What is an open or closed reduction in medical terminology?
In medical terminology, open reduction and closed reduction are techniques used in orthopedic procedures to correct bone fractures and dislocations.
1. Closed Reduction:
- Closed reduction is a non-surgical procedure where a doctor manually realigns the fractured bones or dislocated joints without making any incisions.
- It is performed under sedation or local anesthesia to reduce pain and muscle spasms.
- The doctor uses manual techniques, traction, or gentle manipulation to gently guide the bones back into their proper positions.
- After closed reduction, the affected area may be immobilized with casts, splints, or braces to maintain proper alignment during healing.
2. Open Reduction:
- Open reduction, also called surgical reduction, is a more invasive procedure performed when closed reduction is not possible or insufficient.
- It involves making an incision (cut) near the fracture site to directly access the bones.
- The surgeon visually examines the fracture, realigns the bones, and may use internal fixation devices like plates, screws, rods, or wires to stabilize the bones in their correct positions.
- Internal fixation ensures stability and facilitates proper healing.
- Following open reduction, the incision is closed with stitches or sutures, and the affected area is often immobilized to promote healing.
Both open and closed reduction procedures aim to restore anatomical alignment and stability to fractured or dislocated bones, allowing for proper healing and functional recovery. The choice of technique depends on the severity of the injury, bone displacement, and the surgeon's assessment of the best approach for optimal outcomes.