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

J Orthop Trauma. 2015 Apr;29(4):e166-71. doi: 10.1097/BOT.0000000000000206.


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.

MeSH terms

  • Adult
  • Aged
  • Ankle Fractures / diagnosis
  • Ankle Fractures / surgery*
  • Combined Modality Therapy / instrumentation
  • Combined Modality Therapy / methods
  • Female
  • Fractures, Ununited / diagnosis
  • Fractures, Ununited / surgery*
  • Humans
  • Immobilization / instrumentation*
  • Immobilization / methods
  • Male
  • Middle Aged
  • Osteotomy / instrumentation
  • Osteotomy / methods*
  • Retrospective Studies
  • Splints*
  • Treatment Outcome