Closed Reduction & Casting
A non-surgical fracture treatment in which the broken bone is manually realigned and immobilised with a cast or splint — allowing natural healing without the need for surgery.
What is Closed Reduction & Casting?
Closed Reduction and Casting is a non-surgical fracture treatment used when the broken bone can be restored to correct alignment without an operation. The surgeon carefully manipulates the fracture from outside the body, then immobilises the limb in a cast or splint to hold the bones in position while they heal naturally. This approach is used for stable fractures, simple displaced fractures, and many paediatric fractures. Regular follow-up X-rays throughout the healing period confirm maintained alignment and guide decisions about cast removal and the timing of rehabilitation.
SUITABLE FOR Patients with stable or minimally displaced fractures — including simple fractures and selected paediatric fractures — where the bone can be safely realigned externally and held in correct position without surgery.
How the Procedure Works
Anaesthesia or Sedation
Local anaesthesia, sedation, or general anaesthesia is administered to ensure the patient is comfortable and muscle relaxation allows effective fracture manipulation.
Fracture Realignment
The surgeon carefully and precisely manipulates the injured limb externally to reduce the fracture and restore normal anatomical bone alignment.
Alignment Confirmation
Fluoroscopy (real-time X-ray) or standard X-ray confirms accurate reduction before immobilisation is applied.
Cast / Splint Application
A well-moulded plaster or fibreglass cast is applied to maintain fracture position, prevent movement, and protect the healing bone.
Neurovascular Check
Circulation, sensation, and movement in the fingers or toes are checked to confirm the cast is not causing undue pressure.
Scheduled Follow-up X-rays
X-rays at regular intervals confirm the fracture remains correctly aligned throughout the healing period and guide the timing of cast removal.
Outcomes
Who Needs This Treatment?
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Non-surgical — no incisions, no anaesthetic risk of open surgery
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Effective for stable and simple fractures in adults and children
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Can often be performed on the same day as the injury
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Regular imaging ensures correct bone healing throughout recovery
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Physiotherapy after cast removal restores full strength and joint mobility
“Not every fracture needs surgery. For the right fracture pattern, closed reduction and casting delivers excellent outcomes — restoring alignment without an operation, with careful monitoring to ensure the bone heals correctly. Accurate initial assessment and consistent follow-up are the keys to success".
— Dr. Satish Reddy Gandavarapu, Senior Orthopaedic Consultant and Trauma Surgeon , Lux Hospitals, Hyderabad
Closed Reduction & Casting Cost in Hyderabad
The cost of Closed Reduction & Casting in Hyderabad generally ranges from ₹8,000 to ₹30,000, with an indicative average cost of around ₹19,000. Closed reduction and casting is a non-surgical treatment used for selected fractures or dislocations where the bone or joint can be appropriately realigned without open surgery. The final cost depends on the type and location of the injury, reduction requirements, casting material, imaging and follow-up care.
| Procedure | Approximate Cost Range |
|---|---|
| Closed Reduction & Casting | ₹8,000 – ₹30,000 |
The above range is indicative; the final package and inclusions should be confirmed with the hospital before publication. More complex injuries, associated trauma, open fractures or additional hospital care may increase the overall treatment cost. If later surgery or implant removal is required, those procedures may be billed separately.
Factors Affecting the Cost of Closed Reduction & Casting
The overall cost can vary depending on the type of fracture or dislocation, complexity of the reduction, casting material, imaging requirements and whether additional medical care is needed.
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Type and location of injury: The cost may vary depending on whether the injury involves the wrist, forearm, ankle, leg or another bone or joint, as well as the complexity of the fracture or dislocation.
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Reduction complexity: Some injuries can be realigned relatively easily, while others may require sedation, additional manipulation or repeated imaging to achieve and confirm acceptable alignment.
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Casting material: The type of cast or immobilisation used, including plaster or synthetic materials, may affect the treatment cost and follow-up requirements.
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Imaging and monitoring: X-rays are commonly used before and after reduction to assess alignment. Additional imaging or repeat assessments may be required depending on the injury.
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Anaesthesia or sedation: Some reductions may require local anaesthesia, regional anaesthesia or procedural sedation, depending on the injury and patient's clinical needs.
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Follow-up care: Follow-up consultations, repeat X-rays, cast changes and monitoring of fracture healing may form part of the overall treatment pathway and may be charged separately from the initial procedure.
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Additional treatment: If the fracture cannot be adequately maintained in a cast or complications develop, surgical fixation may subsequently be considered, which can substantially change the overall treatment cost.
Insurance Coverage for Closed Reduction & Casting
Closed Reduction & Casting may be covered by health insurance when medically necessary, subject to the patient's policy terms, exclusions, waiting periods, insurer approval and hospital coverage arrangements. Patients should confirm the applicable coverage and pre-authorisation requirements with their insurer before treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Satish Reddy Gandavarapu
Orthopaedic & Joint Replacement Surgeon
Dr. Satish Reddy at Lux Hospitals, Hyderabad, can evaluate patients with fractures, dislocations and other traumatic musculoskeletal injuries and determine whether closed reduction and casting is appropriate based on the injury pattern, alignment and clinical findings. During the consultation, the doctor may assess: Injury details: The doctor may review how the injury occurred, when it happened and the severity of pain, swelling, bruising or difficulty using the affected limb. Physical examination: The affected area may be examined for tenderness, deformity, movement restriction, swelling and other findings related to the fracture or dislocation. Circulation and nerve function: Blood circulation, sensation, skin condition and motor function may be assessed before and after reduction to monitor the safety of the affected limb. Imaging findings: X-rays and, when clinically indicated, other imaging may be reviewed to determine the fracture pattern, displacement, joint involvement and suitability for closed treatment. Reduction suitability: The doctor may determine whether the injury can be safely realigned and maintained in a cast or whether another form of immobilisation or surgical fixation should be considered. Follow-up planning: The doctor may explain the expected follow-up schedule, repeat imaging, cast care, weight-bearing or activity restrictions and signs that require prompt reassessment.
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