Someone close to me broke their arm, and had to have it pinned. As it healed the bone rotated and shifted slightly.
In discussing whether they'd need to try to correct this movement via surgery, the doctor very much said "it's a problem if it's a problem". When it fully healed the person had full use of their arm, so the doctor was satisfied with the outcome.
The doctor did also say that different countries had different philosophies on what they expected a healed bone to look like. In their experience Canadians were more likely to be OK with an imperfect solution, but Australians were more likely to want the break healed in a "like new" condition.
This is akin to totalling out a car for cosmetic damage - are you trying to fix it back to as it were (may be impossible or exceeding costly or risky) - or is it working to get it back to good enough?
And circumstances make this different - a sports star is going to want to do everything to improve performance, whereas an office worker may just want functionality.
In discussing whether they'd need to try to correct this movement via surgery, the doctor very much said "it's a problem if it's a problem". When it fully healed the person had full use of their arm, so the doctor was satisfied with the outcome.
The doctor did also say that different countries had different philosophies on what they expected a healed bone to look like. In their experience Canadians were more likely to be OK with an imperfect solution, but Australians were more likely to want the break healed in a "like new" condition.