HEMATOMA BLOCK LOCAL ANESTHESIA FOR CLOSED REDUCTION OF COLLES-TYPE FRACTURES

Main Article Content

Ismat Ullah

Abstract

Objective:

 

To describe the outcome of hematoma block local anesthesia for closed reduction of Colles-type

Methodology:

 

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.

Results:

 

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.

Conclusion:

 

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.

Article Details

How to Cite
1.
Ullah I. HEMATOMA BLOCK LOCAL ANESTHESIA FOR CLOSED REDUCTION OF COLLES-TYPE FRACTURES. J Postgrad Med Inst [Internet]. 2011 Oct. 21 [cited 2024 Apr. 13];25(1). Available from: https://www.jpmi.org.pk/index.php/jpmi/article/view/1120
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Original Article