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Research ArticleOpen Access

Reduction of Distal Radius Fractures under Haematoma Block

Volume 1 - Issue 6

Tribhuwan Narayan Singh Gaur*1 and Veena Kachhawah2

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    • 1Associate Professor Orthopedics, Madhya Pradesh, India
    • 2Associate Professor Anesthesia, Madhya Pradesh, India

    *Corresponding author: Tribhuwan Narayan Singh Gaur, Associate Professor Orthopedics, People’s College of Medical Sciences And Research Centre, Bhanpur, Bhopal, Madhya Pradesh 462037, India

Received: November 16, 2017;   Published: November 29, 2017

DOI: 10.26717/BJSTR.2017.01.000547

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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.

Keywords: Eldely Patient; Distal Radius Fracture; Haematoma Block; Close Reduction

Abbreviations: PR: Pulse Rate; RR: Respiratory Rate; BP: Blood Pressure; SO: Oxygen Saturation

Abstract| Introduction| Materials and Methods| Results| Discussion| Limitations| Conclusion| References|