Assessment of Reduction
Using a direct reduction method, the fracture site is visualized greatly increasing the likelihood of an anatomic reduction in simple fracture patterns. In contrast, the fracture site is commonly not visualized during indirect reductions, and the surgeon relies on various methods to ensure restoration of accurate length, alignment, and rotation. The benefits of indirect reduction methods include decreased soft tissue dissection and less stripping of periosteal blood supply, with the goal of improving fracture healing and decreasing soft tissue wound complications. Because indirect reduction methods are being increasingly used, methods to assess fracture reduction have become vitally important.
- 2.Paley D, Tetsworth K. Mechanical axis deviation of the lower limbs: Preoperative planning of uniapical angular deformities of the tibia or femur. Clin Orthop. 1992;280:48–64.Google Scholar
- 20.Grossterlinden L, Nuechtern J, Begemann PG, Fuhrhop I, Petersen JP, Ruecker A, Rupprecht M, Lehmann W, Schumacher U, Rueger JM, Briem D. Computer-assisted surgery and intraoperative three-dimensional imaging for screw placement in different pelvic regions. J Trauma. 2011;71(4):926–32.CrossRefPubMedGoogle Scholar
- 30.Jeanmart L, Baert AL, Wackenheim A. Computer tomography of neck, chest, spine and limbs. Atlas of pathologic computer tomography, vol. 3. New York, NY: Springer-Verlag; 1983. p. 171–7.Google Scholar
- 31.Clementz BG. Assessment of tibial torsion and rotational deformity with a new fluoroscopic technique. Clin Orthop Rel Res. 1989;245:199–209.Google Scholar