Fracture management can be divided into nonoperative and operative techniques. The nonoperative approach consists of a closed reduction if required, followed by a period of immobilization with casting or splinting. Closed reduction is needed if the fracture is significantly displaced or angulated. Pediatric fractures are generally much more tolerant of nonoperative management, owing to their significant remodeling potential. Fractures are associated with a range of potential complications. Acute complications occur as a direct result of the trauma sustained and can include damage to vascular structures, nerves, or soft tissue. Delayed complications may occur after initial treatment or in response to treatment. Therefore, reevaluation at regular intervals during healing is prudent in most cases. Major acute and long-term complications of fractures are described here. The management of specific fractures and some specific complications are discussed in detail separately. Certain fractures can cause severe hemorrhage or predispose to other life-threatening complications. Femur fractures that disrupt the femoral artery or its branches are potentially fatal.
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