Paul Tornetta III, MD: We know decision making with respect to calcaneal fracture management can be difficult. Can classification help? Classification is only valuable if it is prognostic and if it assists decision making. Otherwise, it is useless.
Richard E. Buckley, MD. Excellent presentation on methods of treatment of calcaneal fractures.
For educational purposes may be copied, adapted and presented with acknowledgements to Dr Buckley and OTA
The classifications for adult both bone forearm fractures apply descriptive terms about the location of the fracture in bone, whether one or both bones are fractured, the degrees of comminution, displacement ,angulation and whether the fracture is open or closed.
OTA basic Fracture Course
Fractures will heal without surgery - sometimes. For the past 50,000 years that hominids have been present, in all but the last 100 years, their fractures healed without surgery. There is no question that we have had many a short legged, crooked armed, gimpy ancestor - but their fractures did...
The indication to perform closed reduction could be a definitive treatment for an uncomplicated Colles wrist fracture. Closed reduction may be applied to more complicated fractures followed by a post-reduction re-assessment of the fracture configuration to decide if the fracture needs further treatment.
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