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Lower Limb Fractures – Expert Care for Your Mobility

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Restoring Every Step: Specialised Treatment for Leg, Ankle, and Foot Fractures

Fractures of the lower limb can profoundly impact your ability to walk, stand, and maintain independence. Whether it's a simple break from a fall or a complex injury from trauma, expert and timely orthopaedic care is essential for proper healing and regaining your mobility. Mr. Raman Sethi provides comprehensive care for lower limb fractures, dedicated to guiding your recovery from diagnosis through to full functional restoration. Mr. Raman Sethi is a fellowship-trained Orthopaedic Surgeon with extensive experience in managing a wide range of fractures affecting the foot, ankle, tibia, femur, and hip, employing both non-surgical and advanced surgical techniques.

Common Lower Limb Fractures Treated

Mr. Sethi provides expert diagnosis, urgent care, and tailored treatment plans for fractures
of:

Foot Fractures

These include breaks in the various bones of the foot such as the metatarsals (long bones in the midfoot), phalanges (toes), navicular, cuboid, and calcaneus (heel bone).

Lisfranc Injury

A critical injury involving the bones and ligaments in the midfoot, often caused by high-energy trauma. It can be complex and requires meticulous attention to prevent long-term disability.

Ankle Fractures

Breaks in the distal ends of the tibia (shin bone) and/or fibula (smaller lower leg bone) that form the ankle joint. These can range from simple breaks to complex injuries involving multiple bones and ligaments.

Tibia Fractures (Shin Bone)

Fractures of the main weight-bearing bone in the lower leg. These can occur in the shaft (diaphyseal) or near the knee (tibial plateau) or ankle (pilon fracture).

Femur Fractures (Thigh Bone)

Breaks in the longest and strongest bone in the body, often resulting from high-energy trauma, or in older adults from falls (e.g., supracondylar femur fractures, shaft fractures).

Hip Fractures

Breaks in the upper part of the thigh bone (femur) close to the hip joint. These are particularly common in elderly individuals due to osteoporosis and typically require urgent surgical intervention.

Mr.Sethi’s Approach to Lower Limb Fracture Management

Mr. Sethi employs a patient-centred approach, prioritising non-surgical management when
appropriate, and offering advanced surgical solutions for complex or unstable fractures.

Non-Surgical Treatment
For stable fractures with good alignment, or when surgery is not suitable, options include:
  • Casting or Splinting : To immobilise the fractured bone and allow it to heal in proper alignment.
  • Bracing : Providing support while allowing some controlled movement during healing.
  • Crutches or Walking Aids : To limit weight-bearing as advised.
  • Pain Management : Medications and strategies to manage discomfort.
For displaced, unstable, or complex fractures that require precise anatomical reduction and rigid fixation, surgical intervention is often necessary. This may involve:
  • Open Reduction and Internal Fixation (ORIF) : Making an incision to realign the bone fragments and securing them with internal hardware such as plates, screws, or intramedullary (inside the bone) rods.
  • External Fixation : Using pins inserted into the bone connected to an external frame, often used for severe, open, or highly comminuted fractures, or as a temporary measure.
  • Arthroplasty (Joint Replacement) : In certain specific situations, particularly for some hip fractures or highly comminuted fractures affecting weight-bearing joints (e.g., complex ankle or tibial plateau fractures), replacing part or all of the joint may be the best option to restore function.
Mr. Sethi will thoroughly explain your specific fracture, discuss all suitable treatment options, and recommend the best path forward for your unique situation.

Why Choose Mr. Raman Sethi?

Specialised Lower Limb Expertise

As a fellowship-trained Orthopaedic Surgeon with a subspecialty focus on the lower limb, Mr. Sethi possesses in-depth knowledge and extensive experience in treating the full spectrum of lower limb fractures, from foot and ankle to tibia, femur, and hip.

Meticulous Surgical Precision

For fractures requiring surgery, he utilises advanced techniques and state-of-the-art fixation methods to achieve optimal anatomical reduction and stable fixation, crucial for proper healing and functional recovery.

Comprehensive Functional Restoration

His primary goal is not just to heal the bone, but to restore your mobility, strength, and ability to return to your daily activities and desired lifestyle.

Integrated Recovery Pathway

From immediate post-injury assessment to personalised rehabilitation guidance, Mr. Sethi and his team provide continuous support throughout your healing journey.

What to Expect During Your Recovery

Recovery from a lower limb fracture is a significant process that requires patience and dedication:

Initial Immobilization & Protection

Your limb will be protected in a cast, brace, or through surgical fixation.

Weight-Bearing Restrictions

Strict adherence to non-weight-bearing or partial weight-bearing instructions is critical for healing.

Pain Management

Effective strategies to manage discomfort.

Physiotherapy

A vital component, starting with early motion (if appropriate) and progressing to strengthening, balance, and gait training as the fracture heals.

Gradual Return to Activity

A phased return to daily activities, work, and sports, under the careful guidance of Mr. Sethi and your physiotherapist.

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FAQs

How long will I be non-weight bearing for a lower limb fracture?
The duration of non-weight bearing varies significantly based on the fracture's location, severity, type of treatment (surgical vs. non-surgical), and individual healing. It can range from a few weeks to several months. Mr. Sethi will provide specific instructions for your case.
Many displaced or unstable ankle fractures require surgery (ORIF) to restore proper alignment and stability of the joint. Simple, undisplaced fractures may be treated non-surgically with a cast or boot.
A Lisfranc injury involves damage to the bones or ligaments in the midfoot. It's serious because it affects the stability of the foot's arch and can lead to chronic pain and arthritis if not diagnosed and treated meticulously, often requiring surgery.
Generally, you cannot drive if you have a fracture that prevents you from safely operating a vehicle (e.g., cast or boot on your right foot for automatic, or either foot for manual transmission). This usually applies during the period of significant immobilization or restricted weight-bearing. Always consult Mr. Sethi for specific advice.
Potential complications include delayed healing or non-union (bone not healing), malunion (healing in a poor position), infection (especially with open fractures), nerve or blood vessel damage, post-traumatic arthritis (especially if the fracture involves a joint), and deep vein thrombosis (DVT).

Urgent Care for Lower Limb Fractures

If you suspect a lower limb fracture, especially if accompanied by severe pain, deformity, or inability to bear weight, please seek immediate medical attention. Your local emergency department is the appropriate first point of contact. Once stable, Mr. Sethi can provide expert ongoing orthopaedic care. For consultation regarding a diagnosed lower limb fracture or a second opinion: Book Your Appointment with Mr. Raman Sethi.
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