reduction loss
Secondary displacement of a fracture after initial successful reduction and fixation.
Full Definition
Reduction loss, also termed loss of reduction, refers to the secondary displacement or malalignment of a fracture that was previously successfully reduced and stabilized. This complication can occur with both operative and non-operative treatment methods and may result from inadequate initial fixation, hardware failure, patient non-compliance with weight-bearing restrictions, osteoporotic bone, or excessive soft tissue swelling. Recognition of reduction loss is critical as it may necessitate revision surgery, affect functional outcomes, and increase the risk of nonunion or malunion. Serial radiographic monitoring is essential to detect this complication early.
Usage
Usage note: Can be written as 'reduction loss' or 'loss of reduction' - both are acceptable. Specify degree and direction of loss when quantifiable.
In Context
- "Follow-up radiographs at two weeks demonstrated reduction loss requiring revision fixation." — Complication report
- "The patient experienced reduction loss after premature weight-bearing on the injured limb." — Adverse event documentation