Medically reviewed by Harsha Moole, MD, Internal Medicine. Last reviewed: October 2, 2026.
What kind of doctor provides Fracture Repair?
An orthopedic surgeon usually performs fracture repair. An orthopedic surgeon is a doctor who specializes in bones, joints, and muscles. Some simple breaks can be treated by an emergency doctor or a family doctor. A direct primary care or concierge doctor can be a first stop for an evaluation and can refer you to a specialist when needed.
What it is
A fracture is a broken bone. Fracture repair means putting the pieces back into their normal position and holding them there so the bone can heal, either with a cast or, when needed, with surgery using metal screws, plates, or rods.
Why a doctor might recommend it
A doctor may recommend repair when a bone cannot heal well on its own, such as when the pieces are far apart, the break goes into a joint, or the skin is open near the break.
How to prepare
- Ask whether you should stop eating or drinking beforehand, especially if anesthesia will be used.
- Tell your doctor about every medicine and supplement you take, including blood thinners.
- Arrange for someone to drive you home if you will receive anesthesia.
- Ask what supplies you may need at home, such as pillows to keep your limb raised.
What happens during it
For a simple break, the doctor moves the bone back into place, a process called reduction, and applies a cast or splint, usually with local anesthesia. For surgery, you receive anesthesia that puts you to sleep or numbs a larger area. The surgeon makes a cut to reach the bone, lines up the pieces, fastens them with metal hardware, and closes the cut with stitches.
Recovery
Bones usually take weeks to months to heal, depending on your age, health, and which bone broke. You may need a cast or brace for several weeks, followed by physical therapy to rebuild strength and movement.
Risks and side effects
Common short-term effects include pain, swelling, and bruising near the break. Possible problems include infection, bleeding, blood clots, and nerve or blood vessel injury. Sometimes the bone heals slowly, heals crooked, or does not heal at all.
Who performs it
Orthopedic surgeons perform fracture repair surgery; some focus on certain body areas, such as the hand, foot, or spine. Emergency and family doctors can treat many simple breaks with casting and refer you to a specialist if surgery is needed.
How a direct primary care or concierge doctor fits in
A direct primary care doctor charges a flat monthly fee instead of billing insurance; a concierge doctor is similar. Either one can evaluate a suspected break, order X-rays, and manage simple fractures with splinting and follow-up. If you need surgery, they will refer you to an orthopedic surgeon and stay involved in your care afterward.
Common questions
Is fracture repair always surgery?
No. Many fractures heal with a cast or splint alone. Surgery is usually reserved for breaks that are out of place, unstable, or unlikely to heal well without it.
How long does a broken bone take to heal?
Most bones take six to twelve weeks to heal, though some take longer. Children often heal faster than adults.
Will the metal hardware stay in my body forever?
Often it can stay in without problems. Sometimes it causes discomfort and a surgeon removes it in a later procedure.
Can I shower with a cast?
Most casts must stay dry, so you will usually need to cover them with plastic or keep them out of the water. Your doctor will give you specific instructions.
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.
