dr.roh
Forum Guru
Topics: 159
Posts: 361
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1. Angulation
2. fracture thats displaced (or can it be also for just fracture)
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Closed Reduction
*if no fracture
*just displacement
?????can someone tell me when to use Open reduction and Closed reduction
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| madoo
Forum Newbie
Topics: 2
Posts: 32
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as a general rule
>>> broken bones that are not badly displaced or angulated can be satisfactory aligned by external manipulationand could be immobilized in a cast "eg. most of colles fractures"
>>> if a fracture cant be aligned or severely diplaced or angulated it require ORIF
for example those of the femoral neck
Galeazzi fractures, Monteggia fracture :- the broken bone is fixed with ORIF while the dislocated one undergoes closed reduction
Salter Harris type III and IV epiphyseal fractures require accurate anatomical reduction to avoid epiphyseal arrest or deformity so is fixed with ORIF
potts or ankle fracture requires ORIF if fragments are displaced
open fractures usually require external metal fixation to avoid infection
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