Closed reduction or manipulation is a common non-invasive method of treating mildly displaced fractures. Usually performed in an emergency department or orthopaedic clinic with light sedation and analgesia, the fracture is manipulated back into anatomic alignment and immobilised with a cast, brace or splint. Occasionally general anaesthetic may be required.
The basic orthopaedic 3-step method of manipulation is usually sufficient to achieve adequate fracture reduction and consists of:
- fracture distraction (pull)
- increase the deformity (bend)
- decrease the deformity (straighten)