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3Reduction

Always start with an attempt at closed reduction. If a satisfactory reduction is achieved, proceed with fixation as described...

Closed reduction

Always start with an attempt at closed reduction. If a satisfactory reduction is achieved, proceed with fixation as described below.
The patient is positioned supine on the fracture table. The ipsilateral arm is elevated in a sling, and the contralateral uninjured leg is placed on a leg holder.
Reduction is usually achieved by first pulling in the direction of the long axis of the leg in order to distract the fragments and regain length.
Next comes internal rotation.
The reduction must be checked in both the AP and lateral with an image intensifier.
If closed reduction fails, carry out a limited open reduction.