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Post-reduction X-rays are part of standard practice to confirm the adequacy of the reduction.
In the event that post-reduction X-rays identify inadequate reduction, often another attempt at reducing the fracture occurs.
The fracture is immobilized with a suitable splint, and post-reduction X-rays were subsequently done to verify that reduction was satisfactory (Fig. 4a,b).
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Open image in new window Fig. 2 Post-reduction X-ray.
Whilst before we were blind prior to a post-reduction X-ray, this "new" additional role of the ultrasound (very accessible, cost effective and safe) can now aid us in our decision making, thereby enhancing the work flow of this group of patients through the department.
The swelling has diminished, and the knee could be fully flexed without pain Open image in new window Fig. 5 Bilateral post-reduction AP X-ray of the knees showing a reduced fibula on the right side.
The patient is then sent for a post-reduction confirmation check X-ray for satisfactory alignment.
The standard post-reduction (postero-anterior (PA) and lateral) X-rays and standard distal radius X-rays of the unaffected side of 30 consecutive patients visiting the emergency department were included after stratification for AO fracture type.
Post-operatively, X-rays of the entire lower leg were obtained and used to evaluate the quality of reduction.
Soon enough, this leads to posting X-rays of broken tibia, fractured collarbones, fingers bent back.
In all cases, post-operative anteroposterior and lateral x-rays were taken.
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