What it is
A fracture is a break in a bone. Fractures can be small cracks or complete breaks, and they can happen from falls, sports, accidents, repetitive stress, or bones weakened by other conditions. Some fractures are clean and stay in place, while others shift, split into several pieces, or involve a joint.
Orthopedic trauma is the area of orthopedics focused on more serious or complex injuries to bones, joints and the tissues around them. This can include breaks in the arm, wrist, hip, leg, ankle or pelvis, as well as injuries from high-energy events such as car crashes. Some orthopedic surgeons complete extra training in trauma.
Fracture care covers the whole path from the first evaluation through healing and follow-up. It may involve imaging, support or immobilization of the bone, and in some situations surgery. Which of these applies depends on the person, the bone and the injury, and only a licensed clinician can determine that after an evaluation.
How it’s traditionally been approached
Fractures have long been evaluated with a physical exam and imaging such as X-rays, and sometimes CT or MRI scans for a closer look. The goal of the evaluation is to understand which bone is involved, how it is broken, and whether nearby nerves, blood vessels or joints are affected.
Traditionally, many fractures are supported with casts, splints or braces so the bone can stay aligned while the body heals. Some breaks need the bone gently realigned first. Follow-up visits and repeat imaging are commonly used to see how healing is progressing.
When a break is unstable, out of position, or involves a joint, surgeons have traditionally used trauma surgery. This may involve devices such as plates, screws or rods to hold the bone in place. Healing times and recovery are general ranges that vary a great deal from person to person, and rehabilitation or physical therapy is often part of the process.
How the right orthopedic doctor may help
The right orthopedic doctor may help by examining the injury, reviewing imaging, and explaining in plain language what type of fracture is present and what options exist. A first visit often includes questions about how the injury happened, your health history, medications, and daily activities. Bringing a list of questions and any prior records or images can be helpful.
Useful questions to ask include: What kind of fracture is this? Is it stable? What are the non-surgical and surgical options, and what are the possible risks and benefits of each? What activities should I avoid for now, and what warning signs should prompt a call to your office? It can also help to ask how often the doctor treats this type of injury.
If surgery is suggested, it is reasonable to ask why, what the alternatives are, and what recovery may generally look like. Seeking a second opinion before major surgery is common and encouraged. You can also ask about follow-up, rehabilitation, and how bone health might be looked at if the break happened from a minor fall.
The whole-person view
A broken bone affects more than the bone. Pain, limited movement, time away from work or activities, and worry about healing can all affect sleep, mood and stress, and stress and low mood can in turn affect how the body feels and copes. Body, mind and daily life are closely connected.
Some people find it helpful to have support during recovery, especially after a frightening fall or accident. Somatic Experiences offers body-based support that some people explore when an injury leaves them feeling tense or on edge, and Therapists.plus connects people with talk therapy for stress, worry or adjusting to changes. These are options to consider alongside, not instead of, care from your orthopedic doctor.
Somatic Experiences: embodiment and movement →Therapists.plus: mind body connection →
Keep in mind
- Only a licensed clinician can diagnose a fracture and decide what care is appropriate after an evaluation.
- For emergencies, such as a bone pushing through the skin, severe deformity, heavy bleeding, numbness, a cold or pale limb, or a serious accident, call 911.
- If an injury or its aftermath leaves you in emotional crisis, call or text 988 to reach the Suicide & Crisis Lifeline.
- Recovery times and outcomes vary from person to person, and no provider can promise a specific result.
Orthopedic doctors
We’re welcoming founding orthopedic doctors for fractures & orthopedic trauma now. Get matched or list your practice.
Frequently asked questions
How do I find an orthopedic doctor near me for a broken bone?
Start by looking for a licensed orthopedic doctor or orthopedic surgeon who treats fractures, and ask whether they have experience with your type of injury. Your primary care provider, urgent care or insurance directory may help point you to options. For a severe injury, go to an emergency room or call 911.
Do all fractures need surgery?
No, many fractures are treated without surgery, often with a cast, splint or brace. Surgery is generally considered when a bone is unstable, out of position, or involves a joint. Only a licensed clinician can say what fits your situation after an evaluation.
What is an orthopedic trauma surgeon?
An orthopedic trauma surgeon is an orthopedic surgeon who focuses on serious or complex bone and joint injuries, such as breaks from high-energy accidents or fractures around joints. Not every fracture needs a trauma specialist, and your doctor can explain whether one is appropriate.
How long does a broken bone take to heal?
Healing time varies widely depending on the bone, the type of break, age, overall health and other factors. Many fractures take weeks to months, and full return to activity can take longer. Your orthopedic doctor can give a general range for your situation, though it is never a guarantee.
What should I ask at a fracture appointment?
Ask what type of fracture you have, whether it is stable, and what your options are, including non-surgical ones. Also ask about activity limits, warning signs to watch for, follow-up imaging, and rehabilitation. If surgery is recommended, asking about alternatives and getting a second opinion are reasonable steps.
Are PRP or stem cell injections approved for healing fractures?
Many biologic or so-called regenerative injections, including PRP, stem cell, amniotic, umbilical and exosome products, are not FDA-approved for orthopedic uses, and insurance often does not cover them. Only a licensed clinician can decide what is appropriate for you. If one is suggested, ask about its regulatory status, the reasons for it, and the costs involved.
Educational resource. Best Orthopedic Doctors shares general information and connects people with independent orthopedic doctors. It is not medical advice, diagnosis or treatment. Talk with a licensed professional about your health.