When treating an open fracture, should you straighten the fracture before splinting?

• A. Yes
• B. No
• C. Only if it reduces pain
• D. Only if you can do it without moving the limb

Answer: (B)

Do not straighten an open fracture before splinting. Manipulating the limb can damage blood vessels, nerves, and surrounding soft tissues, and it can push bone or debris into tissues or worsen bleeding. By keeping the limb in the position found, you minimize further injury and allow the splint to stabilize what’s already misaligned. After applying a clean dressing to control bleeding (do not push exposed bone back in), immobilize the limb with a splint that extends well above and below the fracture, and assess distal circulation, sensation, and movement before and after splinting. Keep the person still, warm, and seek professional care.