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Orthopedic surgery attempts to recreate the normal anatomy of the fractured bone by reduction of the displacement. [citation needed] This sense of the term "reduction" does not imply any sort of removal or quantitative decrease but rather implies a restoration: re ("back [to initial position]") + ducere ("lead"/"bring"), i.e., "bringing back to ...
Implant that has been used for fixation of a broken wrist. Closed reduction internal fixation (CRIF) is reduction without any open surgery, followed by internal fixation. It appears to be an acceptable alternative in unstable distressed lateral condylar fractures of the humerus in children, but if fracture displacement after closed reduction exceeds 2 mm, open reduction and internal fixation ...
Surgical treatment will often be required, usually an Open Reduction Internal Fixation (ORIF). This involves the surgical reduction, or realignment, of the fracture followed by the implementation of surgical implants to aid in the healing of the fracture. [2]
Surgical repair using open reduction and internal fixation is generally required, and because there is no lateral restraint of the foot, the ankle cannot bear any weight while the bone knits. This typically takes six weeks in an otherwise healthy person, but can take as much as twelve weeks.
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In cases where closed reduction is not successful, open (surgical) reduction may be needed. [2] X-rays are often used to confirm success and absence of associated fractures. The arm should be kept in a sling or immobilizer for several days, prior to supervised recovery of motion and strength. Various non-operative reduction techniques are employed.
Failure of nonoperative treatment leading to functional impairment and anatomic deformity is the largest risk associated with conservative management. Prior studies have shown that the fracture often redisplaces to its original position even in a cast. [15] Only 27-32% of fractures are in acceptable alignment 5 weeks after closed reduction. [16]
(a) closed fracture (b) open fracture (c) transverse fracture (d) spiral fracture (e) comminuted fracture (f) impacted fracture (g) greenstick fracture (h) oblique fracture Open ankle fracture with luxation Periprosthetic fracture of left femur. In orthopedic medicine, fractures are classified in various ways. Historically they are named after ...