There are a number of things that can hinder the healing of broken bones or fractures and one of them is smoking, said dr. Muhammad Adib Khumaidi, Sp.OT Specialist in Orthopedics and Traumatology from the National Brain Center Hospital.
“Smoking can damage blood vessels and reduce blood circulation,” said he who is a member of the Indonesian Orthopedic & Traumatology Specialist Doctors Association (PABOI) in a health webinar reported BetweenMonday (4/4/2022).
Things that also become obstacles to fracture healing are the movement of injured bones, health conditions due to diabetes, hormonal disorders or vascular disease, severe, complicated and infected fractures, old age and old age.
“The management of fracture conditions in patients with this etiology must also address the things that can affect the healing of this fracture,” said Adib.
In healing, there is a risk of interference which can be influenced by location, type of fracture, vascularity, fracture fragments, immobility, presence of infection, metabolic disease, nutrition and drugs.
Adib said about 10 percent of fractures showed impaired healing. Most cases of infection occurred in the condition of an open fracture of the tibia.
The fracture healing phase includes the formation of inflammation, the formation of cartilage from stem cells, the replacement of cartilage into bone, and the remodeling phase. Patients need to understand this phase to know when to return to mobilization.
“The patient’s question is, when can you remove the stick, can you move right away? It is strongly influenced by the fracture healing phase and this will also differ in clinical conditions i.e. closed or open, age. This means that pediatric patients with adults differ in the duration of fracture healing,” explained Adib.
He added that slow fracture healing can cause morbidity and become an economic burden because it reduces patient productivity and makes them have to have regular check-ups in the hospital.(ant/iss)