Traction, splints and casts, braces, and internal or external fixation may all be used to prevent further displacement of the fraction. The objective is to restore the anatomy of the injury whilst permitting as much movement as possible of the rest of the body.
Closed methods are generally best suited to wounds with minimal soft tissue injury. Operative methods are generally indicated when soft tissue injury is extensive. Only rarely will internal fixation not follow open reduction. External fixation may be necessary if the wound is infected or if damage is so extensive that frequent access to the wound is necessary for nursing. The relative indications for each method are discussed more extensively in the relevant sections.
In severe injuries, bone grafts are often required.
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