24-hour emergency orthopaedic care. Road accidents, falls, sporting injuries. Sector 21C, Chandigarh. Call 0172 400 5596.
Fractures do not announce themselves with a time of day. A road accident at 2am, a fall at 11pm, a child's sporting injury on a Sunday — they come when they come. ARV Orthopaedic Hospital maintains 24-hour emergency orthopaedic capacity specifically because fractures cannot wait for clinic hours.
The first hours after a fracture determine how cleanly and completely the bone heals. Delay increases swelling, makes reduction harder, and raises complication risk. We see emergency fracture cases immediately.
Long bone fractures (femur, tibia, fibula, humerus, radius-ulna)
Treated with intramedullary (IM) nailing for most shaft fractures — a rod inserted into the medullary canal provides stable fixation with minimal exposure. Plate and screw fixation for fractures near joints or in complex patterns. Most patients mobilise within 24–48 hours of surgery.
Hip fractures
The most time-critical fracture in orthopaedics. In elderly patients, mortality rises significantly with each day of delay. ARV Hospital has a dedicated hip fracture pathway — from emergency admission to operating theatre within 24–48 hours. Treatment is either proximal femoral nail (for intertrochanteric fractures) or hemiarthroplasty (for femoral neck fractures).
Wrist fractures (distal radius)
The most common fracture in adults. Treated with cast immobilisation for stable fractures or plate fixation (ORIF) for displaced or unstable patterns. Return to daily activities: 6–8 weeks.
Ankle fractures
Stable, undisplaced fractures are treated in a boot or cast. Displaced or bi-malleolar fractures require surgical fixation with plates and screws to restore joint congruence and prevent arthritis.
Periarticular fractures
Fractures around joints (tibial plateau, distal femur, calcaneum, shoulder) require anatomic reduction and stable fixation to restore joint surface and prevent post-traumatic arthritis.
Paediatric fractures
Children's bones fracture differently — growth plate injuries require careful management to prevent growth disturbance. Conservative treatment is preferred wherever possible; surgical fixation uses age-appropriate implants.
Not every fracture needs surgery. Stable, non-displaced fractures of many bones can be treated with plaster of Paris (POP) cast, fibreglass cast, or functional bracing. We use the principle of operating only when necessary — when displacement, instability, or joint involvement makes surgery the safer long-term option.