 A broken bone is considered a complex fracture when the break is most severe than a routine fracture. Damage usually includes injury to multiple bones, joints, ligaments and tenders and requires intensive treatment and rehabilitation. Some people, including athletes and ageing adults, are more at risk to experience complex fractures than others. Most complex fractures are open wounds with complete fractures and patients experience symptoms including protruding bones, extreme pain and numbness. Imager treatment is often required once the surgeon has completed the physical examination. For patients with an open fracture, wounds are first cleaned before x-rays are taken for additional information after which the patient goes into surgery. During the surgery, the surgeon typically utilizes screws and pins to keep everything in place then corrects the complex fractures using different techniques such as fracture fixation, debriedment, soft tissue coverage, revascularization and reconstruction. Post procedure, based on the severity of the injury, your physician develops a personalized rehabilitation program.