Medically reviewed by Harsha Moole, MD, Internal Medicine. Last reviewed: October 2, 2026.
What kind of doctor provides Fracture Fixation?
An orthopedic surgeon usually performs fracture fixation. An orthopedic surgeon is a doctor trained to treat problems of bones, joints, and muscles. Some simple breaks can be treated by an emergency doctor or a family doctor. However, surgery to hold bones in place is done by an orthopedic surgeon. Results differ from person to person.
What it is
Fracture fixation holds broken bone pieces together while they heal. It can be internal, with plates, screws, or rods placed inside the body, or external, with a frame or pins outside the skin holding the bone steady.
Why a doctor might recommend it
Many broken bones heal with just a cast or splint. Fixation may be recommended when the bone is in several pieces, has moved out of place, or the break goes through a joint. The goal is to keep the bone lined up so it heals correctly.
How to prepare
- Ask your doctor which medicines to stop before surgery, and when to stop eating and drinking.
- Tell the surgical team about your health conditions and allergies.
- Arrange for someone to drive you home after the procedure.
What happens during it
You will get anesthesia so you feel no pain. The surgeon moves the broken pieces back into place, a step called reduction, then attaches plates, screws, rods, or wires to hold them. The skin is closed with stitches or staples, and a bandage or splint is often placed over the area.
Recovery
Healing takes weeks to months, depending on the bone, your age, and your health. You may need physical therapy to rebuild strength and movement. Pain is common at first, and your care team will discuss ways to manage it. Results differ from person to person.
Risks and side effects
Risks include infection, bleeding, blood clots, and reactions to anesthesia. The metal parts can sometimes loosen, break, or irritate nearby tissue. Your surgeon can explain which risks matter most for you.
Who performs it
Orthopedic surgeons perform fracture fixation after medical school and years of training focused on bones and joints.
How a direct primary care or concierge doctor fits in
A direct primary care doctor is paid a flat monthly fee instead of billing insurance; a concierge doctor usually charges more and often works alongside insurance. Either can help with follow-up care after a fracture, such as removing stitches, checking healing, and ordering X-rays. They do not perform fixation surgery and would refer you to an orthopedic surgeon when needed.
Common questions
Will the metal parts need to be removed later?
Sometimes, but often they stay in place for life without causing problems. Removal is considered if the hardware causes pain or irritation. Your surgeon will discuss this with you if it comes up.
Can a broken bone heal without surgery?
Yes, many fractures heal with a cast or splint alone. Surgery is usually saved for breaks that are unlikely to heal well on their own. Your doctor will look at images of the bone to decide.
How soon can I move the broken area?
That depends on the bone and the type of fixation used. Some people can move soon after surgery, while others need weeks of rest. Your surgeon will give you a specific plan.
How long before I can return to work or sports?
It varies a lot based on the injury and your job or activity. Light duty may be possible within days or weeks, while sports can take months. Always follow your surgeon's guidance.
Sources
Medical Disclaimer
This content is for general educational and informational purposes only and is not medical advice. It is not a substitute for professional medical advice, diagnosis, or treatment, and reading it does not create a doctor-patient relationship. Always seek the advice of your physician or another qualified health provider with any questions about a medical condition, and never disregard or delay seeking professional advice because of something you read here. If you think you may have a medical emergency, call 911 (or your local emergency number) immediately.
