Trauma surgery (fractures, dislocations)
Surgeries/Orthopedic/Trauma surgery

Trauma surgery (fractures, dislocations)

Management of trauma emergencies: fractures, dislocations, severe sprains and limb wounds, with round-the-clock availability.

What is it?

Trauma surgery covers the management of injuries to the musculoskeletal system: limb fractures, joint dislocations, severe sprains, tendon injuries and wounds. These emergencies require rapid diagnosis, appropriate immobilization and, when necessary, surgery without delay. Management begins upon arrival at the emergency department: clinical assessment, immediate imaging (X-rays, CT scan if needed), pain relief and treatment decision. Many injuries can be managed non-operatively (cast, splint, reduction), while others require surgical fixation to allow healing under good conditions and optimal functional recovery. After the initial treatment, follow-up includes regular radiological checks, adjustment of the immobilization and a rehabilitation program designed to restore mobility, strength and independence. At Clinique Pasteur Tunis, trauma emergencies are managed at any hour, with direct access to the imaging facilities, operating theaters available at all times and an orthopedic team ensuring continuity of care from the emergency to rehabilitation.
Trauma surgery (fractures, dislocations)

When is it indicated?

Fractures of the limbs, wrist, ankle or hip

After a fall or accident, a broken bone must be put back in the correct position and then immobilized or fixed surgically to heal properly.

Joint dislocations (shoulder, elbow, fingers)

A dislocated joint must be put back in place quickly to relieve the pain and avoid complications. Management is provided on an emergency basis.

Severe sprains with ligament injury

When ligaments are torn, simple immobilization is not always enough: a specialist assessment determines whether a repair is necessary to keep the joint stable.

Sports injuries

Sports injuries, from ligaments to fractures, benefit from management tailored to the goal of returning to physical activity.

Deep wounds of the hand or limbs

A deep wound can involve tendons, nerves or blood vessels: it must be explored and repaired in the operating theater to preserve the function of the limb.

Multiple injuries requiring a complete assessment

After a major accident, a complete work-up with imaging ensures that no injury is missed and that care is organized in the right order.

Preparation

1No preparation: emergency management at any hour
2Remain fasting from the time of the accident if an operation is possible
3If possible, bring medical documents and the list of current medications
4Inform the care team of any known allergies

Procedure

1

Reception at the emergency department and immediate assessment of the injury

2

Rapid pain relief

3

Diagnostic imaging (X-rays, CT scan if necessary)

4

Reduction and immobilization, or decision for surgical treatment

5

Operation in the operating theater if the injury requires it

6

Post-operative monitoring and follow-up instructions

7

Organization of rehabilitation and radiological checks

Duration

Variable depending on the injury, from simple immobilization to an operation of 1 to 2 hours

Aftercare & Recovery

A fracture heals in a few weeks to a few months depending on the bone involved and the patient's age. Rehabilitation then makes it possible to recover mobility and strength. Regular follow-up verifies that healing is progressing well until full return to activities.

Risks and side effects

Secondary displacement under the cast, detected by radiological checks
Joint stiffness after immobilization, treated by rehabilitation
Delayed bone healing, uncommon and monitored during follow-up

These risks remain rare. Your surgeon will inform you in detail before the procedure.

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At a glance

Duration: Variable depending on the injury, from simple immobilization to an operation of 1 to 2 hours
Preparation: Required
Dedicated specialist team