Lower Limb Fracture and Trauma Procedures
Restoring Function after Accidents and Injuries
Accidents and injuries can result in serious fractures and trauma to the lower limbs, which can significantly impact your mobility and quality of life. Dr Keeley has extensive experience in managing these complex injuries through both surgical and non-surgical treatments, aiming to restore function and help you return to your daily activities as safely and efficiently as possible.
Trauma surgery requires detailed, individualised care, as each patient and injury is unique, and lower limb injuries, in particular, often demand prompt attention to support mobility during recovery.
“Each trauma case is handled with careful attention and precision, as timely treatment can be key to optimising recovery, especially in lower limb injuries,” explains Dr Anthony Keeley. “Whether you are a private or public trauma patient, your treatment plan is tailored to your individual needs and circumstances to ensure the best possible care.”
To enable timely assessment and treatment of unexpected fractures or sporting injuries, Dr Keeley sets aside urgent appointment slots during each consulting session. This ensures that patients with acute injuries can be seen quickly, facilitating prompt diagnosis and management to help prevent complications and support a smoother recovery.
TYPES OF LOWER LIMB FRACTURES AND INJURIES
Lower limb fractures and trauma encompass a broad spectrum of injuries, which can have a significant impact on mobility and overall quality of life. These injuries may involve fractures to key bones in the leg, such as the hip, femur (thigh bone), tibia (shinbone), fibula, and ankle, and often result from high-impact incidents like motor vehicle accidents, sports injuries, or falls. In some cases, these injuries also involve damage to surrounding muscles, tendons, or ligaments, further complicating the healing process.
Dr Keeley manages a wide range of traumatic orthopaedic injuries, both in private and public hospital settings:
Hip Fractures: These include fractures of the femoral neck, intertrochanteric region, or subtrochanteric region, often occurring after falls or high-energy trauma.
Hip Dislocations: The femoral head is displaced from the acetabulum, causing significant pain and loss of function.
Acetabular Fractures: These are fractures of the socket portion of the hip joint, often associated with high-impact injuries.
Labral Tears: Involve tears in the cartilage that lines the socket of the hip joint, leading to pain and restricted movement.
Hip Bursitis: This is the inflammation of fluid-filled sacs (bursae) around the hip joint, which causes pain and discomfort.
Anterior Cruciate Ligament (ACL) Tears: A common knee injury where the ACL is torn or ruptured, often during sports that involve quick direction changes.
Meniscal Tears: The meniscus, a shock-absorbing cartilage disc in the knee, may tear from twisting motions or trauma.
Patellar Dislocation: The kneecap (patella) shifts out of its normal position, often due to a blow to the knee or twisting injury.
Other Ligament Injuries: This includes tears to other knee ligaments like the medial collateral ligament (MCL) or lateral collateral ligament (LCL).
Patellar Fractures: Fractures of the patella occur from direct trauma to the front of the knee.
Tibial Plateau Fractures: Fractures involving the top surface of the tibia (shinbone) that meet the knee joint, often from falls or car accidents.
Bone Complications: Some patients may be referred to Dr Keeley for issues like malunion (healing in a crooked position) or nonunion (where the bone doesn’t heal properly) from previous fractures.
Bone Infections: Osteomyelitis, a serious bone infection that can arise after trauma, requires specialised treatment to prevent further complications.
Open Fractures: When the bone breaks through the skin, exposing both the bone and tissues to infection. This type of injury typically requires immediate medical intervention and surgical care.
Closed Fractures: These occur when the bone is broken, but the skin remains intact. While less prone to infection, closed fractures can still require significant treatment, especially if the bone is displaced.
Displaced Fractures: Fractures where bone fragments have shifted out of alignment. Surgery may be necessary to realign the bones using plates, screws, or rods.
Non-Displaced Fractures: In these fractures, the bone breaks but remains in alignment. Non-displaced fractures typically heal with immobilisation but need to be closely monitored to prevent displacement during recovery.
Ligament Tears: Injuries to ligaments, which connect bones at the joints, can cause significant instability. Tears to major ligaments like the ACL or MCL can severely impair joint function and may require surgical repair.
Soft Tissue Damage: This includes injuries to the muscles, tendons, and skin around the bones. These injuries may result in bruising, swelling, and pain and can range from mild to severe.
Dislocations: These occur when bones are forced out of their normal positions in a joint, commonly seen in the knee or ankle. Dislocations require immediate medical attention to realign the joint and prevent further damage.
Each of these injuries requires prompt and tailored treatment. Dr Keeley’s approach involves both non-surgical and surgical options, depending on the severity of the injury, to help patients return to normal activities as efficiently as possible.
NON-SURGICAL LOWER LIMB TRAUMA TREATMENT OPTIONS
Treating lower limb fractures and trauma requires a tailored approach, with the treatment plan determined by factors such as the severity of the injury, the patient’s overall health, and the specific location of the fracture. Dr Keeley provides a range of both non-surgical (conservative) and surgical treatment options, carefully selected based on each patient’s unique needs.
For less severe fractures or injuries, conservative, non-surgical management may be sufficient including:
Minor fractures can often be treated with immobilisation techniques such as casts, splints, or braces. These devices keep the bone in place while it heals naturally. This method is particularly effective for non-displaced fractures, where the bones remain aligned. Immobilisation aims to stabilise the injury, protect the surrounding tissue, and facilitate healing while allowing patients to continue with daily life as comfortably as possible.
Following immobilisation, physiotherapy plays a crucial role in the recovery process. It helps to restore movement, strengthen the muscles around the injury, and prevent long-term stiffness or weakness. Depending on the injury, physiotherapy may start shortly after immobilisation or after the bone has healed.
Conservative treatment often includes pain management strategies to alleviate discomfort and reduce swelling. This may involve over-the-counter medications or prescribed anti-inflammatories, depending on the severity of the injury and patient needs.
Rest and avoiding weight-bearing activities are vital components of conservative treatment. In some cases, Dr Keeley may recommend the use of crutches or a walker to limit stress on the injured limb while it heals.
Conservative management is highly effective for many fractures and injuries, particularly when detected early. This approach is designed to minimise disruptions to daily life while allowing the body to heal naturally.
SURGICAL TREATMENT OPTIONS FOR LOWER LIMB TRAUMA INJURIES
For complex fractures or injuries that involve multiple bone fragments, surgical intervention may be necessary to achieve proper alignment and stabilisation. Dr Keeley is highly experienced in performing advanced surgical procedures using the latest techniques and technologies, all aimed at ensuring the best possible outcomes for his patients.
HIP PROCEDURES
Open Reduction and Internal Fixation (ORIF):This surgical procedure involves repositioning and stabilising fractured hip bones using plates, screws, or rods. It’s often required for fractures that cannot be aligned properly without surgery.
Hemiarthroplasty: In cases where the femoral head is severely damaged, but the acetabulum (hip socket) remains intact, this procedure replaces the femoral head with a prosthetic component. It’s commonly used for hip fractures that don’t involve the socket.
Total Hip Replacement (THR):For severe hip fractures or irreparable joint damage, a total hip replacement involves replacing the entire hip joint with a prosthetic implant. This is often necessary when both the femoral head and acetabulum are compromised.
Hip Resurfacing: A bone-conserving alternative to total hip replacement, this procedure trims and caps the damaged femoral head with a metal prosthesis while leaving the acetabulum intact. It’s usually recommended for younger, more active patients.
Revision Hip Surgery: This procedure addresses complications or failures from previous hip surgeries, such as implant loosening, infection, or component wear. It may involve removing and replacing the existing prosthesis and repairing any damaged bone or soft tissues.
Hip Fusion (Arthrodesis): In cases where preserving joint motion isn’t feasible, hip fusion surgically fixes the hip joint in a permanent position, eliminating movement. This is reserved for severe conditions or failed previous surgeries.
KNEE PROCEDURES
Anterior Cruciate Ligament (ACL) Reconstruction: This involves replacing a torn ACL with a graft, usually taken from a tendon, to restore knee stability. It’s a common procedure for sports-related knee injuries.
Meniscus Repair or Meniscectomy: Depending on the severity and location of the meniscal tear, Dr Keeley may repair the torn meniscus using sutures or remove the damaged portion through arthroscopic surgery.
Patellar Realignment Procedures: For recurrent patellar dislocation or instability, procedures like medial patellofemoral ligament (MPFL) reconstruction or tibial tubercle osteotomy may be performed to stabilise the kneecap.
Knee Arthroplasty: In cases of severe knee fractures or advanced joint degeneration, knee arthroplasty (either total knee replacement or partial knee replacement) replaces the damaged joint surfaces with artificial components.
Knee Arthroscopy: A minimally invasive procedure used to diagnose and treat various knee conditions, such as removing loose bodies, repairing ligaments, and treating cartilage injuries.
OTHER SURGICAL TECHNIQUES
This technique uses metal plates, screws, or rods to stabilise bone fragments during healing. It’s often necessary for fractures that cannot be managed with immobilisation alone.
For severe injuries, external fixation involves placing a frame outside the body that is connected to the bone through pins or screws. This method stabilises the bone during healing while protecting the surrounding tissues.
In cases of severe fractures or bone loss, a bone graft may be necessary. This can involve using bone from the patient’s own body (autograft) or from a donor (allograft) to support healing and promote new bone growth.
Whenever possible, Dr Keeley employs minimally invasive techniques to reduce recovery time, minimise scarring, and decrease the risk of complications. These techniques involve smaller incisions and less disruption to surrounding tissues, allowing for quicker rehabilitation.
REHABILITATION AFTER SURGERY
Rehabilitation is a critical part of the recovery process. After surgery, Dr Keeley works with patients to develop a personalised rehabilitation plan that may include physiotherapy, guided exercises, and follow-up assessments. The goal is to restore strength, flexibility, and full function to the affected limb while ensuring a smooth and effective recovery.
PROMPT AND COMPREHENSIVE CARE
Lower limb trauma often involves more than just bone injuries—ligament tears, soft tissue damage, and joint dislocations can complicate the recovery process. Timely and comprehensive treatment is essential to prevent complications such as improper bone healing, chronic pain, or reduced mobility. Whether through conservative management or surgical intervention, Dr Keeley provides thorough evaluations and personalised care plans to help each patient achieve the best possible outcome.
LOWER LIMB FRACTURES AND TRAUMA SURGERY FOR PRIVATE PATIENTS
As a private patient under Dr Keeley’s care, you will experience a high level of personalised treatment, quick access to surgical care, and enhanced recovery support at St George Private, Kareena Private, or Hurstville Private hospitals. Each hospital provides excellent medical facilities and a range of patient-centric amenities to make your stay comfortable and supportive for optimal recovery.
Dr Keeley ensures that each patient receives a treatment plan tailored to their specific injury and recovery needs. All three hospitals have fully equipped operating theatres and are supported by comprehensive diagnostic services such as radiology and pathology, enabling swift diagnosis and treatment.
St George Private, Kareena Private, and Hurstville Private Hospitals offer private rooms designed to enhance your comfort during recovery. Rooms are equipped with ensuite bathrooms, entertainment systems, and direct nurse call systems to ensure immediate assistance when needed. Many rooms also feature individual climate control, allowing you to adjust the temperature for your personal comfort.
A key feature of private care is the ability to choose from personalised dining options. Nutrition is a key focus during recovery with each hospital offering daily menus prepared by in-house chefs, with a range of fresh and nutritious meals designed to meet your dietary requirements. Dieticians are available to help plan meals based on medical, cultural, or personal needs, ensuring that your nutrition supports your healing process. Meal service times are structured, but patients can enjoy additional snacks and refreshments throughout the day also.
Many rooms are equipped with air-conditioning controls, allowing you to set the temperature to your personal preference. This feature helps ensure a comfortable environment during your stay, which may contribute to a more restful experience.
Private hospitals often provide more personalised attention with a higher nurse-to-patient ratio. This ensures that you receive prompt care when needed. Each room is equipped with a nurse call system for immediate assistance, giving you peace of mind that help is just a button away. Nurses are available to assist with medication management, pain relief, and post-surgical care.
Rehabilitation is an essential component of recovery from lower limb trauma surgery. After surgery, your care doesn’t end at discharge. These hospitals offer in-house physiotherapy and rehabilitation services tailored to your recovery. St George Private Hospital features specialised orthopaedic care units and post-operative rehabilitation services, ensuring that your recovery is guided by experienced professionals.
Throughout your treatment, Dr Keeley’s administrative team will work closely with your private health insurer, coordinating all aspects of your care. This includes everything from pre-operative consultations to post-surgical follow-ups, ensuring a smooth, stress-free experience.
As a private trauma patient under Dr Keeley’s care, you will receive personalised attention, advanced medical care, and the added comfort of a supportive environment designed to enhance your recovery experience. For public patients, Dr Keeley also provides high-quality trauma surgery through his appointments in public hospitals. While there may be longer wait times for public patients, the same level of expert care is delivered, with treatment plans aimed at achieving the best possible outcomes. Every patient, regardless of their status, is treated with professionalism, compassion, and a commitment to their wellbeing.
YOUR COMPREHENSIVE CARE PATHWAY AS PRIVATE TRAUMA PATIENT
When you experience a lower limb trauma and opt for private care, the process from injury to recovery is carefully managed to ensure the best possible outcome. Below is a step-by-step outline of the typical triage journey for a private trauma patient:
Accident or Trauma Event: The process begins when you sustain an injury, such as a fracture or severe trauma to the lower limb.
Emergency Assessment: If necessary, you may first visit a general emergency department where your condition is stabilised. If you’re conscious and able to communicate, you can indicate your choice for private care, or this may be arranged by your family or GP.
Private Hospital Transfer: Depending on the severity of the injury, you may be transferred directly to a private hospital, or arrangements can be made for you to be admitted to a private facility as soon as your condition is stable.
Urgent Appointment with Dr Keeley: As a private trauma patient, Dr Keeley can often assess your injury swiftly through an urgent appointment. His practice sets aside time slots each day specifically for trauma patients to ensure timely care.
Diagnostic Imaging: You will likely undergo immediate diagnostic imaging, such as X-rays, MRIs, or CT scans, to assess the extent of the injury. With advanced diagnostic facilities available in private hospitals, these scans are typically conducted with minimal delay.
Treatment Plan Development: Based on the imaging results and clinical assessment, Dr Keeley will develop a comprehensive treatment plan, outlining whether surgical or non-surgical options are best suited for your case.
Priority Admission: As a private patient, your admission to the hospital is typically prioritised, ensuring minimal wait times. The private hospital team coordinates your admission details, including room preferences and any pre-surgical preparations.
Pre-Operative Care: If surgery is required, you will undergo pre-operative assessments, which may include blood tests, medical clearance, and any other necessary preparations. During this time, Dr Keeley and his team will walk you through the surgical procedure and recovery expectations.
Surgical Treatment: If surgery is required, Dr Keeley will perform the procedure using the latest techniques, such as internal fixation with screws or plates, to ensure proper alignment and stabilisation of the injury. In cases where non-surgical treatment is appropriate, immobilisation (e.g., casting or bracing) and pain management will be initiated.
Post-Operative Care: Following surgery, you will be moved to your private room, where nurses provide immediate post-operative care, including pain management, wound care, and monitoring your recovery progress. In a private hospital, you may enjoy added comforts such as a personalised food menu, climate control, and entertainment, ensuring a more restful recovery environment.
In-Hospital Rehabilitation: Physiotherapy may begin during your hospital stay to start mobilising the injured limb and prevent stiffness or muscle weakening. Private hospitals often have dedicated rehabilitation units with experienced physiotherapists available to guide your initial recovery.
Discharge Planning: Dr Keeley’s team will coordinate a personalised discharge plan based on your progress. This may include home modifications, outpatient physiotherapy appointments, and detailed instructions for at-home care. For some patients, a temporary stay in a rehabilitation facility may be recommended to further support the recovery process.
Follow-Up Appointments: After discharge, you’ll have regular follow-up appointments with Dr Keeley to monitor your progress. These may include further imaging to ensure the injury is healing correctly and consultations to adjust your rehabilitation plan if necessary.
Physiotherapy and Ongoing Care: As part of your recovery, Dr Keeley will work closely with your physiotherapist to ensure that your mobility and strength are progressively restored. Your care plan will evolve based on your recovery, with adjustments made to the level of activity, pain management, and overall rehabilitation goals.
Private Health Insurance Coordination: Throughout the process, Dr Keeley’s administrative team will work with your private health insurer to manage the financial aspects of your treatment, ensuring you have peace of mind throughout your recovery.
Gradual Return to Function: The goal of your personalised treatment and rehabilitation plan is to ensure you can return to your daily activities, whether that includes work, sports, or recreational pursuits. Dr Keeley will provide clear guidance on when and how to resume normal activities, focusing on avoiding re-injury.
Final Consultation: Once you’ve made significant progress, a final consultation with Dr Keeley will review your overall recovery and ensure that no long-term complications have developed. Further rehabilitation or follow-up care will be arranged if needed.
By choosing private care for your lower limb trauma, you can expect a streamlined, personalised, and efficient treatment journey from injury to recovery, with access to the latest medical technology and the highest standard of care.