The Surgeon May Treat Distal Limb Fractures with a Closed

The surgeon may treat distal limb fractures with a closed reduction,rather than open or external fixation,manipulating the fragments into position without incising the skin.When possible,this is the treatment of choice because it decreases the opportunity for infection,improves results (including bone union of the fracture) ,and minimizes the recovery period.Closed reduction with local or light anesthesia may permit ambulatory surgery.Select a situation where closed reduction would be performed in addition to open reduction and fixation surgery to a distal limb.

A) Significant bone comminution
B) Where periosteal damage is evident
C) Before an open procedure to reduce the fracture site
D) When soft tissue entrapment is suspected