OAIC – Pain Specialist in Peshawar · Akbar Medical Centre, Clinic 311A
Bone Fracture Specialist · Peshawar, KPK

Expert Fracture

Treatment in
Peshawar

A broken bone demands immediate specialist care. At OAIC Peshawar, Dr Muhammad Inam Khan, fellowship-trained in the Ilizarov technique from Italy and Russia, treats all fractures, from simple breaks to the most complex bone trauma. Whether caused by a road traffic accident, fall, sports injury, or weakened bones, you receive specialist-level fracture care at OAIC.

206

Bones in the Body

20+

Bones in the Body

5K+

Bones in the Body

3

Bones in the Body

Common Fractures Treated at OAIC

Simple to Complex —
All Fractures Managed Here

Road Traffic Accident
Most Common 90%
Fall Injuries
Very Common 70%
Sports Injuries
Common 60%
Osteoporotic Fractures
In Elderly 50%
Pathological Fractures
Less Common 40%
About Bone Fractures

Fracture Treatment in Peshawar | What You Need to Know First

What Is a Bone Fracture?

bone fracture, commonly known as a broken bone, occurs when physical force, trauma, or an underlying bone-weakening disease exceeds the strength of the bone. Fractures are one of the most common orthopaedic emergencies in Peshawar and across KPK, frequently caused by road traffic accidents, falls from height, sports injuries, and, in elderly patients, osteoporosis.

There are over 20 distinct types of fractures, ranging from a simple, hairline crack (stress fracture) to a severely shattered bone with multiple fragments (comminuted fracture). Each type requires a different treatment approach, which is why specialist assessment by an experienced orthopaedic surgeon like Dr Inam Khan is essential before any treatment begins.

No two fractures are the same. The bone affected, the fracture pattern, the degree of displacement, the patient’s age, activity level, and bone quality all influence the optimal treatment. At OAIC Peshawar, every fracture is evaluated individually from the imaging through to the final fixation method to ensure the fastest, safest, and most complete recovery possible.

Dr Muhammad Inam Khan brings a uniquely high level of fracture expertise to Peshawar with advanced training in the Ilizarov technique (Italy and Russia) for complex fracture reconstruction, as well as standard fracture fixation techniques, including nailing, plating, and external fixation. He has treated thousands of fracture patients across KPK at OAIC and Lady Reading Hospital over 20+ years.

Fracture Care at OAIC

From Simple Break to
Complex Reconstruction

Types of fractures we treat

Fracture symptoms & first aid

Diagnosis X-ray, CT, MRI

Non-surgical treatment (casting)

Surgical fixation nailing & plating

Ilizarov for complex fractures

Recovery & rehabilitation

Frequently asked questions

Peshawar (Akbar Medical Centre):

Mon–Fri: 4:00 PM – 7:30 PM · Sun: 12:00–4:00 PM

Charsadda (Haleem Medical Centre):

Saturday: 9:00 AM – 7:00 PM

Lady Reading Hospital, Peshawar:

Regular OPD Hours

Types of Fractures

All Types of Bone Fractures Treated at OAIC Peshawar

Understanding your fracture type is the first step to the right treatment. Dr. Inam Khan diagnoses and manages all fracture patterns from the most routine to the most complex.

Simple (Closed) Fracture

The bone breaks but does not pierce the skin. The most common type is caused by falls, road accidents, or direct impact. May be undisplaced (the bone remains aligned) or displaced (fragments have moved from their correct position).

E.g., wrist fracture from fall, ankle fracture, clavicle fracture

Comminuted Fracture

The bone shatters into three or more fragments. Usually caused by high-energy trauma such as road traffic accidents or serious falls. Almost always requires surgical fixation to reassemble the fragments and restore bone alignment.
E.g., severe femur fracture, tibial plateau fracture in RTA

Open (Compound) Fracture

The fractured bone breaks through the skin, creating an open wound. In a surgical emergency, immediate debridement and fixation are essential to prevent bone infection (osteomyelitis). Delays can be life- or limb-threatening.
E.g., road traffic accident, industrial accident, gunshot injury

Stress Fracture

A hairline crack in the bone caused by repeated stress rather than a single trauma. Common in athletes, soldiers, and young people who dramatically increase their activity level. Often misdiagnosed as a muscle strain or sprain.
E.g., metatarsal stress fracture, tibial stress fracture in runners

Pathological Fracture

Occurs through already-weakened bone caused by osteoporosis, bone tumour, or other bone diseases. The fracture often happens with minimal or no trauma; the patient may simply stand up or roll over in bed and sustain a fracture.
E.g. Hip fracture in elderly woman with osteoporosis

Intra-articular Fracture

The fracture line extends into a joint surface. Requires very precise anatomical restoration; even small steps in the joint surface lead to early arthritis and permanent loss of joint function. Often needs surgical fixation.
E.g., tibial plateau, calcaneus, and distal radius fractures
Fractures by Body Region

Which Bones Do We Treat? | All of Them

The human body has 206 bones. Dr Inam Khan at OAIC Peshawar treats fractures across all regions from the most routine to the most surgically demanding.

💪

Arm & Shoulder

The humerus, clavicle (collarbone), and shoulder blade are common in falls and sports.

Very common in KPK

Wrist & Hand

Distal radius (Colles’ fracture), scaphoid, and metacarpals are typical fall-on-outstretched-hand injuries.
Most common fracture

🦴

Femur (Thigh Bone)

Femoral shaft and neck fractures, high-energy trauma or hip fractures in the elderly. Require urgent surgical fixation.
Serious needs surgery

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Tibia & Fibula (Leg)

Tibial shaft, plateau and fibula fractures: road accidents and sports. Nailing or plating is commonly used.
RTA is common in KPK.

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Ankle & Foot

Malleolar, talus, calcaneus and metatarsal fractures, falls, twisting injuries and road accidents.
Commonly missed

🔩

Hip & Pelvis

Hip fractures in elderly and high-energy pelvic trauma require urgent orthopaedic assessment and fixation.
Elderly are high priority.

🧱

Spine & Vertebrae

Spinal compression and burst fractures from falls or RTAs require careful assessment for neurological compromise.
Specialist assessment critical

🔧

Non-Union & Malunion

Fractures that have failed to heal or healed in the wrong position require revision surgery, bone grafting or Ilizarov.
Ilizarov specialty at OAIC
Diagnosis

How We Diagnose Fractures at OAIC Peshawar

Accurate imaging is essential; different fracture types require different investigations. Dr Inam Khan selects the right test for your specific fracture to plan the most effective treatment.

01

Clinical History & Mechanism of Injury

Understanding exactly how the injury occurred fall height, speed of impact, and direction of force helps predict the fracture pattern and severity before any imaging is performed.

02

Physical Examination

Assessment of the injury site for deformity, swelling, tenderness, neurovascular status (pulse, sensation, and movement), and skin integrity including ruling out open fracture or compartment syndrome.

03

X-Ray (Radiograph)

The first-line investigation for all suspected fractures. Two views (front and side) of the injured bone are taken. Shows fracture line, displacement, angulation, and bone quality. Fast and widely available.

04

CT Scan (When Needed)

Computed tomography provides 3D imaging for complex or comminuted fractures, especially around joints (e.g., tibial plateau, calcaneus, pelvis) where precise surgical planning is required before fixation.

05

MRI (For Stress Fractures)

Stress fractures are often invisible on X-rays initially. MRI detects early bone marrow stress reactions and confirms fractures before they become a complete break, crucial for return-to-sport decisions.

Imaging & Tests We Use

Standard X-Ray (2 Views)

Mandatory for all fractures. It is fast, widely available and shows fracture line, displacement and angulation clearly. First-line investigation

CT Scan

3D imaging for complex, comminuted or intra-articular fractures. Essential for surgical planning of difficult injuries. Complex & joint fractures.

MRI Scan

Detects occult (hidden) fractures, stress fractures, and bone marrow oedema not visible on X-ray. Stress & occult fractures

Blood Tests

Pre-operative assessment, bone health markers (calcium, vitamin D, and bone density for osteoporotic fractures). Pre-surgery / elderly.

DEXA Scan (Bone Density)

For pathological or osteoporotic fractures, measures bone mineral density to guide anti-osteoporosis treatment. Elderly people & osteoporosis.

Signs, Symptoms & First Aid

How to Recognise a Fracture & What to Do First

Knowing the signs of a fracture and giving correct first aid before reaching OAIC Peshawar can significantly affect the outcome of your treatment.

Sudden, Severe Bone Pain

Intense pain at the site of injury, especially worsened by any movement, touch, or weight-bearing. Unlike muscle or joint pain, fracture pain is typically very localised and immediate following trauma.

Swelling & Bruising

Rapid swelling around the injury site develops within minutes to hours of the fracture. Bruising (discolouration) often appears and spreads over 24–48 hours as blood from the fracture site tracks through the tissue.

Visible Deformity or Abnormal Shape

The injured limb or bone may appear visibly bent, angled, rotated, or shortened compared to the normal side a strong indicator of a displaced fracture requiring urgent specialist assessment at OAIC.

Inability to Move or Bear Weight

Inability to move the affected limb normally, or to put any weight on a fractured leg or foot. A significant clue though some hairline fractures may allow partial movement initially and still require treatment.

Audible Crack or Pop at Time of Injury

Many patients report hearing or feeling a distinct crack or snap at the moment of fracture this is the bone breaking. It is often followed immediately by severe pain and inability to continue activity.

Open Wound with Bone Visible

If a bone is protruding through the skin or there is an open wound near the fracture site, this is a compound (open) fracture. This is a surgical emergency. Do not attempt to push the bone back. Seek immediate care.

Fracture First Aid What to Do Before Reaching OAIC

Correct first aid stabilises the fracture, reduces pain, and prevents further injury during transport to OAIC Peshawar.

Stop bleeding

Apply gentle pressure with a clean cloth if there is an open wound. Do not attempt to clean inside a wound.

Immobilize the injury

Do not try to straighten the limb. Support it in the position found using padding, pillows, or a makeshift splint.

Apply ice

wrapped in cloth (not directly on skin) to reduce swelling. Do not apply heat.

Do not give food or water

If surgery may be needed, the patient should remain fasted.

Go immediately

Call OAIC Peshawar (+92 313 5735713) or proceed to the nearest hospital without delay.

Treatment Options

Fracture Treatment in Peshawar | Every Method Available at OAIC

Fracture treatment ranges from simple casting to complex surgical reconstruction. Dr Inam Khan selects the most appropriate method for each patient; age, fracture type, bone quality and activity level all factor in.

Non-Surgical — Stable Fractures

Casting, Splinting & Bracing

Many undisplaced or minimally displaced fractures heal well without surgery. Immobilisation in a plaster or fibreglass cast holds the bone in the correct alignment while it heals naturally. Modern functional braces allow some controlled movement during healing.

Surgical — Displaced Fractures

Intramedullary Nailing (IM Nail)

A metal rod (nail) is inserted through the hollow centre of the bone to hold fracture fragments in alignment while the bone heals. The gold-standard technique for displaced fractures of the femur (thigh bone) and tibia (shin bone). Allows early weight-bearing in many cases.

Surgical — Joint & Complex Fractures

Open Reduction & Internal Fixation (ORIF)

The fractured bone is surgically exposed, repositioned (reduced) into correct anatomical alignment, and held firmly with plates and screws. Essential for fractures around joints, where precise restoration of the joint surface is critical to prevent arthritis.
Complex Fractures & Soft Tissue Injury

External Fixation

Screws are placed into the bone above and below the fracture and connected to a rigid external frame outside the body. Used for open (compound) fractures, severely contaminated wounds, or as a temporary measure before definitive internal fixation once the soft tissue has recovered.
OAIC's Specialist Expertise

Ilizarov Technique for Complex Fractures — A Rare Expertise in KPK

The Ilizarov method uses a circular external frame (Ilizarov frame) attached to the bone through wires and pins. It is the most versatile fracture technique available capable of managing non-union (fractures that have failed to heal), infected fractures, fractures with bone loss, severe deformity from malunion, and limb length discrepancy resulting from fractures.

Dr Muhammad Inam Khan completed a dedicated Ilizarov fellowship in Italy and Russia, making him one of the very few surgeons in Khyber Pakhtunkhwa with this formal training. Patients with failed fracture treatment elsewhere, non-union, or complex bone trauma from across KPK come to OAIC specifically for Ilizarov expertise.

Ilizarov Fellowship Italy & Russia

One of very few in KPK
with this qualification

Recovery & Rehabilitation

What to Expect During Fracture Recovery

Fracture recovery is a journey, not just an event. Understanding what happens at each stage helps patients stay on track and avoid complications.

🚑
Days 1–7
Immediate Care
Fracture stabilised — cast, splint or surgery. Swelling and pain managed with medications and elevation.
🩻
Weeks 2–6
Early Healing
New bone (callus) begins forming. First follow-up X-ray checks alignment. Light rehabilitation may begin for some fractures.
🏋️
Weeks 6–12
Active Rehab
Cast removed (if applicable). Physiotherapy begins to restore strength, movement and function in the affected limb.
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Months 3–6
Return to Function
Progressive weight-bearing and return to daily activities. Final X-rays confirm complete healing. Most patients return to normal life.
Months 6–12
Full Recovery
Return to sports or heavy work. Complex fractures may require longer. Ilizarov patients monitored until frame removed.

Take All Medications

Complete your full course of antibiotics and pain relief as prescribed. Do not stop early, especially antibiotics, after open fracture surgery.

Follow Physiotherapy

Attend all physiotherapy sessions. Muscle weakness and joint stiffness develop quickly during immobilisation. Rehab restores full function.

Nutrition for Bone Healing

Calcium (from dairy and leafy greens), vitamin D (from sunlight and fish), and adequate protein are essential for bone repair. Avoid smoking; it significantly delays fracture healing.

Attend All Follow-Ups

Regular X-rays during recovery confirm the fracture is healing correctly. Do not skip follow-up appointments; missed reviews can result in malunion going undetected.

Your Fracture Specialist

Dr. Muhammad Inam Khan

Consultant Orthopaedic Surgeon · Ilizarov & Fracture Specialist · Associate Professor, LRH Peshawar

Dr Muhammad Inam Khan brings Peshawar its most internationally comprehensive fracture management expertise. His Ilizarov fellowship, completed at specialist centres in Italy and Russia, equips him to manage not just routine fractures but the most challenging cases: non-union, infected fractures, fractures with bone loss, and limb length discrepancies that leave other surgeons at a loss. With over 20 years at OAIC and Lady Reading Hospital and thousands of fracture cases managed, Dr Inam Khan is the first choice for patients across KPK who need specialist-level fracture care in Peshawar.

Frequently Asked Questions

Common Questions About Fracture Treatment in Peshawar

Healing time depends on which bone is fractured and how severe it is. Small bones (fingers and toes) typically heal in 4–6 weeks. Wrist and ankle fractures take 6–8 weeks. Larger bones like the tibia or femur may take 3–6 months. Complex or poorly aligned fractures can take 6–12 months. Proper immobilisation, nutrition, follow-up at OAIC, and avoiding smoking all significantly influence healing speed.
The Ilizarov technique uses a circular external frame connected to the bone through wires and pins. It is used for complex fractures with bone loss, fractures that have failed to heal (non-union), infected fractures, fractures with deformity, and limb length discrepancies. Dr Inam Khan is fellowship-trained in Ilizarov from Italy and Russia, one of very few in KPK with this formal qualification. Patients with failed fracture treatment from other hospitals are frequently referred to OAIC for Ilizarov management.
Yes, in many cases. Old fractures that have healed in the wrong position (malunion) or have failed to heal (non-union) can be corrected surgically. This may involve re-breaking and re-aligning the bone, bone grafting, or Ilizarov reconstruction. The outcome depends on the time elapsed, bone quality, and degree of deformity. Dr Inam Khan has extensive experience in revision fracture surgery and Ilizarov reconstruction at OAIC, Peshawar.
Does every fracture need surgery?
No. Many fractures, particularly undisplaced or minimally displaced fractures of smaller bones, heal perfectly well with casting or splinting alone. Surgery is needed when bone fragments are significantly displaced, the fracture involves a joint surface, or conservative treatment cannot hold the bone in correct alignment. Dr Inam Khan at OAIC assesses each fracture individually to recommend the right approach.
An untreated or improperly managed fracture can lead to malunion (healed in the the wrong position, causing pain and deformity), non-union (fracture fails to heal), joint stiffness, muscle weakness, post-traumatic arthritis, nerve damage, and, in open fractures, serious bone infection (osteomyelitis). This is why specialist assessment at OAIC Peshawar from the outset is essential, even for fractures that seem minor.
Dr Muhammad Inam Khan at OAIC treats fracture patients at Akbar Medical Centre (Clinic 311A, 3rd Floor, Peshawar) Monday to Friday 4:00–7:30 PM and Sundays 12:00–4:00 PM and at Haleem Medical Centre, Charsadda, on Saturdays. He also consults at Lady Reading Hospital MTI Peshawar during regular OPD hours. Call +92 313 5735713 for urgent appointments.
Act Fast Fractures Need Specialist Care

Don't Delay Your Fracture Treatment

A fracture treated late or treated incorrectly can lead to permanent deformity, chronic pain, and disability that is far harder to correct later. Dr Muhammad Inam Khan at OAIC Peshawar has the expertise, equipment, and international training to get your fracture treated right the first time.