Closed reduction
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Manipulation of fracture
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Closed reduction or manipulation is a common non invasive method of treating mildly displaced fractures. Usually performed in a 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 a 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)
Fractures that fail closed reduction often require some form of internal fixation, closed reduction - internal fixation (CRIF) or open reduction - internal fixation (ORIF).
-</ol><p>Fractures that fail closed reduction often require some form of internal fixation, <a title="CRIF" href="/articles/crif">closed reduction - internal fixation</a> (CRIF) or <a title="ORIF" href="/articles/orif">open reduction - internal fixation</a> (ORIF).</p>- +</ol><p>Fractures that fail closed reduction often require some form of internal fixation, <a href="/articles/crif">closed reduction - internal fixation</a> (CRIF) or <a href="/articles/orif">open reduction - internal fixation</a> (ORIF).</p>
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