Does the fracture have to be reset neatly?

  Patients with fractures often ask their doctors to reset the fracture block neatly, sometimes because the fracture block is not reset, resulting in doctor-patient disputes, and some patients even ask for a new surgery. In fact, this is a serious misunderstanding of fracture patients and their families. Fractures of the articular surface need to be completely reset as much as possible, which can reduce the occurrence of secondary arthritis. Except for articular surface fractures, most fractures do not need to reach such a level of complete repositioning. In particular, lower extremity fractures are able to recover well as long as the force lines are restored and the distal and proximal fracture blocks are reliably fixed. If the fracture is fully repositioned, the blood supply to the fracture block may be damaged, which is detrimental to fracture healing. In order to minimize re-injury caused by the fracture repositioning process, it is not necessary to force repositioning for fracture blocks that can be left unset. During the fracture healing process, the fracture block that is not reset can gradually shape up and eventually grow back to its original shape. The patient was informed before surgery that the fracture would not be fully aligned and that the fracture was not fully repositioned after surgery, but the patient recovered well.