Success rate of fracture reduction

In our lives, some unintentional bumps often cause damage to our bones, resulting in symptoms such as ligament sprain and fracture. For patients with fractures, not only does it affect their daily activities, but the fracture site is also accompanied by intense pain that is unbearable. Therefore, it is necessary to take the correct method to heal the fracture in time. What is the success rate of fracture reduction surgery?

Fracture is a common orthopedic disease. Fracture is not a minor disease. Some fractures cannot be cured by applying medicine. They require surgery and reduction. Reduction is very important and critical. Today I will introduce to you manual reduction, surgical reduction and continuous traction reduction. I hope it can help everyone. Let’s learn the three reduction methods together.

There are three main reasons for fractures:

1. Direct violence

Violence directly acts on a certain part of the bone, causing a fracture in that part, resulting in a fracture in the injured part, often accompanied by varying degrees of soft tissue damage. If the wheel hits the calf, a fracture of the tibia and fibula will occur at the impact site.

2. Indirect violence

Indirect violence can cause fractures at a distance through longitudinal conduction, leverage or torsion. For example, when someone falls from a height and lands on his feet, the trunk bends forward sharply due to gravity, causing compression or burst fractures of the vertebrae at the junction of the thoracic and lumbar spine.

3. Accumulative strain

Long-term, repeated, minor direct or indirect injuries can cause fractures in a specific part of the limbs, also known as fatigue fractures. For example, long-distance walking can easily lead to fractures of the second and third metatarsal bones and the lower 1/3 of the fibula.

Three common methods to teach you fracture reduction

Reduction, fixation and functional exercise are the three major principles of fracture treatment. Reduction is to restore the displaced fracture ends to a normal or near-normal anatomical position, including clinical reduction and anatomical reduction. If the two fracture ends are not well positioned after reduction, but the alignment is basically good, and the limb function is normal after healing, it is considered functional reduction. Commonly used reduction methods include manual reduction, surgical reduction and continuous traction reduction.

1. Manual reduction: suitable for closed fractures of the limbs. Manual reduction has the advantages of less damage, being beneficial to fracture healing, and the method is simple and does not require more complicated equipment, so it is widely used. Reduction method: first perform local anesthesia to eliminate the patient's pain; the assistant holds the proximal end of the fracture, and the operator holds the distal end to perform counter-traction. After a few minutes, the muscles will fatigue and relax and the fracture can be reduced. Depending on the specific situation, techniques such as reverse folding, rotation, lifting, pressing, bone separation, and board straightening can be used.

2. Surgical reduction: Surgical reduction is also called open reduction. Its biggest advantage is that it can achieve anatomical reduction. Its disadvantage is that it increases local damage, is not conducive to fracture healing, and has a potential risk of infection. It is suitable for open fractures, intra-articular fractures, non-union fractures, combined with vascular and nerve injuries, and fractures that have failed manual healing.

3. Continuous traction reduction: Continuous traction reduction can achieve both reduction and external fixation effects. There are two types of traction: skin traction and bone traction. Skin traction, also known as skin traction, involves applying adhesive tape to the skin distal to the fracture. This type of traction is simple and convenient. The disadvantage is that people who are allergic to adhesive tape may develop blisters at the place where the tape is applied. Therefore, it is not suitable for people who are allergic to adhesive tape. Bone traction is traction that uses a steel needle to penetrate the bone shaft. The greatest advantage of this type of traction is its large force. The disadvantage is that it requires strict aseptic operation, otherwise it may cause bone marrow cavity infection. Traction weight: The traction weight for upper arm fracture is generally 1/15-1/20 of body weight, for femur fracture it is 1/7-1/10, for calf fracture it is 1/10-1/15, and for skull traction it is 1/6-1/10.