Trauma and Fracture Care represents the acute emergency orthopedic service dedicated to treating bone fractures, joint dislocations, and musculoskeletal injuries resulting from motor vehicle accidents, falls, sports trauma, workplace injuries, and other high-energy or low-energy traumatic events. At Arthoscenter in Patna, Bihar, Dr. Gurudeo Kumar leads a dedicated 24/7 trauma team that has successfully treated over 2,500 fracture cases ranging from simple isolated fractures to complex polytrauma with multiple injuries, providing immediate expert care that saves limbs, prevents complications, and restores function. Fractures occur when excessive force overcomes bone strength, causing the bone to break. The severity ranges from hairline cracks (incomplete fractures) to complete breaks with multiple fragments (comminuted fractures), from closed fractures with intact skin to open fractures where bone protrudes through skin (surgical emergencies requiring urgent treatment to prevent infection). Different bones fracture in characteristic patterns based on mechanism of injury: femur fractures from high-energy trauma, wrist fractures from falls on outstretched hand, ankle fractures from twisting injuries, vertebral compression fractures from osteoporosis. Our trauma care program operates 24 hours a day, 7 days a week with dedicated emergency teams, state-of-the-art C-arm fluoroscopy for intraoperative imaging, comprehensive implant inventory (plates, screws, nails, external fixators), blood bank facilities, intensive care capabilities for critically injured patients, and coordination with general surgery, neurosurgery, and plastic surgery teams for polytrauma management. This comprehensive infrastructure enables us to provide definitive fracture care within the golden period (first 12-24 hours) when outcomes are best and complications minimized. Treatment decisions depend on fracture characteristics including location, pattern (transverse, oblique, spiral, comminuted), displacement, angulation, shortening, rotation, associated soft tissue injury, neurovascular compromise, open vs closed, and patient factors including age, medical comorbidities, bone quality, and functional demands. Simple stable fractures may be treated non-operatively with casting or bracing, but most displaced or unstable fractures require surgical fixation to achieve proper alignment, stable fixation, early mobilization, and optimal healing. Surgical techniques include intramedullary nailing (inserting metal rod through bone center for femur, tibia, humerus fractures), plate and screw fixation (applying plate to bone surface for forearm, ankle, clavicle fractures), external fixation (temporary or definitive stabilization using pins and external frame for open fractures or damage control), tension band wiring (for patella, olecranon fractures), percutaneous pinning (minimally invasive for pediatric or simple fractures), and primary joint replacement (for some femoral neck fractures in elderly). Success rates for fracture surgery are excellent with modern techniques and implants. Union rates (bone healing) exceed 90-95% for most fractures when appropriate fixation is achieved and biology preserved. Infection rates are kept below 2% for closed fractures and below 10% for open fractures through proper debridement, antibiotics, and wound management. Malunion (healing in improper position) and nonunion (failure to heal) occur in less than 5% of cases and can often be corrected with revision surgery. Most patients regain 80-90% normal function within 6-12 months post-injury. At Arthoscenter, we emphasize comprehensive trauma care including immediate emergency assessment following ATLS (Advanced Trauma Life Support) protocols, rapid imaging (X-rays, CT scans for complex fractures), temporary splinting and pain management, urgent surgical intervention when indicated (open fractures within 6-8 hours, compartment syndrome emergent fasciotomy, vascular injury immediate repair), expert surgical fixation using modern implants and techniques, aggressive pain management, early mobilization to prevent complications (blood clots, pneumonia, pressure sores), structured rehabilitation programs, and long-term follow-up to monitor healing and address complications. Post-operative care emphasizes pain control using multimodal analgesia (regional blocks, IV medications, oral analgesics), DVT prophylaxis (blood thinners, compression devices), infection prevention (prophylactic antibiotics, wound care), early mobilization (non-weight-bearing movement, joint range of motion exercises), nutritional support for healing (protein, calcium, vitamin D), and prevention of complications. Physical therapy begins in hospital and continues outpatient for 6-12 weeks to restore strength, flexibility, and function.