DR. ADITYA R. BOTHRA

Dr. Bothra likely treats various types of fractures, including:

• Simple (Closed) Fractures: Bone fractures that do not pierce the skin.
• Open Fractures: Where the bone breaks through the skin, requiring careful management to prevent infection.
• Comminuted Fractures: Where the bone is shattered into multiple pieces.
• Greenstick Fractures: A partial fracture common in children where the bone bends but doesn’t break completely.
• Stress Fractures: Small cracks in the bone often caused by repetitive motion, commonly seen in athletes.
• Fractures of Major Joints: Including fractures of the knee, hip, shoulder, and elbow.

Upon visiting Joint Avenue Hospital for a fracture, Dr. Bothra would begin with:

• Clinical Evaluation: Physical examination of the injury site to assess the severity of the fracture, deformity, swelling, and tenderness.
• Imaging: X-rays are the most common diagnostic tool used to confirm the type and location of the fracture. Depending on the complexity, MRI or CT scans may also be ordered for a detailed view of bone and surrounding tissues.

• Casting or Splinting: For fractures that do not require surgery, the bone is set in place using a cast or splint to ensure proper healing.
• Traction: In some cases, particularly with fractures involving bones that have been displaced, traction may be used to gently realign the bone before applying a cast.
• Orthopedic Bracing: For fractures of the joint areas like the wrist, ankle, or elbow, braces may be used to support healing.

• Open Reduction and Internal Fixation (ORIF): A common procedure where the surgeon opens the fracture site to realign the bones, using plates, screws, or rods to hold the bones together while they heal.
• Intramedullary Nailing: A method where a metal rod is inserted into the center of a long bone (like the femur or tibia) to stabilize the fracture.
• External Fixation: Used for fractures that cannot be treated through internal fixation, especially in cases of complex or open fractures. It involves placing external pins and rods to stabilize the bone.
• Joint Replacement Surgery: In some cases, especially with fractures of the hip or knee, Dr. Bothra may recommend partial or total joint replacement if the fracture has severely damaged the joint.

• Computer-Assisted Navigation: For complex fractures and joint replacements, computer-assisted systems help in precise planning and alignment.
• Robotic-Assisted Surgery: In some cases, robotic tools may assist in accurately positioning plates or screws in the fracture site.
• J3D Imaging & Modeling: In advanced cases, 3D imaging may be used to help visualize fractures and plan surgery with better precision.

• Physical Therapy: Dr. Bothra would likely recommend a rehabilitation program that includes physical therapy to restore function, strength, and range of motion in the affected limb or joint.
• Pain Management: Post-operative care includes pain relief options, ranging from medication to local therapies like ice packs or heat applications.
• Follow-Up Appointments: Regular follow-up visits to monitor the healing process through X-rays and clinical assessments.

• Simple Fractures: Non-surgical fractures often heal within 6–8 weeks with appropriate casting or bracing.
• Complex Fractures: Surgical fractures may take 3–6 months to fully heal, with physical therapy continuing for an extended period.
• Joint Involvement: Fractures involving major joints like the hip or knee may require longer rehabilitation, particularly if joint replacement surgery is involved.

• Pediatric Fractures: Specialized treatment for fractures in children, who may require different management strategies due to growing bones.
• Geriatric Fractures: Older adults may require a more careful approach, as bone density decreases with age, making fractures more complicated.
• Athletes: For sports-related fractures, Dr. Bothra would work on a quick but safe return to sports through tailored rehabilitation.