Closed Reduction & Casting
A displaced bone is gently realigned by external manipulation under anaesthesia and immobilised in a moulded cast — allowing nature to heal stable fractures without surgery or implants.
What is Closed Reduction & Casting?
Closed Reduction and Casting is a non-operative fracture treatment in which displaced bone fragments are realigned by external manipulation — usually under sedation, regional or general anaesthesia — and then immobilised in a plaster of Paris or fibreglass cast until biological healing is complete. The technique remains the standard treatment for stable, minimally displaced fractures of the wrist, forearm, ankle, foot and many paediatric long-bone fractures. Dr. Hithesh selects this approach in Hyderabad whenever fracture pattern, displacement and alignment allow non-surgical care, sparing the patient surgery, implants and operative complications entirely.
How the Procedure Works
Initial Clinical Evaluation
Examination and X-rays confirm the fracture pattern, direction of displacement and stability, guiding the choice between operative or non-operative care.
Sedation & Reduction
Sedation, regional or local anaesthesia is administered; the fracture is realigned by gentle controlled traction and manipulation under fluoroscopy.
Cast Application
A plaster of Paris or fibreglass cast is moulded around the limb in the optimal position to maintain alignment until complete healing.
Confirmation Imaging
Post-reduction X-rays through the cast confirm satisfactory alignment of bone fragments before discharge home from the OPD or day-care.
Follow-Up & Cast Removal
Serial X-rays at 2, 4 and 6 weeks track healing progress; the cast is typically removed at 6–8 weeks with rehabilitation.
Outcomes
Who Needs This Treatment?
- →Avoids surgery, anaesthesia and implant-related complications entirely
- →No skin incisions, surgical scars or risk of operative infection
- →Cost-effective and appropriate for stable fracture patterns reliably
- →Excellent long-term outcomes in suitable adult and paediatric patients
- →Quick OPD procedure under sedation or regional limb anaesthesia
- →Time-tested approach with decades of strong supporting clinical evidence
Surgery is not always the answer, and resisting the urge to operate is sometimes the best service we can offer. A well-applied cast on a stable fracture heals beautifully — without scars, implants or operative risk.
— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.