A closed fracture reduction is resetting a broken bone without cutting into the skin.
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A closed reduction is done to realign pieces of a broken bone. It is done to:
Complications are rare, but no procedure is completely free of risk. If you are planning to have a fracture reduction, your doctor will review a list of possible complications, which may include:
The closed reduction may not be successful. Surgery may be needed to properly align the bones.
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
Your doctor may do the following:
Leading up to the procedure:
Your doctor will usually give you local anesthesia to numb the area. You may also be given a sedative.
In some cases, general anesthesia will be used. You will be asleep during the procedure if this is the case.
The bone fragments will be moved into their normal position. Traction will be applied and a cast or splint will be used to hold the bones in place. No incisions are needed.
Another x-ray will be ordered to make sure the bone is in the correct position.
This depends on the type and location of the fracture.
You will have some pain after the procedure. Ask your doctor about medication to help with the pain.
You will usually be able to go home after the procedure.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chances of infection such as:
Small bones usually heal in 3-6 weeks. Long bones will take more time. Your doctor may have you work with a physical therapist. A physical therapist can help you to regain normal function.
After you leave the hospital, contact your doctor if any of the following occurs:
If you think you have an emergency, call for emergency medical services right away.
American Orthopedic Society for Sports Medicine
Ortho Info—American Academy of Orthopaedic Surgeons
Canadian Orthopaedic Association
When it Hurts to Move—Canadian Orthopaedic Foundation
Broken bones. Kids Health—Nemours Foundation website. Available at: http://kidshealth.org/parent/general/aches/b_bone.html. Updated October 2012. Accessed September 25, 2014.
Setting broken bones. Cedars-Sinai website. Available at: http://www.cedars-sinai.edu/Patients/Programs-and-Services/Orthopaedic-Center/Treatment/Setting-Broken-Bones.aspx. Accessed September 25, 2014.
10/30/2009 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T902789/Traumatic-amputation-of-the-extremity-emergency-management: Gosselin RA, Roberts I, Gillespie WJ. Antibiotics for preventing infection in open limb fractures. Cochrane Database Syst Rev. 2009;(4):CD003764.
Last reviewed September 2016 by Michael Woods, MD Last Updated: 9/25/2014