Reduction of #Distal Radius Fractures under Haematoma Block by Tribhuwan Narayan Singh Gaur in BJSTR
Abstract
Introduction: Most common fracture in elderly patients is
distal radius fracture. The most common method of management is closed
reduction and immobilization. The aim of the study is to evaluate the
analgesic effects of hematoma block for closed reduction of distal
radius
fracture.
Materials and Methods: A prospective study was carried out
among 50 patients of age >60 years of either sex who had fracture
distal
radius between 2015-2016. The patients having multiple fractures,
pathological fractures were excluded from the study. After taking
informed
written consent, reduction of fracture was done following after
infiltration with 2% lignocaine into fracture hematoma site. Pain score
was
compared by VAS before, during and after manipulation. Time taken from
presentation at emergency department to reduction and discharge
from hospital was also recorded.
Results: 50 patients of mean age 65.1 years, male: female
22:28 with fracture distal radius were studied. Mean time from admission
to
fracture reduction was 2.05 hours. Discharge time from hospital after
reduction of fracture 2.0 hours .Average VAS during reduction was 0.94.
10 minutes after reduction VAS was 0.20.
Conclusion: For closed reduction of distal radius fracture, hematoma block with lignocaine is safe and effective alternative to other form
of anaesthesia.
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