A fracture can happen in an instant — a fall at home, a road traffic accident, a sports injury, or a fragility fracture in an older adult — and what happens in the first few hours often shapes the entire recovery. Eva Hospital, Ludhiana provides 24×7 emergency care for fractures and orthopaedic trauma, covering injuries from a simple wrist fracture to complex, open, multi-fragment injuries.
Every patient is assessed rapidly and thoroughly — checking circulation and nerve function, obtaining appropriate imaging, splinting or reducing the injury for comfort and safety, and then deciding, on clinical grounds, whether the fracture can heal with a cast or brace or whether it needs surgical fixation. That decision is never automatic; it is based on the fracture pattern, the joint involved, the patient’s age and health, and the demands they need their limb to meet.
Trauma care is rarely just about “fixing a broken bone.” It starts the moment a patient arrives — with a rapid assessment of the whole limb, not just the fracture visible on the X-ray — and continues through to the point where a patient has regained functional use of the injured limb.
At Eva Hospital, emergency assessment, the decision between casting and surgery, fixation when required, and structured rehabilitation are managed by the hospital’s orthopaedic team.
This continuity matters most in trauma, where early decisions — how a fracture is reduced, whether soft tissue is given time to settle before fixation, how a joint surface is reconstructed — have a lasting effect on the final result.
Disclaimer: Images are AI-generated for illustrative purposes only.
Many fractures heal well with a cast, brace or splint and careful monitoring. Surgery may be considered when one or more of the following apply:
Details of registered medical practitioners at Eva Hospital, Ludhiana, provided for patient information.
Consultant Orthopaedic Surgeon
Registration can be verified on the NMC website.
Pain that is severe or worsens with movement · swelling and bruising · visible deformity · inability to bear weight or use the limb · tenderness over the bone · numbness or tingling. A diagnosis can only be made after examination and imaging.
Surgery is not advised only on the basis of an X-ray. The decision should match the patient’s pain, function, clinical examination, lifestyle limitation, medical fitness, and expectations.
Neurovascular Assessment
X-rays
CT (Where Required)
Temporary Splintage / Reduction
Decision: Cast or Surgery
NABH accredited (Certificate No. SHCO-2019-0201, Valid thru : January 12, 2029) · ECHS empanelled · 24×7 emergency services · X-ray and Ultrasound· Rehabilitation and follow-up services
No. Many fractures heal well with a cast, brace or splint and monitored X-rays. Surgery is considered when the fracture is significantly displaced, unstable, involves a joint surface, is open, or is unlikely to heal well with non-operative treatment alone.
The decision is based on the fracture pattern, whether it involves a joint, the degree of displacement, associated soft-tissue or neurovascular injury, the patient’s age and health, and their functional demands — not a fixed rule for every fracture.
ORIF (open reduction and internal fixation) uses a plate and screws to hold the fracture, commonly for fractures near joints. Intramedullary nailing passes a rod through the centre of the bone and is typically used for shaft fractures of long bones like the femur and tibia.
An open fracture, where the bone breaks through the skin, carries a significantly higher risk of infection and requires urgent wound assessment, antibiotics, surgical debridement, and fracture stabilisation, often as an emergency.
A surgical emergency where increasing pressure within a muscle compartment cuts off blood supply to the limb. Warning signs include pain that is disproportionate to the injury or worsening despite pain relief, and require immediate assessment.
A fracture that has failed to heal within the expected timeframe. Treatment may involve revision fixation, bone grafting, or other measures to stimulate and support healing.
A malunion is a fracture that has healed in a deformed or misaligned position. It can often be corrected with a planned surgical procedure (osteotomy) to restore alignment and improve function.
Early surgery and early mobilisation in elderly hip fracture patients are strongly associated with better outcomes and fewer complications, which is why these fractures are prioritised rather than treated as routine trauma.
Whether this is a fresh injury requiring urgent assessment or a longstanding nonunion or malunion needing reconstruction, Consult the Orthopaedics Department at Eva Hospital, Pakhowal Road, Ludhiana. For emergencies, visit our 24×7 emergency department.
