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, 29 (4), e166-71

Single Provider Reduction and Splinting of Displaced Ankle Fractures: A Modification of Quigley's Classic Technique

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Single Provider Reduction and Splinting of Displaced Ankle Fractures: A Modification of Quigley's Classic Technique

Timothy B Alton et al. J Orthop Trauma.

Abstract

Ankle fractures are commonly treated by orthopaedic surgeons and often require manipulative reduction. This can be painful for the patient and frequently uses 2 or more providers. Intra-articular injection of local anesthetic into the ankle joint precludes the need for conscious sedation (intravenous narcotics and benzodiazepines, propofol, or ketamine). By combining an ankle block with a modification of the classic ankle fracture reduction technique described by Quigley 1959, a single provider can effectively perform a manipulative reduction and splinting of an ankle fracture without conscious sedation.

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