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Orthopaedic trauma

Lower Limb Fractures

OVERVIEW

Lower limb fractures refer to breaks or cracks in the bones of the lower extremities, comprising the hip, thigh, knee, lower leg, ankle, and foot. These fractures can occur due to various reasons, including trauma, falls, sports injuries, or underlying medical conditions affecting bone health.

Types of lower limb fractures:

Lower limb fractures encompass a spectrum of injuries, each requiring a tailored approach for optimal treatment. Dr du Plessis is well-versed in managing various types of lower limb fractures, including:

  1. Hip fractures: Often seen in older adults, hip fractures can result from falls or low-energy trauma. Dr du Plessis employs advanced surgical techniques to stabilize and repair hip fractures where appropriate or else to perform hip replacement surgery as indicated, facilitating a quicker recovery.
  2. Femoral fractures: Fractures of the femur, the thigh bone, can occur in different regions. These fractures may be managed conservatively or require surgical intervention based on the severity and location.
  3. Knee fractures: Injuries to the knee can involve the patella (kneecap) or the bones around the knee joint. Dr du Plessis employs a comprehensive approach, considering factors like joint stability and ligament involvement.
  4. Tibial and fibular fractures: Fractures of the shinbones, the tibia and fibula may range from minor stress fractures to complex fractures requiring surgical intervention. Dr du Plessis employs advanced fixation techniques for optimal outcomes.
  5. Ankle and foot fractures: From the delicate bones of the ankle to the intricate structures of the foot, fractures in these regions demand specialized care. Dr du Plessis utilizes his expertise to assess and treat fractures, ensuring a return to normal function.

Causes lower limb fractures:

Lower limb fractures can result from a multitude of causes, including falls, accidents, sports injuries, and underlying medical conditions affecting bone density. Dr du Plessis meticulously evaluates each case to identify the root cause, allowing for a comprehensive treatment plan.

SYMPTOMS
Recognizing the signs of lower limb fractures is crucial for prompt intervention. Common symptoms include pain, swelling, deformity, inability to bear weight, and restricted range of motion. Dr du Plessis employs his diagnostic acumen to assess symptoms and formulate a precise treatment strategy.
TREATMENT
Dr du Plessis employs a multidisciplinary approach to treating lower limb fractures. For less severe fractures, conservative treatments such as immobilization, physical therapy, and pain management may be sufficient. However, in complex cases, surgical intervention may be necessary. Dr du Plessis utilizes cutting-edge surgical techniques, including internal fixation, external fixation, and joint replacement when required, to restore function and facilitate a speedy recovery.

FAQ

How long does the recovery process take for lower limb fractures?
The recovery time varies based on the type and severity of the fracture, as well as individual factors. Dr du Plessis works closely with patients to create a personalized rehabilitation plan, including physical therapy, to optimize recovery. Some fractures may heal in a matter of weeks, while others may require several months.
What can I do to prevent lower limb fractures?
Preventive measures include maintaining good bone health through a balanced diet rich in calcium and vitamin D, engaging in regular weight-bearing exercises, using proper safety equipment during sports and recreational activities, and addressing underlying medical conditions that may affect bone density.
How are lower limb fractures diagnosed?
Dr Jason du Plessis employs a combination of clinical evaluation, imaging studies (X-rays, CT scans, MRI), and patient history to diagnose lower limb fractures accurately. This comprehensive approach ensures a thorough understanding of the injury for an effective treatment plan.

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    PUBLICATIONS

    Assessment of the Reliability and Reproducibility of the Langenskiöld
    Classification in Blount’s Disease

    DU PLESSIS J, Firth GB, Robertson A. Assessment of the reliability and reproducibility of the Langenskiöld classification in Blount's disease. Journal of Pediatric orthopedics. Part B. 2019 Nov 12.

     

    The Impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg

    Foster M, Du Plessis J, Jansen van Vuuren M, Jingo M, Pietrzak JR. The impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg. SA Orthopaedic Journal. 2022;21(2):70-5.

    Short term results following two stage revision for periprosthetic joint infection

    DU PLESSIS, J et al. Short-term results following two-stage revision for periprosthetic joint infection. South African Orthopaedic Journal, [S.l.], v. 19, n. 2, p. 64-69, may 2020

     

    Comparison of visual estimations of distal radius fracture radiographic parameters between different levels of orthopaedic doctors.

    Naidoo V, Milner B, du Plessis J. SA Orthop J. 2025;24(1):26-31. http://dx.doi.org/10.17159/2309-8309/2025/v24n1a4