Closed reduction of a fractured bone
Fracture reduction - closed
Fractures of the bones are classified in a number of ways. A simple fracture involves a single fracture line through a bone. A comminuted fracture is one in which the bone has been fractured into two or more fragments. An open fracture is one in which the fractured bone penetrates the skin.
What are the Benefits of a Closed Reduction?
A closed reduction can:
- Reduce tension on the skin and reduce swelling
- Improve the chances that your limb will function normally and you will be able to use it normally when it heals
- Decrease pain
- Help your bone heal quickly and be strong when it heals
- Lower the risk of an infection in the bone
- Allow you to avoid surgery to fix the fracture
Possible Risks During a Closed Reduction
Your health care provider will talk with you about the possible risks of a closed reduction. Some are:
- The nerves, blood vessels, and other soft tissues near your bone may be injured.
- A blood clot could form, and it could travel to your lungs or another part of your body.
- You could have an allergic reaction to the pain medicine you receive.
- There may be new fractures that occur with the reduction.
- If the reduction does not work, you may need surgery.
Your risk of any of these problems is greater if you:
- Smoke
- Take steroids (such as cortisone), birth control pills, or other hormones (such as insulin)
- Are older
- Have other health conditions such as diabetes and hypothyroidism
About the Procedure
The procedure is often painful. You will receive medicine to block the pain during the procedure. You might receive:
- A local anesthetic or nerve block to numb the area (usually given as a shot)
- A sedative to make you relaxed but not asleep (usually given through an IV, or intravenous line)
- General anesthesia to make you sleep during the procedure
After you receive pain medicine, your provider will set the bone in the right position by pushing or pulling the bone. This is called traction.
After the bone is set:
- You will have an x-ray to make sure the bone is in the right position.
- A cast or splint will be put on your limb to keep the bone in the right position and protect it while it heals.
After Your Procedure
If you do not have other injuries or problems, you will be able to go home a few hours after the procedure.
Until your provider advises, do not:
- Place rings on your fingers or toes over your injured arm or leg
- Bear weight on the injured leg or arm
References
Waddell JP, Wardlaw D, Stevenson IM, McMillian TE, et al. Closed fracture management. In: Browner BD, Jupiter JB, Krettek C, Anderson PA, eds. Skeletal Trauma: Basic Science, Management, and Reconstruction. 6th ed. Philadelphia, PA: Elsevier; 2020:chap 7.
Whittle AP. General principles of fracture treatment. In: Azar FM, Beaty JH, eds. Campbell's Operative Orthopaedics. 14th ed. Philadelphia, PA: Elsevier; 2021:chap 53.
Version Info
Last reviewed on: 6/17/2024
Reviewed by: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
