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Broken bones must be repaired and maintained in position until the bones are fused again. One way is to install a pen. The procedure for inserting a pen to treat fractures is carried out by a surgeon
The procedure for inserting a pen to treat fractures is carried out through surgery. The goal is to maintain the position of the bones (bone stabilization). This procedure can shorten the length of hospitalization during the recovery period, allow patients to return to activities more quickly, and reduce the risk of incomplete bone fusion.
The pen used is made of stainless steel and titanium which is strong and durable. If joint replacement is involved, joint implants may be used, which can also be made of cob alt and chrome. Both the pen and the implant are made of special materials that rarely trigger allergic reactions.
Preparation Before Installing the Pen
In patients with fractures, the doctor will ask about the cause of the injury and the position when the injury occurred. It aims to estimate whether there is a fracture in the injured part or not.
The doctor also needs to know the age and medical history of the patient to consider the type of treatment to be given. After that, the doctor will perform a physical examination on the injured body part, through observation and touch or pressure.
Symptoms and signs that can be seen in fractures include:
- Change the shape of the bones
- Reduced range of motion of limbs
To ensure the patient's condition, the doctor can perform a supporting examination with X-rays. If necessary, the doctor can also perform a CT scan or bone scan.
If there is a fracture and the condition is severe enough, the doctor will recommend a pen insertion operation. While waiting for surgery, the patient will be placed in a temporary cast or splint to maintain the position of the broken bone.
How is the Pen Installation Procedure Done?
The surgery to repair a broken bone and insert a pen is performed by an orthopedic surgeon (bone surgeon) and can take several hours.
Patients will be given general anesthesia to fall asleep during the operation or local anesthesia to numb the area of the body to be operated on. Anesthesia is administered by an anesthesiologist.
After the patient is anesthetized, the surgeon will perform the following steps in the pen insertion operation:
Making an incision
If you are going to install plates and screws, the surgeon will make an incision over the fracture site. Doctors can make incisions only at the ends of long bones if later, metal rods will be placed on the inside of the bone to stabilize the bone.
Installing the pen
The position of the broken bone will be restored to its original position, then the surgeon will install plates, screws, or metal rods to maintain the position of the bone.
The doctor may perform a bone graft if the bone is broken into several pieces. During the operation, the blood vessels damaged by the injury will also be repaired.
After all the procedures are done, the surgeon will close the incision with stitches or staples and cover it with clean gauze. At the last stage, the broken area will be placed in a plaster cast.
In certain conditions, surgeons need to attach wires called K-wires to stabilize fractures. K-wires are drilled through the bone to hold the fracture in place. This wire can be attached from the outside by penetrating the skin or it can be implanted under the skin.
K-wires are generally used when traction or pulling is required for certain types of fractures. In traction action, K-wires drilled into the bone function as hooks that will be hung by the traction device with a load to pull the broken bone back into position.
Please note, now there are modern plate installation techniques, namely locked plating and dynamic plating. This modern plate installation technique uses the principle of minimal surgical incision, resulting in shorter recovery time after surgery.
The duration of bone healing will usually take 6–8 weeks. This healing time may vary for each patient, depending on the type and location of the fracture.
During the recovery process after insertion of the pen, you may feel pain and swelling in the area of the surgical site. To fix this, you can compress and rest the part that has broken bones, and raise the part so that it is in a higher position than your heart when lying down.
Usually, doctors will also prescribe pain relievers to treat these complaints. Take medication and take care as recommended by the surgeon after the pen surgery, so that the fracture healing process goes well.
dr. Sonny Seputra, M.Ked.Klin, SpB, FINACS