General Fracture Management: Introduction

Principles of closed reduction

• Displaced fractures, including those prepared to for internal fixation should be reduced to minimise soft tissue swelling. 
• Splints (Back slabs) should protect soft tissue example adequate padding. 
• Adequate analgesia and muscle relaxation (sedation) are key to a good reduction. 
• Basic principle of reduction is axial traction and reversal of mechanism of injury. 
• Correct length, angulation and rotation. 
• Particular regions of injuries have described reduction manoeuvres. 
• Immobilise the joint below and above the injury.