What are the alternatives to fracture fixation surgery?

Non-operative care is considered when the bone position is acceptable and can be protected while healing occurs. A cast or splint limits movement; a brace may offer support with more access for skin checks when the injury allows it. Closed reduction gently restores alignment without an incision, followed by immobilisation and repeat imaging. Fractures of the ankle, clavicle or distal radius may be managed differently depending on displacement, joint involvement, skin condition and the demands placed on the limb. Children’s growth plate injuries require particularly careful follow-up.

Ask the orthopaedic team what the X-ray shows about alignment and stability, and what would make surgery necessary later. Use the prescribed support, keep follow-up appointments and protect the limb from loading until given permission. Elevate the area when advised and keep the device dry and intact. Rehabilitation is introduced after the fracture is considered stable; early unapproved movement can shift a healing fracture.

Seek immediate assessment for a cold, pale or blue hand or foot, new numbness, inability to move the fingers or toes, or pain that is rapidly increasing. An open wound, new deformity, severe swelling, chest symptoms after a long-bone injury, or a support that becomes unbearably tight also needs urgent review. Do not wait for the next clinic visit when circulation or nerve function changes.

Can my fracture stay aligned in a cast, splint or brace? Would closed reduction improve its position? How often will imaging be repeated? What activity, lifting and driving limits apply while it heals?