Tendon Repairs and Fracture Reductions

Tendon Repair

A fracture reduction is an orthopedic procedure used to treat bone fractures and dislocations. It involves restoring the broken bone to its correct alignment. Depending on the severity of the condition and other factors, patients with bone fractures can be treated with either or a combination of closed and open fracture reduction procedures.

In a closed reduction, the displaced or fractured bone fragments are manipulated back into their proper position or alignment without surgically exposing them. This, however, has to be done immediately after the fracture occurs. During the procedure, traction is applied at or across the fractured bone to relax the surrounding muscles. This is followed by slowly manipulating the fragments back into place and stabilizing them with a cast or splint. In a modified version of the procedure, the affected body part is supported by a percutaneous wire or K-wire, a percutaneous screw, or an external fixator.

In an open reduction, a surgical incision is made to expose the fragments and put them back in their proper position. Unlike a closed reduction, which can be performed by an experienced and trained physician, only an orthopedic surgeon can perform an open reduction. This procedure is used for cases wherein a closed reduction is not possible. In almost all cases, a closed reduction procedure is usually the first attempt. If it fails to deliver the expected results, an open surgery will be performed.

Additionally, there are also some cases in which the newly reduced position of the fractured bone cannot be successfully held in place by external fixation techniques. Such cases require an open surgery to carry out an internal fixation procedure. After a fracture has been successfully reduced, the patient undergoes an x-ray examination, among other tests, to make sure that the fractured bone has been replaced or restored accurately.

Fracture Reduction

A fracture reduction is an orthopedic procedure used to treat bone fractures and dislocations. It involves restoring the broken bone to its correct alignment. Depending on the severity of the condition and other factors, patients with bone fractures can be treated with either or a combination of closed and open fracture reduction procedures.

In a closed reduction, the displaced or fractured bone fragments are manipulated back into their proper position or alignment without surgically exposing them. This, however, has to be done immediately after the fracture occurs. During the procedure, traction is applied at or across the fractured bone to relax the surrounding muscles. This is followed by slowly manipulating the fragments back into place and stabilizing them with a cast or splint. In a modified version of the procedure, the affected body part is supported by a percutaneous wire or K-wire, a percutaneous screw, or an external fixator.

In an open reduction, a surgical incision is made to expose the fragments and put them back in their proper position. Unlike a closed reduction, which can be performed by an experienced and trained physician, only an orthopedic surgeon can perform an open reduction. This procedure is used for cases wherein a closed reduction is not possible. In almost all cases, a closed reduction procedure is usually the first attempt. If it fails to deliver the expected results, an open surgery will be performed.

Additionally, there are also some cases in which the newly reduced position of the fractured bone cannot be successfully held in place by external fixation techniques. Such cases require an open surgery to carry out an internal fixation procedure. After a fracture has been successfully reduced, the patient undergoes an x-ray examination, among other tests, to make sure that the fractured bone has been replaced or restored accurately.