Understanding Fractures

A fracture is a break or crack in a bone, often caused by falls, accidents, sports injuries, or overuse. Proper management is essential to ensure the bone heals correctly and regains full strength and alignment. Fractures are classified in a variety of ways, including: stable vs. unstable, open vs. closed as well as according to the fracture pattern (transverse, oblique, spiral, comminuted).

What causes a fracture?

Fractures are often caused by direct trauma, such as a hard knock or fall. Fractures can occur as a sports injury, or as a result of a motor vehicle accident. Fractures can also be caused by osteoporosis, as bones are weakened and more likely to break, or as a result of overuse (particularly in athletes).

What are the symptoms?
Symptoms of a fracture include pain, swelling, and bruising. In some cases, the limb may appear to be deformed if a bone has moved out of place.

When Treatment Is Needed

Fracture treatment depends on:

• The type and location of the break.

• Whether the bones are displaced.

• Patient age, activity level, and overall health.

• Presence of associated injuries.

Treatment Options

Our orthopaedic surgeon may recommend:

• Casting or bracing for stable fractures.

• Reduction (realigning the bones).

• Surgical fixation using plates, screws, rods, or wires.

• Close follow-up with X-rays to monitor healing.

Benefits of Proper Fracture Care

• Ensures correct bone alignment during healing.

• Reduces the risk of long-term complications.

• Restores function, strength, and movement.

• Minimises pain and aids safe return to daily activities.

Recovery Process

Most fractures take several weeks to months to fully heal. Recovery includes:

• Immobilisation to protect the bone.

• Gradual mobility exercises and physiotherapy.

• Follow-up imaging to confirm healing progress.

Our Cape Town practice provides safe, evidence-based fracture care, ensuring every patient receives the correct treatment and support for optimal recovery.