We do almost all of our own reductions, with the exception of suprachondylars' type B & C, and Mid shaft radius & ulna. To date our orthopods have been very pleased at our skill level and outcomes. We also do the Salter 2 of the distal radius, with very good out comes!!!
I too enjoy the opportunity to do reductions, and use it as a teaching opportunity for our residents and fellows. We also operate under the understanding that if the reductions is not acceptable, we to would then refer to ortho.
I feel personally that fracture reduction is a very integral part of the practice of Pediatric Emergency Medicine. As in all things if you do not feel comfortable with the procedure then you should not be doing it!!
Gary Joubert ,
Children's Hospital of Western Ontario,
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