Fractures: Specialized Assessment in Punta de Mita
Confirmed fracture, previous studies or doubt about whether you need surgery. We review your case to define the next step with orthopedic criteria.
When is a fracture assessment appropriate?
Not all fractures follow the same pathway. Some can continue with immobilization and control; others require a more careful assessment to define if the current management is sufficient or if a different strategy is needed.
It is usually time to consult when:
- You have already received initial care and need to define what's next.
- You were offered surgery and want a second opinion.
- The pain, inflammation or mobility does not evolve as expected.
- You have X-rays or CT scans and need a specialized review.
- You are seeking continuity of care with an orthopedic surgeon.
What type of cases usually come to this practice?
Fracture with recent diagnosis
You already have studies or have been told that a fracture exists, but you want to understand if the current plan makes sense.
Fracture with proposed surgery
You seek to confirm whether the surgical indication is reasonable before deciding.
Fracture with poor evolution
Pain, swelling or functional limitation remain significant, or you feel that recovery is not on track.
Continuity after initial care
You received an initial cast, splint or stabilization, but now you need a clearer orthopedic assessment.
What can be defined in the valuation
During the consultation we can help you answer key questions such as:
- Whether the fracture appears well aligned or not.
- If current management makes sense.
- If it is convenient to continue with surveillance and immobilization.
- If further studies are required.
- Whether the injury requires more serious surgical assessment.
How we approach your case
Clinical assessment and examination: We review the mechanism of injury, the affected area, pain, mobility, inflammation and if there are relevant neurological or vascular data.
Review of studies: If you already have X-rays, tomography or other studies, it is convenient to bring them. If you do not have enough studies, we will define which ones are more useful according to your case.
Conservative management: In some patients, the fracture can be continued with immobilization, follow-up and pain control.
Surgical assessment: In other cases, it may be necessary to assess a surgical route when alignment is inadequate, stability is insufficient or the lesion requires a more complex strategy.
Second opinion with orthopedic judgment: If a possible surgery has already been explained to you or you are unclear why a fracture is being handled in a certain way, we review the case to help you make an informed decision.
What to bring to your practice
To make the assessment more useful from the very beginning, we recommend you to bring:
What to bring to the consultation (ideal):
- X-rays, tomography or other previous studies.
- Previous written reports or medical notes.
- A list of medications you are taking.
- A brief note on the injury: how it happened, when it was and what has happened since.
Warning signs: when to seek urgent care
This page is intended for patients who have already undergone an initial evaluation or who need to better manage their case, not as a substitute for immediate emergency care. Although many fractures are assessed on a scheduled basis after initial stabilization, there are situations that require immediate medical attention.
You should go to the emergency room if you present:
Exposed bone or deep wound in the injured area.
Significant deformity after trauma.
Coldness, pallor or loss of distal sensation.
Marked numbness or significant loss of strength.
Total inability to move the limb after the injury.
Very severe pain that does not improve after initial immobilization.
Costs, insurance and payment options
Financial Transparency
Spine treatment and procedures are highly specialized. The budget is customized according to the diagnosis, the treatment route (conservative, interventional or surgical) and the hospital site. For private patients, we provide a clear proposal of the process and budget. If you have medical insurance, we guide you through the medical documentation and administrative process.
Attention in Punta de Mita and Riviera Nayarit
The main site of attention for this page is Punta de Mita, with natural outreach to Riviera Nayarit. We also see patients from Banderas Bay and Puerto Vallarta when they require specialized evaluation after a fracture or for a second opinion.
Frequently asked questions about fractures
Which specialist treats a fracture?
A traumatologist or orthopedist is the specialist indicated to review a fracture, interpret the studies and define the most appropriate treatment according to the case.
Do all fractures require surgery?
No. Some can continue with conservative management. The decision depends on the type of fracture, alignment, stability, physical examination and studies.
Can I ask for a second opinion before undergoing surgery?
Yes, if surgery has already been proposed to you and you want to check if this indication is reasonable, the assessment serves precisely for that purpose.
What studies should I bring?
If you already have X-rays or tomography, bring them with you. If you do not have enough studies, the consultation will define what needs to be requested.
What if I have already been seen in the emergency room?
Initial care may stabilize the lesion, but this does not always resolve the definitive plan. The consultation serves to define continuity, follow-up or change of strategy.

Dr. Francisco Rafael Hernández Pérez
Specialist in Orthopedics and Traumatology
- Prof. Card 8042876
- Cédula Esp. 10625160
- Punta Mita Hospital, Nayarit
Read reviews on Google
Do you have specific questions?

Dr. Francisco Rafael Hernández Pérez
Specialist in Orthopedics and Traumatology
- Prof. Card 8042876
- Cédula Esp. 10625160
- Punta Mita Hospital, Nayarit
Read reviews on Google