HEMATOMA BLOCK LOCAL ANESTHESIA FOR CLOSED REDUCTION OF COLLES-TYPE FRACTURES
Main Article Content
To describe the outcome of hematoma block local anesthesia for closed reduction of Colles-type
This descriptive study was conducted at Khalifa Gul Nawaz Teaching Hospital & District
Headquarters Teaching Hospital Bannu, from February 2009 to August 2010. A total of 70 patients having
Colles-type fractures were recruited for this study. Closed reduction and plaster casting was performed
under HB in Accident & Emergency Department. Pre- and post-reduction radiographic assessment was
done. A questionnaire about pain perception was administered to patients. It included a visual analogue
scale as well. Fractures requiring re-manipulation were noted. Any local or systemic complications of
anesthesia were recorded. Patients were sent home 3 hours after reduction. Follow-up of the patients was
done up to 12 weeks.
Out of 70 patients, 30 were males & 40 were females. They were in the age range of 20-80years.
On assessing their pain perception with VAS, during closed reduction under HB, 36 patients had no pain,
24 had mild pain, 6 were feeling moderate pain, and 4 were feeling severe pain. 12 patients required remanipulation
for improper reduction. 2 patients developed carpal tunnel syndrome, 3 developed reflex
sympathetic dystrophy & one developed localized infection at the site of infiltration. No systemic
complications of anesthesia were noted.
HB can be used effectively for closed reduction of Colles-type fractures, especially in a
district hospital which lacks advanced anesthesia and intensive care facilities.
fractures in emergency care setting.
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