Vet Comp Orthop Traumatol 2003; 16(02): 59-66
DOI: 10.1055/s-0038-1632761
Invited Review Article
Schattauer GmbH

Current concepts in fracture reduction

A. L. Johnson
1  Department of Veterinary Clinical Medicine, University of Illinois, USA
› Institutsangaben
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Publikationsverlauf

Received 04. November 2002

Accepted 04. November 2002

Publikationsdatum:
22. Februar 2018 (online)

Summary

Fracture management includes preoperative planning, implant selection, fracture reduction, implant application, and postoperative patient management. Fracture reduction can be one of the most challenging parts of the process. Time honoured principles, of gradual progressive traction and counter-traction, to anatomically restore the bone contour are still effective methods of fracture reduction (2). However, new concepts have emerged that incorporate: balanced anaesthesia techniques, image guided minimally invasive implant placement, bone alignment (rather than anatomical reconstruction) for comminuted fractures, and additional methods of achieving mechanical leverage (1, 3, 4, 16). The purpose of this paper is to discuss the decision making process for selecting fracture reduction techniques; and to describe those techniques for achieving and maintaining reduction for specific fractures.