What does closed reduction refer to in fracture management?

Closed reduction in fracture management refers specifically to the manual realignment of fractured bone ends without the need for surgical intervention. This technique involves carefully manipulating the displaced bone fragments back into their proper anatomical positions. The procedure is performed externally, usually under local anesthesia or sedation, which allows the healthcare professional to exert force on the bones to achieve realignment while preserving the overlying skin and soft tissue.

This method is often utilized in cases of simple fractures where the bone alignment can be restored effectively without surgery. Once the fracture is realigned, additional measures, such as immobilization with a cast or splint, may follow to maintain the position of the bones during the healing process. Understanding this definition is crucial in distinguishing it from other interventions such as traction devices, which help to maintain alignment but do not directly reposition the bone, or surgical methods that involve opening the skin to manipulate the fracture.