repositieering

Repositieering is the medical procedure of returning a displaced body part to its proper position. In Dutch medical literature the term covers realignment of bones after fractures or dislocations, as well as repositioning of dental or facial structures after trauma. The goal is to restore anatomy, function, and joint congruity while minimizing soft-tissue damage and complications.

Realignment can be achieved without surgery (closed reduction) or with surgical exposure (open reduction). After realignment, immobilization with a cast, splint, or internal fixation devices is often used. In dentistry or maxillofacial contexts, repositioning may involve splinting of teeth or bones.

Process includes assessment (neurovascular check), imaging (X-ray, CT), analgesia or anesthesia, and careful monitoring for complications. The procedure may be performed in emergency settings or in an operating room, depending on location and complexity.

Indications include displaced fractures with maintained blood supply, intra-articular fractures where alignment is critical, and joint dislocations. Outcomes depend on prompt intervention, fracture type, patient factors, and adherence to immobilization and rehabilitation. Potential complications include re-dislocation, malunion, nonunion, infection, nerve or vessel injury, and stiffness.

Terminology: 'repositieering' is Dutch for repositioning and is used in medical contexts in the Netherlands and Belgium. In English-language literature, terms like 'reduction', 'realignment', or 'repositioning' are used depending on the specialty.