Plaster vs Surgery – When Does a Fracture Need What?: By Dr. Balaraju Naidu, Robotic Orthopedic Surgeon, ONUS Robotic Hospitals
Fractures are common, but the treatment is not the same for everyone. Some fractures heal perfectly with plaster, while others require surgery to restore normal bone alignment and function. Knowing the difference helps you take the right decision during emergencies.
⭐ When Plaster Is Enough
Plaster or cast is a safe, effective method for many fractures. It immobilizes the injured bone and allows natural healing.
✔ 1. Non-Displaced Fractures
The bone is cracked but still in proper position.
Examples: wrist fractures, hairline fractures.
✔ 2. Pediatric (Children’s) Fractures
Children have high bone-healing capacity.
Most fractures in kids heal well with plaster.
✔ 3. Stable Fractures
If the fracture doesn’t shift even with movement, plaster works.
✔ 4. Toe, Finger & Foot Injuries
Simple fractures need only splinting or casting.
✔ 5. Elderly With Limited Activity
If alignment is acceptable and movement is minimal, plaster is preferred.
⭐ When Surgery Is Required
Certain fractures will NOT heal correctly with plaster alone. Surgery helps in stabilizing the bone and preventing long-term complications.
❗ 1. Displaced Fractures
Bones are no longer aligned. If they heal in this position, deformity occurs.
❗ 2. Unstable Fractures
Even after setting, the bones shift—requiring plates, screws, or rods.
❗ 3. Open Fractures
Bone breaks through the skin.
High infection risk → surgery is mandatory.
❗ 4. Joint Fractures
If the fracture extends into the joint (intra-articular), surgery ensures smooth joint movement and prevents arthritis.
❗ 5. Multiple or Comminuted Fractures
Bone breaks into two or more pieces → requires fixation.
❗ 6. Fractures With Nerve/Blood Vessel Damage
Needs urgent surgical correction.
❗ 7. Hip Fractures
Almost always require surgery for weight-bearing function.
⭐ Why Surgery Is Better in These Cases
- Restores correct alignment
- Prevents stiffness & arthritis
- Enables early walking or hand movements
- Reduces risk of deformity
- Improves long-term outcomes
Plaster is ideal for simple, stable fractures.
Surgery is vital when alignment, stability, or joint function is at risk. The best method depends on X-ray findings and orthopedic assessment.
If you or someone you know experiences a fracture, seek professional evaluation immediately. Early treatment leads to faster recovery.
📞 For Appointments:
ONUS Robotic Hospitals – Hyderabad
