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Medical Disability Advisor  >  Reduction Of Fracture Or Dislocation  >  Rehabilitation

Reduction of Fracture or Dislocation

Related Terms

  • Closed Reduction
  • Manipulative Reduction
  • Open Reduction Internal Fixation
  • ORIF

Specialists

  • Occupational Therapist
  • Orthopedic (Orthopaedic) Surgeon
  • Physiatrist
  • Physical Therapist

Comorbid Conditions

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Factors Influencing Duration

Type of injury, type of reduction, need for surgery, work requirements, extremity involved, and injury to a dominant hand or arm will affect duration of disability. Fractures heal less quickly as individuals age and are more likely to change position (slip) requiring more extensive care. Some fractures heal more slowly and have a higher rate of non-union in smokers. Some dislocations, especially of shoulders and kneecaps (patella), are more prone to repeat injury in younger individuals. Response to procedure, individual healing time based on health status (e.g., nutritional status, presence of chronic conditions such as diabetes or arthritis), and degree of compliance with after-care requirements can influence duration.

Medical Codes

ICD-9-CM:
03.53 - Repair of Vertebral Fracture; Elevation of Spinal Bone Fragments; Reduction of Fracture of Vertebrae; Removal of Bony Spicules from Spinal Canal
79 - Reduction of Fracture and Dislocation, Includes Application of Cast or Splint, Includes Reduction with Insertion of Traction Device
79.0 - Closed Reduction of Fracture without Internal Fixation
79.00 - Closed Reduction of Fracture without Internal Fixation, Unspecified Site
79.02 - Closed Reduction of Fracture without Internal Fixation, Radius and Ulna, Arm NOS
79.03 - Closed Reduction of Fracture without Internal Fixation, Carpals and Metacarpals, Hand NOS
79.04 - Closed Reduction of Fracture without Internal Fixation, Phalanges of Hand
79.05 - Closed Reduction of Fracture without Internal Fixation, Femur
79.06 - Closed Reduction of Fracture without Internal Fixation, Tibia and Fibula, Leg NOS
79.07 - Closed Reduction of Fracture without Internal Fixation, Tarsals and Metatarsals, Foot NOS
79.08 - Closed Reduction of Fracture without Internal Fixation, Phalanges of Foot
79.09 - Closed Reduction of Fracture without Internal Fixation, Other Specified Bone
79.1 - Closed Reduction of Fracture with Internal Fixation
79.10 - Closed Reduction of Fracture with Internal Fixation, Unspecified Site
79.11 - Closed Reduction of Fracture with Internal Fixation, Humerus
79.12 - Closed Reduction of Fracture with Internal Fixation, Radius and Ulna, Arm NOS
79.13 - Closed Reduction of Fracture with Internal Fixation, Carpals and Metacarpals, Hand NOS
79.14 - Closed Reduction of Fracture with Internal Fixation, Phalanges of Hand
79.15 - Closed Reduction of Fracture with Internal Fixation, Femur
79.16 - Closed Reduction of Fracture with Internal Fixation, Tibia and Fibula, Leg NOS
79.17 - Closed Reduction of Fracture with Internal Fixation, Tarsals and Metatarsals, Foot NOS
79.18 - Closed Reduction of Fracture with Internal Fixation, Phalanges of Foot
79.19 - Closed Reduction of Fracture with Internal Fixation, Other Specified Bone
79.2 - Open Reduction of Fracture without Internal Fixation
79.20 - Open Reduction of Fracture without Internal Fixation, Unspecified Site
79.21 - Open Reduction of Fracture without Internal Fixation, Humerus
79.22 - Open Reduction of Fracture without Internal Fixation, Radius and Ulna, Arm NOS
79.23 - Open Reduction of Fracture without Internal Fixation, Carpals and Metacarpals, Hand NOS
79.24 - Open Reduction of Fracture without Internal Fixation, Phalanges of Hand
79.25 - Open Reduction of Fracture without Internal Fixation, Femur
79.26 - Open Reduction of Fracture without Internal Fixation, Tibia and Fibula, Leg NOS
79.27 - Open Reduction of Fracture without Internal Fixation, Tarsals and Metatarsals, Foot NOS
79.28 - Open Reduction of Fracture without Internal Fixation, Phalanges of Foot
79.29 - Open Reduction of Fracture without Internal Fixation, Other Specified Bone
79.3 - Open Reduction of Fracture with Internal Fixation
79.30 - Open Reduction of Fracture with Internal Fixation, Unspecified Site
79.31 - Open Reduction of Fracture with Internal Fixation, Humerus
79.32 - Open Reduction of Fracture with Internal Fixation, Radius and Ulna, Arm NOS
79.33 - Open Reduction of Fracture with Internal Fixation, Carpals and Metacarpals, Hand NOS
79.34 - Open Reduction of Fracture with Internal Fixation, Phalanges of Hand
79.35 - Open Reduction of Fracture with Internal Fixation, Femur
79.36 - Open Reduction of Fracture with Internal Fixation, Tibia and Fibula, Leg NOS
79.37 - Open Reduction of Fracture with Internal Fixation, Tarsals and Metatarsals, Foot NOS
79.38 - Open Reduction of Fracture with Internal Fixation, Phalanges of Foot
79.39 - Open Reduction of Fracture with Internal Fixation, Other Specified Bone
79.4 - Closed Reduction of Separated Epiphysis; Reduction with or without Internal Fixation
79.40 - Closed Reduction of Separated Epiphysis, Unspecified Site
79.41 - Closed Reduction of Separated Epiphysis, Humerus
79.42 - Closed Reduction of Separated Epiphysis, Radius and Ulna, Arm NOS
79.45 - Closed Reduction of Separated Epiphysis, Femur
79.46 - Closed Reduction of Separated Epiphysis, Tibia and Fibula, Leg NOS
79.49 - Closed Reduction of Separated Epiphysis, Other Specified Bone
79.5 - Open Reduction of Separated Epiphysis, Reduction with or without Internal Fixation
79.50 - Open Reduction of Separated Epiphysis, Unspecified Site
79.51 - Open Reduction of Separated Epiphysis, Humerus
79.52 - Open Reduction of Separated Epiphysis, Radius and Ulna, Arm NOS
79.55 - Open Reduction of Separated Epiphysis, Femur
79.56 - Open Reduction of Separated Epiphysis, Tibia and Fibula, Leg NOS
79.59 - Open Reduction of Separated Epiphysis, Other Specified Bone
79.7 - Closed Reduction of Dislocation
79.70 - Closed Reduction of Dislocation of Unspecified Site
79.71 - Closed Reduction of Dislocation of Shoulder
79.72 - Closed Reduction of Dislocation of Elbow
79.73 - Closed Reduction of Dislocation of Wrist
79.74 - Closed Reduction of Dislocation of Hand and Finger
79.75 - Closed Reduction of Dislocation of Hip
79.76 - Closed Reduction of Dislocation of Knee
79.77 - Closed Reduction of Dislocation of Ankle
79.78 - Closed Reduction of Dislocation of Foot and Toe
79.79 - Closed Reduction of Dislocation of Other Specified Sites
79.8 - Open Reduction of Dislocation
79.80 - Open Reduction of Dislocation of Unspecified Site
79.81 - Open Reduction of Dislocation of Shoulder
79.82 - Open Reduction of Dislocation of Elbow
79.83 - Open Reduction of Dislocation of Wrist
79.84 - Open Reduction of Dislocation of Hand and Finger
79.85 - Open Reduction of Dislocation of Hip
79.86 - Open Reduction of Dislocation of Knee
79.87 - Open Reduction of Dislocation of Ankle
79.88 - Open Reduction of Dislocation of Foot and Toe
79.89 - Open Reduction of Dislocation of Other Specified Sites

Rehabilitation

Note on research and authorship

Rehabilitation after reduction of a fracture or dislocation begins after some healing has occurred. The primary focus is to restore function, regain strength, and relieve pain. The time and techniques involved are dependent upon the location and type of injury, treatment used, and stability of the fracture/dislocation.

Once the dislocation or fracture has been reduced, the therapist may utilize modalities, such as heat or cold, to decrease pain and edema (Braddom).

Exercises are initiated according to the recommendations of the treating physician and based on tissue healing. Therapy should begin with gentle range of motion and progress to strengthening exercises as tolerated. Intensity and duration of exercises should be advanced as indicated. A home exercise program should be taught to the individual to complement supervised rehabilitation.

All rehabilitation should be directed toward returning the individual to pre-injury status.

Additional information may provide insight into the rehabilitation needs of these individuals (Chapman).

FREQUENCY OF REHABILITATION VISITS
Nonsurgical ‡
SpecialistReduction of Fracture or Dislocation
Physical or Occupational TherapistUp to 32 visits within 16 weeks
Surgical ‡
SpecialistReduction of Fracture or Dislocation
Physical or Occupational TherapistUp to 20 visits within 8 weeks
‡ Note: The number of physician and rehabilitation visits, as well as the time to initiate rehabilitation for both nonsurgical and surgical cases, is highly variable based on stability and the degree of bony and soft tissue involvement.
The table above represents a range of the usual acceptable number of visits for uncomplicated cases. It provides a framework based on the duration of tissue healing time and standard clinical practice.

Source: Medical Disability Advisor






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