when:

• The fracture is displaced (the bone ends are out of alignment)
• The fracture involves a joint surface (intra-articular)
• The fracture is unstable and will not hold in a cast
• The fracture is open (the bone has broken through the skin)
• There is associated nerve or blood vessel injury
• The fracture is in an elderly patient where early mobilisation is critical (e.g., hip fractures)
• The patient is unable to tolerate prolonged cast immobilisation
• Non-surgical treatment is unlikely to give a good functional outcome

Modern Implants — Why They Matter

The implants we use today are very different from those of a generation ago. Modern fracture implants are engineered for biology to give strong stability without disturbing the bone’s healing potential. Key advantages include:

• Locking Plates — function as internal fixators; do not need to compress the bone; excellent in osteoporotic bone.
• Anatomically Pre-Contoured Plates — shaped to match the natural curves of specific bones, reducing soft-tissue irritation.
• Cannulated Screws — placed precisely over a guide wire under X-ray, allowing percutaneous (keyhole) fixation.
• Titanium Alloys — lightweight, biocompatible, and MRI-friendly.
• Bioabsorbable Implants — in selected cases, implants that dissolve over time, eliminating the need for removal.

Special Cases

Open Fractures

An open fracture (where the bone has broken through the skin) is a surgical emergency. We follow strict protocols — urgent debridement, antibiotics, and staged fixation to prevent infection and give the best possible chance of healing.

Osteoporotic Fractures

Elderly patients with osteoporosis need implants specifically designed for weak bone — locking plates, cemented prostheses, and intramedullary devices. We also start osteoporosis treatment immediately to reduce the risk of further fractures.

Periprosthetic Fractures

Fractures around an existing knee or hip replacement are among the most challenging fractures in orthopaedics. They need specialist planning, special implants, and sometimes revision of the original replacement. We are experienced in managing these complex cases.

Non-Union & Malunion

A fracture that has failed to heal (non-union) or has healed in the wrong position (malunion) needs revision surgery often with bone grafting, hardware revision, and specialised techniques. These cases are best managed by an experienced trauma surgeon.

Why Choose Our Clinic for Fracture Fixation in Hyderabad

• Fellowship-Trained Trauma Surgeon — Dr Karthik Rao is specifically trained in modern fracture fixation, including complex and revision trauma.
• Full Spectrum of Trauma Care — from simple wrist fractures to complex pelvic, periprosthetic, and polytrauma cases — all under one roof.
• Minimally Invasive Where Possible — smaller incisions, less soft-tissue damage, faster healing.
• Specialist Implants for Every Fracture — modern locking plates, intramedullary nails, percutaneous screws, and external fixators.
• Modern Operating Theatre & Imaging — high-quality image-intensifier guidance for precise fixation.
• Rapid Mobilisation Protocol — we get most patients moving on Day 1 wherever safe.
• Multidisciplinary Co-Management — for elderly and medically complex patients.
• Surgeon-Led Continuity of Care — Dr Karthik Rao personally evaluates, operates, and follows up — no hand-offs.
• Transparent Pricing & Insurance Support — cashless options with all major insurance providers.

Step-by-Step Care Pathway

Step 1: Rapid Evaluation

• Detailed clinical examination by Dr Karthik Rao
• X-rays — and CT or MRI when needed for complex fractures
• Routine blood tests, infection screening, and anaesthetic fitness check
• Honest discussion of surgical and non-surgical options

Step 2: The Surgery

• Tailored fixation technique based on the fracture pattern, location, and bone quality
• Regional, spinal, or general anaesthesia, as appropriate
• X-ray-guided reduction and fixation
• Specialist implants chosen for the specific case
• Duration: typically 30 minutes to 3 hours, depending on complexity

Step 3: Post-Operative Care

• Most of our patients are discharged within 1–3 days
• Early mobilisation wherever safe — usually on Day 1
• Pain control with modern multimodal protocols
• Discharge with a clear home rehabilitation plan and family education
• Regular follow-up X-rays to track healing

Recovery & Rehabilitation

Recovery depends on the fracture, the patient’s age, and bone quality. As a general guide:

• Wrist / Hand fractures: early movement; light use in 4–6 weeks; full function by 2–3 months.
• Forearm / Elbow fractures: protected use for 4–6 weeks; full function by 3–4 months.
• Shoulder fractures: sling for 3–6 weeks; structured shoulder rehab; full function by 4–6 months.
• Hip fractures (elderly): Day-1 mobilisation; walker-assisted walking; independent mobility by 8–12 weeks.
• Femur / Tibia fractures: protected weight-bearing 4–8 weeks; full weight-bearing by 8–12 weeks; full function by 4–6 months.
• Ankle / Foot fractures: non-weight-bearing for 6 weeks; gradual progression; full function by 3–4 months.
• Complex / Intra-articular fractures: slower recovery with careful staged rehabilitation.

Following the rehabilitation programme exactly is the single most important factor in regaining full function.

Cost of Fracture Fixation Surgery in Hyderabad

The cost of fracture fixation surgery in Hyderabad depends on:

• Type and location of the fracture
• Implant used (plate, nail, screws, external fixator, prosthesis)
• Single vs multiple fractures
• Hospital category and length of stay
• Type of anaesthesia
• Complexity (open fractures, revision, non-union all add cost)

Estimated Cost Range: ₹50,000 to ₹4 Lakhs (indicative — varies widely by fracture type and complexity).

*We share the final cost after your evaluation. Cashless insurance and EMI options are available with all major providers.