World Library  
Flag as Inappropriate
Email this Article

Reduction (orthopedic surgery)

Article Id: WHEBN0002299851
Reproduction Date:

Title: Reduction (orthopedic surgery)  
Author: World Heritage Encyclopedia
Language: English
Subject: ICD-9-CM Volume 3, Internal fixation, Patellar dislocation, Bimalleolar fracture, CRAC
Collection:
Publisher: World Heritage Encyclopedia
Publication
Date:
 

Reduction (orthopedic surgery)

Reduction (orthopedic surgery)
Intervention
ICD-9-CM 79

Reduction is a surgical procedure to restore a fracture or dislocation to the correct alignment. This sense of the term "reduction" does not imply any sort of removal or quantitative decrease but rather implies a restoration: re ("back [to normal]") + ducere ("lead"/"bring"), i.e., "bringing back to normal." When a bone fractures, the fragments lose their alignment in the form of displacement or angulation. For the fractured bone to heal without any deformity the bony fragments must be re-aligned to their normal anatomical position. Orthopedic surgery attempts to recreate the normal anatomy of the fractured bone by reduction of the displacement.

Reduction could be by "closed" or "open" methods.

  • Open reduction refers to the method wherein the fracture fragments are exposed surgically by dissecting the tissues.
  • Closed reduction refers to manipulation of the bone fragments without surgical exposure of the fragments.

Because the process of reduction can briefly be intensely painful, it is commonly done under a short-acting anaesthetic, sedative, or nerve block. Once the fragments are reduced, the reduction is maintained by application of casts, traction or held by plates, screws, or other implants which may in turn be external or internal. It is very important to verify the accuracy of reduction by clinical tests and x-ray, especially in the case with joint dislocations.

References

  • "Closed reduction of a fractured bone". Medline Plus. 11 June 2008. Retrieved 26 September 2014. 
  • Vinson DR, Hoehn CL (2013). "Sedation-assisted Orthopedic Reduction in Emergency Medicine". Western J Emerg Med. 14 (1): 47–54.  (primary source)
  • Mercier LR (2008). "2". Practical Orthopedics (6th ed.).  

References


This article was sourced from Creative Commons Attribution-ShareAlike License; additional terms may apply. World Heritage Encyclopedia content is assembled from numerous content providers, Open Access Publishing, and in compliance with The Fair Access to Science and Technology Research Act (FASTR), Wikimedia Foundation, Inc., Public Library of Science, The Encyclopedia of Life, Open Book Publishers (OBP), PubMed, U.S. National Library of Medicine, National Center for Biotechnology Information, U.S. National Library of Medicine, National Institutes of Health (NIH), U.S. Department of Health & Human Services, and USA.gov, which sources content from all federal, state, local, tribal, and territorial government publication portals (.gov, .mil, .edu). Funding for USA.gov and content contributors is made possible from the U.S. Congress, E-Government Act of 2002.
 
Crowd sourced content that is contributed to World Heritage Encyclopedia is peer reviewed and edited by our editorial staff to ensure quality scholarly research articles.
 
By using this site, you agree to the Terms of Use and Privacy Policy. World Heritage Encyclopedia™ is a registered trademark of the World Public Library Association, a non-profit organization.
 


Copyright © World Library Foundation. All rights reserved. eBooks from Project Gutenberg are sponsored by the World Library Foundation,
a 501c(4) Member's Support Non-Profit Organization, and is NOT affiliated with any governmental agency or department.