Osteosynthesis (treatment of bone fractures)

Osteosynthesis is an effective method for treating complex fractures. It involves fixing bone fragments in an anatomically correct position. For this purpose, special metal devices are used — either external or internal. Plates, rods, pins, screws, and other implants stabilize the fragments and ensure proper bone healing.

What is osteosynthesis and when is it needed?

Osteosynthesis is a surgical procedure in which an orthopedic surgeon repositions fractured bone fragments and stabilizes them in the correct alignment. Further recovery depends on the body’s natural healing processes until complete bone union is achieved.

This technique is used in complex cases when cast immobilization is not sufficient. It is indicated for the following types of fractures:

1. Displaced fractures. Significant displacement may impair proper healing or lead to malalignment. Such injuries require stable internal fixation.
2. Comminuted fractures . Multiple bone fragments complicate healing. Implants help maintain alignment and reduce the risk of complications such as non-union.
3. Intra-articular fractures (restoration of the articular surface). When a fracture involves a joint, surgical precision is critical. Improper healing may lead to osteoarthritis and reduced mobility. Accurate restoration of the joint surface and stable fixation help prevent these outcomes.
4. Open fractures. Associated with soft tissue injury and exposure of bone, that increases the risk of complications. Surgical stabilization is often required after proper wound management to reduce infection risk.

Contraindications to this procedure

Surgery is not performed in certain cases:

• severe general condition of the patient (e.g., decompensated heart failure, acute exacerbation of chronic diseases, active autoimmune disorders);
• infection at the fracture site — implantation of metal devices may worsen the condition. Infection must be treated before surgery;
• fractures that can heal adequately with conservative treatment — in such cases, immobilization (e.g., casting) may be preferred.

It should be noted that osteosynthesis is an invasive procedure and may involve postoperative discomfort and a longer recovery period in some cases.

How is osteosynthesis performed?

Osteosynthesis is performed under general or regional anesthesia. The surgeon makes an incision to access the fracture site. Preoperative imaging (X-ray, CT, or MRI) is used to plan the procedure.

Bone fragments are carefully repositioned into their correct anatomical alignment. After open reduction, they are fixed using appropriate implants:

1. Plates and screws are used for fractures of long bones such as the femur, tibia, and forearm;
2. Intramedullary nails (rods) are inserted into the bone canal and secured with locking screws;
3. Pins, wires, screws, or cerclage fixation are used for smaller bones, such as those of the hand or foot, or in complex fracture patterns.

Intraoperative imaging (fluoroscopy) is used to confirm correct positioning. After fixation, the wound is closed and a sterile dressing is applied. In some cases, additional immobilization with a cast or orthosis may be used, although it is often not required.

Recovery after osteosynthesis

After surgery, the patient remains under medical supervision for several hours to several days, depending on the condition. Additional treatment, such as antibiotics, may be prescribed, especially in cases of open fractures.

At Mashtaler Ortho&Trauma Clinic, patients can also undergo a comprehensive rehabilitation program.

What does the program include?

1. Early mobilization. If there are no contraindications, gentle movement of the affected limb may begin as early as the day after surgery. This promotes recovery and helps prevent stiffness.
2. Physical therapy. Individually selected exercises strengthen muscles, improve ligament elasticity, and restore joint function.
3. Physical therapy modalities. The clinic offers methods such as high-intensity laser therapy and focused shockwave therapy, which may support tissue healing and help prevent complications.

Bone healing typically occurs within 6–12 weeks. However, full rehabilitation may take 6–12 months. Metal implants can remain in the body long-term; if necessary, they may be removed after 1–2 years.

Osteosynthesis at Mashtaler Ortho&Trauma — modern approaches to fracture treatment

Our clinic provides a comprehensive approach to trauma and orthopedic care. We develop individualized treatment plans tailored to each patient to achieve optimal outcomes with minimal risk of complications.

By choosing our clinic, you benefit from:

1. Modern techniques. We perform both external and internal osteosynthesis, including plate fixation and intramedullary nailing, allowing effective treatment of various fracture types.
2. High-quality implants. We use modern biocompatible implants that ensure stability and integrate well with bone tissue.
3. Minimally invasive approaches. Surgical techniques are selected to minimize soft tissue damage and incision size, promoting faster recovery and better cosmetic results.
4. Comprehensive care. Patients receive full support at every stage — from consultation and diagnosis to surgery and rehabilitation.

How to schedule a consultation

You can contact us using any convenient method:

• submit a request via the website;
• call: +38 067 133 86 71;
• email: info@mashtaler.com.ua or contact us via social media.

Cost of osteosynthesis surgery

The cost of fracture treatment is determined individually and depends on the complexity of the case and the patient’s condition. You can review indicative prices in the table below, while the final treatment plan and cost are established during consultation.

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