American Board of Surgical Assistants (ABSA) Orthopedic Practice Test

How was Johnny's fractured radius treated?

1. Open reduction and internal fixation

2. Closed reduction and plaster cast

3. Immobilization with a brace

4. Surgical repair with pins

The correct answer is: Closed reduction and plaster cast

The treatment of Johnny's fractured radius involved closed reduction and plaster cast, which is a common approach for stable fractures where the bone can be realigned without the need for surgical intervention. Closed reduction refers to the non-surgical manipulation of the fracture to restore the bone to its proper position. This technique minimizes trauma to surrounding tissues and often results in a quicker recovery. After achieving the correct alignment of the fractured bone, a plaster cast is applied to immobilize the area, allowing it to heal properly while maintaining the bone in the correct position. This method is particularly effective for certain types of fractures, including those that are not displaced or where the alignment can be regained without an invasive procedure. In contrast, the other options typically involve more invasive techniques or are reserved for cases where closed reduction is not possible. Open reduction and internal fixation usually pertain to more complex fractures that require surgical exposure and stabilization with hardware. Surgical repair with pins also involves an invasive procedure, and immobilization with a brace may not offer the same level of stability as a cast during the healing process for certain types of fractures. Thus, in this scenario, closed reduction followed by the application of a plaster cast is the most appropriate and effective treatment method.