Translations:Frakturen/41/en

Roughly, the treatment procedures are divided into conservative and surgical treatment. Conservative procedures include immobilization with a cast, but also closed reduction with subsequent casting. In closed reduction, external pushing and pulling is used to remove the misalignment of the bone. This is not surgery, but can still take place under general anesthesia. The surgical form of treatment, on the other hand, is open reduction. The bone fragments are straightened in surgery and then joined together by devices such as screws, wires, nails or plates. The materials are often removed after healing is successful, but not necessarily. This procedure is called osteosynthesis (from Greek "ostheos" = "bone" and "synthesis" = "composition"). Osteosynthesis is mainly necessary for more complicated fractures, for example, multiple fragments, an open fracture, or fractures that extend into the joint. Clear surgical indications are arterial occlusions, nerve injuries or compartment syndrome. Typical osteosynthesis procedures are explained below.