Procedure to restore alignment of a fracture or dislocation using manipulation of bone fragments without surgical exposure.

• A. Open Reduction
• B. Closed Reduction
• C. ORIF
• D. Fx

Answer: (B)

The concept being tested is realigning bone fragments without surgically exposing the fracture, known as closed reduction. This approach uses manual manipulation and sometimes traction to restore proper alignment, and is usually followed by immobilization with a cast or splint. It’s typically performed for simple fractures or dislocations where the skin is intact and there are no urgent complications requiring surgery. In contrast, an open reduction involves surgically exposing the fracture to realign the pieces, and ORIF refers to performing that open reduction with internal hardware like plates or screws to hold the bones in place. The term Fx is just shorthand for fracture and does not describe a reduction method. After a closed reduction, imaging confirms alignment and neurovascular status is checked.