Trauma & Limb Reconstruction
Treatment of fractures and severe finger/limb injuries (crush and amputation), with skin, tendon, nerve grafts and dedicated flap surgery.
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What are fractures and limb injuries?
A fracture means a loss of the bone's continuity from a force beyond what it can bear — from a hairline crack to a multi-fragment break. My goal, as Dr. Jalil Emad, is to restore the bone's correct alignment and stabilise it firmly so it heals and you return to life — from simple fractures to complex reconstruction.
Why and how does it happen? (in plain terms)
When a force (an accident, a fall, a sports injury) exceeds the bone's strength, the bone breaks. The severity depends on the force, the site and the bone's quality; in weakened bone (such as osteoporosis) even a minor impact can cause a fracture. Correct, timely treatment prevents mal-union and complications.
Symptoms and signs
- Severe pain and swelling immediately after the injury
- Deformity or shortening of the limb
- Inability to bear weight or move the limb
- Bruising and, in an open fracture, a wound over the fracture site
Treatment options — step by step
The treatment depends entirely on the type and site of the fracture and is set individually for each patient.
Step 1 — Non-surgical (cast or splint)
- What it is: Immobilising a stable, non-displaced fracture with a cast or splint until it heals.
- How it helps: Holds the bone in correct alignment without surgery.
- Who it suits: Simple, stable, non-displaced fractures.
- What to expect: A few weeks of immobilisation, then physiotherapy to restore movement.
Step 2 — Closed reduction
- What it is: Returning the bone to place without an incision, then holding it with a cast.
- How it helps: Corrects the bone's alignment without surgery.
- Who it suits: Displaced fractures that can be realigned by hand.
- What to expect: Regular X-ray checks to confirm the alignment is maintained.
Step 3 — Surgical internal fixation
- What it is: Correcting alignment and stabilising firmly with a plate and screws or an intramedullary nail.
- How it helps: Provides a solid fixation that allows early movement and reliable healing.
- Who it suits: Displaced, unstable or intra-articular fractures.
- What to expect: A gradual return to activity with a rehabilitation plan.
Step 4 — Reconstruction and external fixation
- What it is: For severe, open, or non-healed fractures, staged reconstruction of bone and soft tissue (with an external fixator if needed).
- How it helps: Restores the limb's function even in complex injuries.
- Who it suits: Open, comminuted or non-united fractures.
- What to expect: A multi-stage path with careful follow-up and close support.
Summary
Fracture treatment ranges from a simple cast to complex reconstruction and is set entirely individually. The goal is always correct alignment, reliable healing and a swift return to activity.
When to seek care urgently
After any significant impact, a deformed limb, persistent pain and swelling, numbness, or an inability to bear weight require prompt assessment and imaging.
The services I offer
From urgent assessment and diagnosis, to non-surgical treatment, surgical internal fixation and specialist reconstruction for complex cases and old non-healed fractures — I am with you to return the limb to its best function.
Patients' frequently asked questions
Does every fracture need surgery?
No. Many fractures are treated with a cast or a splint. Surgery is needed when the fragments are displaced, the fracture runs into a joint, or it will not stay in place in a cast.
Do plates and screws have to be removed later?
Usually not, unless they cause irritation or pain. Removing an implant is a separate operation and is done only when needed.
How is a fracture that will not heal treated?
Depending on the cause, from firmer re-fixation to bone grafting or the Ilizarov method. Smoking, uncontrolled diabetes and moving too early are common causes of non-union.
When can I put weight on the leg after fracture surgery?
It depends on the fracture type and the fixation method, and is written on the discharge sheet — anywhere from weight-bearing as tolerated to several weeks of no weight at all. Do not load the leg before the surgeon allows it.
This content is for information only and is not a substitute for an in-person visit and specialist consultation.

Dr. Jalil Emad
Orthopedic specialist and surgeon, board-certified in bone and joint surgery; years of experience in knee and hip replacement, sports injuries and arthroscopy in Isfahan.
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