title: Single provider reduction and splinting of displaced ankle fractures: a modification of Quigley's classic technique.
abstract: Ankle fractures are commonly treated by orthopaedic surgeons and often require manipulative reduction. This can be painful for the patient and frequently uses 2 or more providers. Intra-articular injection of local anesthetic into the ankle joint precludes the need for conscious sedation (intravenous narcotics and benzodiazepines, propofol, or ketamine). By combining an ankle block with a modification of the classic ankle fracture reduction technique described by Quigley 1959, a single provider can effectively perform a manipulative reduction and splinting of an ankle fracture without conscious sedation.
authors: *Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA; and †R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD.
authors: Timothy B
authors: TB
authors: Alton
authors: Emily
authors: E
authors: Harnden
authors: Jennifer
authors: J
authors: Hagen
authors: Reza
authors: R
authors: Firoozabadi
mesh_terms: D000328:Adult; D000368:Aged; D064386:Ankle Fractures / Q000175:diagnosis / Q000601:surgery*; D003131:Combined Modality Therapy / Q000295:instrumentation / Q000379:methods; D005260:Female; D005599:Fractures, Ununited / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007103:Immobilization / Q000295:instrumentation* / Q000379:methods; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D012189:Retrospective Studies; D013165:Splints; D016896:Treatment Outcome