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Manual reduction of a minimally displaced distal tibia fracture

Manual reduction

The foot is held around its middle from plantar and medial with one hand by the surgeon. The heel is grasped with the other hand. Reduction is achieved by gentle traction and by alignment of the foot to match the axis of the lower leg, also correcting rotation.

For temporary casting, the deformity may in some cases be overcorrected to protect the soft tissues.

Note: After reduction, presence of palpable pedal pulses should be reconfirmed.