(Setting a Fracture)
A closed fracture reduction is resetting a broken bone without cutting into the skin.
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Reasons for Procedure
A closed reduction is done to realign pieces of a broken bone. It is done to:
- Allow the bond to heal properly and more quickly
- Decrease pain and prevent later deformity
- Regain use of the bone and limb
Complications are rare, but no procedure is completely free of risk. Complications of a fracture reduction may include:
- Nerve damage
- Fat particles or blood clots dislodging and traveling to the lungs
- Need for surgery if the bone does not heal properly
- Reaction to anesthesia
The closed reduction may not be successful. Surgery may be needed to properly align the bones.
Before the procedure, talk to the doctor about ways to manage factors that may increase the risk of complications such as:
- Chronic disease, such as diabetes or obesity
- The use of certain medications
What to Expect
Prior to Procedure
Leading up to the procedure:
- You may be given antibiotics if you have an open fracture.
- Arrange for a ride to and from the procedure.
- Arrange for help at home.
- Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
- Eat a light meal the night before. Do not eat or drink anything after midnight.
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.
Description of the Procedure
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.
Immediately After Procedure
Another x-ray will be ordered to make sure the bone is in the correct position.
How Long Will It Take?
This depends on the type and location of the fracture.
How Much Will It Hurt?
You will have some pain after the procedure. Ask your doctor about medication to help with the pain.
Average Hospital Stay
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:
- Washing their hands
- Wearing gloves or masks
There are also steps you can take to reduce your chances of infection such as:
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
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.
Call Your Doctor
After you leave the hospital, contact your doctor if any of the following occurs:
- Severe or unusual pain that is not relieved by pain medication
- Signs of infection, including fever and chills
- Cough, shortness of breath, or chest pain
- Numbness and/or tingling in the injured extremity
- Loss of movement in the fingers or toes of the injured arm or leg
- The cast feels too tight
- Burning or stinging sensations under the cast
- Redness of the skin around the cast
- Persistent itching under the cast
- Cracks or soft spots develop in the cast
- Chalky white, blue, or black discoloration of fingers, toes, arm, or leg
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 August 2015. Accessed August 30, 2017.
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 August 30, 2017.
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 2018 by EBSCO Medical Review Board Warren A. Bodine, DO, CAQSM Last Updated: 9/25/2014