The treatment

The treatment of a greenwood fracture depends on the severity of the fracture. In the case of frequent uncomplicated fractures, it is sufficient to immobilize the affected area for some time with a plaster cast or splint. The fracture will then heal completely on its own.

Even in the case of a slight malposition, treatment can often be conservative, i.e. without surgery. The ends of the fracture can be pulled apart under mild anesthesia and thus brought back into the correct starting position. A plaster cast or splint can then be applied for immobilization.

In rare but serious cases, however, surgery is often necessary. Especially if a joint is also affected by the fracture or if there is a considerable malposition, surgical treatment is necessary. It is also possible that a plaster cast or splint alone cannot adequately fix the bone ends. Another important indication for surgery is an externally visible injury caused by the fracture ends, the so-called open fracture. An open fracture is always an indication for surgery and must also be treated as quickly as possible due to the risk of infection.

Growth disorder as a complication disorder

Especially bone fractures that run through the growth joints of the bone, the so-called epiphyseal joints, can lead to growth disorders. This can result in either reduced or increased bone growth at the injured site. In both cases, this results in a malposition of the bone, which may have to be treated surgically and may have permanent consequences.

Incorrectly treated fractures can also lead to growth disorders. For example, a fracture immobilized in the malposition can lead to healing of the bone in the tilted position. This can also have permanent consequences and require several years of orthopedic treatment.

How long should the cast be worn?

The cast or splint should be worn for a maximum of six weeks for simple fractures. In most cases, however, three to five weeks are sufficient to allow the fracture to heal. If the cast is worn for longer than six weeks, the muscles of the affected limb may regress. After removal of the plaster cast, the affected limb should be spared excessive strain for about two more weeks, for example during sports.