CPGY-1 Curriculum: Principles and techniques
of fracture reduction - Closed
Problem Identification and Needs Assessment:
Targeted Learners:
PGY-1 Orthopedic Residents
Possible PGY-2 Orthopedic Residents
Potential Inclusion of other Residents (Combined Plastics, Emergency Medicine, etc…)
Needs Assessment:
Principles and techniques of fracture reduction are a fundamental skill commonly used by all
Orthopedic Surgeons. This module provides the basics in identifying fracture patterns, and
using closed techniques to obtain and maintain acceptable fracture alignment.
Educational Approach:
The learner will participate in a didactic session to understand the principles and techniques of
fracture reduction using skills of radiology interpretation to identify typical fracture patterns,
develop a treatment plan, successfully execute the treatment plan of closed reduction and cast
immobilization. The skills session will consist of review of appropriate materials necessary for
cast application, followed by hands-on placement student/resident/staff volunteers.
Goals and objectives:
1. Learn how to interpret radiologic images
2. Understand how fracture pattern dictates method of treatment.
3. Learn safe and appropriate techniques of fracture reduction.
4. Demonstrate the ability to apply these skills on a live volunteer (student/resident/staff).
5. Demonstrate introductory cast and splint application techniques
Laboratory Module:
Required background reading with demonstration of correct technique for reduction and
cast/splint application. This will be preceded and followed by didactic session discussing
pros/cons and complications of closed fracture treatment. Split up into groups of 2/3 to reduce
and treat closed fractures.
Learner Evaluation and Feedback:
After each “manipulation”, the resident is evaluated by the faculty and immediate feedback is
given. The same will be done for cast/splint immobilization.
Lab will be evaluated by the learners in an anonymous way for didactic content, usefulness of
skills training and faculty evaluation.
Required Reading:
Rockwood and Green: Non-operative Fracture Treatment
Rockwood and Wilkins: Physeal Injuries
Rockwood and Wilkins: Fractures of the Distal Radius and Ulna
Rockwood and Wilkins: Fractures of the Shaft of the Radius and Ulna