A closed fracture reduction is resetting a
without cutting into the skin.
Broken Bones in the Arm
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A closed reduction is done to realign pieces of a broken bone. It is done to: Allow the bond to heal properly and more quicklyDecrease pain and prevent later deformityRegain use of the bone and limb
Complications are rare, but no procedure is completely free of risk. If you are planning to have a fracture reduction, your doctor will review a list of possible complications, which may include: Nerve damageFat particles or blood clots dislodging and traveling to the lungsNeed for surgery if the bone does not heal properlyReaction to anesthesia
The closed reduction may not be successful. Surgery may be needed to properly align the bones.
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
SmokingDrinkingChronic disease such as diabetes or obesityThe use of certain medications
Your doctor may do the following: Physical examX-ray—to look for the broken bone
Provide a splint for the broken bone to decrease the risk of additional injury until the fracture can be reduced
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.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,
will be used. You will be asleep during the procedure if this is the case.
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.
Another x-ray will be ordered to make sure the bone is in the correct position.
This depends on the type and location of the fracture.
You will have some pain after the procedure. Ask your doctor about medication to help with the pain.
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 handsWearing 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 sameReminding 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.
After you leave the hospital, contact your doctor if any of the following occurs: Severe or unusual pain that is not relieved by pain medicationSigns of infection, including fever and chillsCough, shortness of breath, or chest painNumbness and/or tingling in the injured extremityLoss of movement in the fingers or toes of the injured arm or legThe cast feels too tightBurning or stinging sensations under the castRedness of the skin around the castPersistent itching under the castCracks or soft spots develop in the castChalky white, blue, or black discoloration of fingers, toes, arm, or leg
In case of an emergency, call for emergency medical services right away.
Broken bones. Kids Health—Nemours Foundation website. Available at:
http://kidshealth.org/parent/general/aches/b_bone.html. Updated October 2012. Accessed September 25, 2014.
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 September 25, 2014.
10/30/2009 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: Gosselin RA, Roberts I, Gillespie WJ. Antibiotics for preventing infection in open limb fractures.
Cochrane Database Syst Rev.
Last reviewed August 2014 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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