A fracture needs the right specialist, not just the nearest clinic. Dr Muhammad Inam at OAIC brings over 25 years of trauma and orthopaedic experience to every case — from simple casts to complex surgical fixation, muscle injuries, and sports trauma — helping patients across KPK recover fully and safely.
Bone Fractures are classified by their complexity, displacement, and location. Understanding the type determines the correct treatment approach.
Simple
The bone is cracked but the pieces remain in correct alignment. Often managed with casting, splinting, or a brace and protected rest.
Common
A hairline crack caused by repeated loading — common in active individuals and athletes. Requires rest and load management; rarely needs surgery.
Complex
Bone fragments have shifted out of alignment. Usually requires manipulation under anaesthetic or surgical fixation to restore correct position.
Complex
The bone is shattered into three or more fragments — typically from high-energy trauma. Almost always requires surgical fixation with plates or screws.
Surgical
The fracture extends into a joint surface. Precise anatomical realignment is essential to prevent post-traumatic arthritis; usually needs surgery.
Urgent
Bone breaks through the skin, creating a wound and infection risk. A surgical emergency — requires urgent wound management and fracture stabilisation.
High Impact
A fracture through bone that has been weakened by an underlying condition such as osteoporosis or a bone lesion. Treatment addresses both the fracture and its cause.
Paediatric
Fractures involving the growth plate in children require specialist management to avoid disrupting normal bone development. Dr Inam has extensive experience in paediatric orthopaedic trauma.
The decision depends on the fracture type, location, stability, and the patient’s overall health and activity demands. Here is how the decision is made at OAIC.
| Bone / Location | Typical Cause | Common Treatment | Recovery Time |
|---|---|---|---|
| Wrist (Distal Radius) | Fall on outstretched hand | Cast if undisplaced; plate fixation if displaced | 6–8 weeks |
| Ankle | Twist or fall | Cast for stable; surgical fixation for unstable bi/tri-malleolar | 6–10 weeks |
| Femur (Thigh bone) | High-energy trauma or fall in elderly | Surgical — intramedullary nail or hip replacement (neck fractures) | 3–6 months |
| Tibia (Shin bone) | Direct blow, sports, fall | Cast if stable; intramedullary nail for unstable shaft fractures | 3–6 months |
| Clavicle (Collarbone) | Fall on shoulder or outstretched arm | Usually sling + physiotherapy; plate fixation if significantly displaced | 6–8 weeks |
| Vertebral (Spine) | Osteoporosis, high-impact fall or accident | Brace for stable; surgical stabilisation for unstable or neurological compromise | 8–16 weeks |
Sports and physical activity injuries require specialist assessment — the same pain can mean a simple sprain or a complete structural tear that needs surgery. Dr Inam’s Fellowship in Arthroscopy, Sports Medicine, and Orthobiologics (Greece) provides specific expertise in this area.
Knee ligament injuries from pivoting or contact sports. Managed non-surgically or with arthroscopic ACL reconstruction depending on severity.
Cartilage disc tears causing knee locking, clicking, or giving way. Treated with physiotherapy or arthroscopic meniscal repair or removal.
Complete quadriceps, hamstring, or Achilles tendon ruptures often need surgical repair. Partial tears are managed conservatively with PRP and physio.
Recurrent shoulder instability or a first-time dislocation with labral damage may require arthroscopic Bankart repair to prevent re-dislocation.
Overuse bone injuries common in runners and cricketers. Require relative rest, load modification, and careful return-to-sport planning.
Focal cartilage defects from impact or chronic overload. Treated with PRP orthobiologics, microfracture, or cartilage transplantation techniques.
Sports and physical activity injuries require specialist assessment — the same pain can mean a simple sprain or a complete structural tear that needs surgery. Dr Inam’s Fellowship in Arthroscopy, Sports Medicine, and Orthobiologics (Greece) provides specific expertise in this area.
Less than 5% of muscle fibres are torn. Pain and tenderness at the site but full or near-full range of movement. Treatment: rest, ice, compression, and graduated physiotherapy. Return to activity in 1–3 weeks.
A significant proportion of fibres are torn but the muscle is structurally intact. Noticeable weakness, bruising, and swelling. Treatment: physiotherapy, possible PRP injection, and 3–6 weeks structured rehabilitation.
The entire muscle or tendon is completely torn through. A palpable gap may be felt. Total loss of that muscle's function. Surgical repair is usually required for major muscle groups. Early intervention gives the best outcomes.
Recovery from a fracture follows predictable biological stages. Understanding what happens at each stage helps patients stay on track and avoid common setbacks.
The body forms a blood clot (haematoma) at the fracture site. Swelling and pain peak in the first few days then gradually reduce. Cast or surgical fixation protects the bone.
The body reshapes and strengthens the new bone. Physiotherapy restores range of motion, muscle strength, and functional movement. Return to most activities is typically possible by this stage.
New bone tissue (callus) begins to bridge the fracture. The bone is still fragile. Protected weight-bearing may begin depending on the fracture and fixation method.
The fracture site is fully remodelled and as strong as surrounding bone. High-impact activities and competitive sport can typically resume. Hardware removal (if relevant) can be considered at this point.
The soft callus mineralises into hard bone. Follow-up X-rays confirm healing. For many fractures, casting is removed and gentle rehabilitation begins at this stage.
Complex fractures involving joint surfaces are monitored for signs of post-traumatic arthritis. Patients with underlying osteoporosis receive management to reduce the risk of future fractures.
Dr Inam spent four years as Senior Registrar at Hayatabad Medical Complex, one of KPK’s busiest trauma centres — building direct, hands-on experience managing the full range of orthopaedic trauma presentations.
Fellowship of the Royal College of Surgeons (UK) and MRCS from Edinburgh reflect internationally recognised surgical training standards — qualifications held by very few orthopaedic surgeons in KPK.
Dedicated Fellowship in Arthroscopy, Sports Medicine, and Orthobiologics in Greece means sports-related fractures and soft tissue injuries are managed with subspecialty-level expertise.
OAIC uses evidence-based orthobiologic treatments — including platelet-rich plasma — to accelerate recovery from muscle injuries, ligament damage, and stress fractures non-surgically.
The fracture extends into a joint surface. Precise anatomical realignment is essential to prevent post-traumatic arthritis; usually needs surgery.
Three locations — Akbar Medical Centre Peshawar, Haleem Medical Centre Charsadda, and LRH Peshawar — mean patients from across the province do not have to travel to major cities for specialist fracture care.
Sports and physical activity injuries require specialist assessment — the same pain can mean a simple sprain or a complete structural tear that needs surgery. Dr Inam’s Fellowship in Arthroscopy, Sports Medicine, and Orthobiologics (Greece) provides specific expertise in this area.
Dr Muhammad Inam Khan at OAIC is one of Peshawar’s most experienced fracture and trauma specialists. He holds FCPS, FRCS UK, and MRCS from Edinburgh, and spent four years as Senior Registrar at Hayatabad Medical Complex managing high-volume orthopaedic trauma. He sees patients at Akbar Medical Centre, Peshawar, Monday to Friday from 4:00 PM.
Fracture treatment at OAIC begins with a clinical examination and X-ray to confirm the fracture type and stability. Simple, undisplaced fractures are treated with a cast or splint. Displaced, unstable, or joint-surface fractures require surgical fixation using plates, screws, nails, or external fixators. Dr Inam explains the treatment plan and all options clearly before proceeding.
Surgery is needed when: the bone is displaced and cannot be held in position with a cast; the fracture involves a joint surface; the fracture is open (bone through skin); there are associated nerve or blood vessel injuries; or the fracture is in a location (such as the femoral neck) where non-surgical management has poor outcomes. Not all fractures need surgery — Dr Inam will explain specifically whether yours does and why.
OAIC treats ACL and ligament tears, meniscal injuries, muscle and tendon ruptures, shoulder dislocations, stress fractures, and cartilage damage. Dr Inam completed a Fellowship in Arthroscopy, Sports Medicine, and Orthobiologics in Greece — providing specific expertise in minimally invasive and biological treatments for sports injuries alongside conventional surgical approaches.
Healing time depends on the bone, fracture type, patient age, and general health. Simple fractures in younger adults may heal in 4–6 weeks. Complex or large-bone fractures can take 3–6 months to fully consolidate. Surgical fixation often allows earlier mobilisation. Dr Inam provides each patient with a specific recovery timeline and monitors progress with follow-up imaging.
Grade 1 and Grade 2 muscle strains (partial tears) are typically managed non-surgically with physiotherapy, rest, and PRP orthobiologics where appropriate. Grade 3 complete muscle or tendon ruptures usually require surgical repair to restore function — and early treatment gives better outcomes than delayed surgery. An MRI is used to grade the injury accurately and guide the correct management pathway.
Early, accurate treatment gives the best chance of full recovery. Do not delay specialist assessment.
Peshawar Clinic: Mon–Fri 4:00 PM – 7:30 PM · Sunday 12:00 PM – 4:00 PM | Charsadda: Saturday 9:00 AM – 7:00 PM
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