How to choose fracture reduction and fixation methods

Most closed fractures can be treated by manual reduction and external fixation. Common external fixation methods include plaster bandage, outrigger, continuous traction, small splint and external fixation bracket. Small splint fixation is often used for fractures of humerus, ulna, tibia and fibula, distal radius and ankle joint. It is not suitable for small splint fixation of some intra-articular fractures, fractures near joints and femoral fractures. Gypsum bandage is often used for external fixation after bone and joint injury and bone and joint surgery. For severe shoulder and elbow injuries and some orthopedic operations of upper limbs, abduction should be used for fixation. Continuous traction can be divided into manual traction, skin traction, bone traction and Bhutto traction. Manual traction is mostly suitable for traction of femoral fracture in children, intertrochanteric fracture in the elderly, unstable fracture of humerus and auxiliary traction after lower limb fracture in adults. Skin traction is suitable for infants under 4~5 years old, children with underdeveloped muscles and the elderly, and those with no obvious displacement of fractures. If you need a large traction force and a long traction time, you can choose bone traction, which is suitable for all displaced adult fractures. Bhutto traction is mainly used for cervical, thoracic and lumbar diseases. External fixator is an external fixation method, which is mainly used for open fractures or infectious fractures. Non-union, limb lengthening, multi-segment fracture of femur or tibia, unstable comminuted fracture and joint fusion can also be treated with external fixator.