Principles of Fracture Management

Just Suffered a Fracture?

The most important adage to remember when it comes to fracture management in traumatic orthopedic complaints is three stages, which is ‘Reduce – Hold – Rehabilitate’.

The Principles of Reduction

This involves restoring the anatomical alignment of a fracture of the deformed limb. Reduction allows for:

The main principle, when it comes to methodology, is to correct the deforming forces that caused the injury. Before this, some clinicians suggested an initial exaggeration of the fracture, before the reduction maneuver, that helped to uncouple the proximal and distal fracture fragments.

Fracture reduction is performed closed in the emergency setting. However, are also reduced open or intra-operatively.


This generic term is used to describe the immobilization of a fracture. Initially, it is important to consider if traction is required, which is commonly used for subtrochanteric neck of femur fractures, femoral shaft fractures, pelvic fractures, or displaced acetabular fractures, and some pelvic fractures, whereby the muscular pull across the fracture is strong and the fracture is not stable.


This refers to the need for patients to undergo an intensive period of physiotherapy after receiving fracture management. Invariably, patients will be stiff following immobilization and the therapists are essential to aid with a successful recovery. It is extremely important to make sure patients are advised to move non-immobilized unaffected joints right from the start.

To learn about the services that we at 417 Sports Medicine and Orthopedics: Eric M Gifford, MD have to offer you, and if you live in or around the Springfield, MO area, please do not hesitate to contact us at this number (417) 771-3147 anytime for an appointment.

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