Fracture Reduction -- Open
(Setting a Fracture)
Reasons for Procedure
- So that the bone can heal properly and more quickly
- To decrease pain and prevent later deformity
- To regain use of the bone and limb
- Nerve damage
- Fat particles from the bone marrow or blood clots from veins that may break loose and travel to the lungs
- Need for additional surgery if the bone does not heal properly
- Reaction to anesthesia
- Increased age
- Preexisting medical condition
- An open fracture—broken bone is sticking out of skin
- Use of steroid medication
What to Expect
Prior to Procedure
- Physical exam
- X-ray —to look for the location and type of fracture
- Provide a splint for the broken bone to decrease the risk of additional injury until it can be reduced
- Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
- You may need to take antibiotics, if advised by your doctor.
- If you are at home, arrange for a ride to and from the procedure. Also, arrange for help at home.
- Eat a light meal the night before. Do not eat or drink anything after midnight.
- General anesthesia —blocks pain and keeps you asleep through the surgery
- Local anesthesia—numbs the area; given as an injection (You may also be given a sedative.)
Description of the Procedure
|Open Reduction of Tibia|
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Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
Call Your Doctor
- Severe or unusual pain that is not relieved by pain medication
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
- Cough, shortness of breath, or chest pain
- Numbness and/or tingling in the injured extremity
- Loss of movement in the fingers or toes of the injured arm or leg
- The cast feels too tight
- Burning or stinging sensations under the cast
- Redness of the skin around the cast
- Persistent itching under the cast
- Cracks or soft spots develop in the cast
- Chalky white, blue, or black discoloration of the fingers, toes, arm, or leg
American Academy of Orthopaedic Surgeons http://orthoinfo.aaos.org
American Orthopedic Society http://www.sportsmed.org
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
Setting broken bones. Cedars-Sinai website. Available at: http://www.cedars-sinai.edu/Patients/Programs-and-Services/Orthopaedic-Center/Treatment/Setting-Broken-Bones.aspx. Accessed September 26, 2014.
10/30/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Gosselin RA, Roberts I, Gillespie WJ. Antibiotics for preventing infection in open limb fractures. Cochrane Database Syst Rev. 2009;(4):CD003764.
- Reviewer: Michael Woods, MD
- Review Date: 08/2014 -
- Update Date: 09/26/2014 -