Conservative treatment and surgery for fractures

Conservative treatment and surgery for fractures

Fractures are a very common injury in life. After a fracture occurs, it is necessary to understand the specific condition and the extent of the harm. Different parts of the body have different fracture symptoms and the treatment methods are also different. For fractures that are not particularly serious, conservative methods can be used for treatment. However, for more serious fractures, such as comminuted fractures, surgical methods are required for treatment. Let us take a brief look at it.

Conservative treatment and surgery for fractures

Surgery can achieve good positioning and alignment, and nursing is more convenient, but a second operation to remove the internal fixation is required. Conservative treatment is more troublesome in nursing care, and the positioning is not as good as surgery, but it will not affect future functional activities. There will be no trouble of secondary surgery. No matter how you fix it, it is recommended to take professional Chinese medicine to replenish qi and blood, nourish the liver and kidneys, fix bones and tendons, and promote blood circulation. This can help your fracture heal as soon as possible and reduce the occurrence of sequelae!

How to care for fractures

1. After the fracture is fixed, pay attention to the tightness of the external fixator and the blood circulation of the limb. It is appropriate to move the cloth belt up and down 1 cm on the splint and adjust it in time.

2. The incidence of delayed union or nonunion of humeral shaft fractures is high, second only to tibia. During the treatment process, it is necessary to prevent the fracture ends from separating and shifting due to the hanging weight of the upper limb. Regular X-rays should be taken to check. If separation of the fracture ends is found, press the shoulder with one hand and the elbow with the other.

Gently squeeze along the longitudinal axis, and use elastic bandage to wrap the shoulder and elbow up and down so that the broken ends are squeezed longitudinally and gradually touch each other, and appropriately extend the suspension time until the separation disappears and the fracture heals. If not treated promptly or appropriately, the fracture may heal slowly or not heal.

3. After fixation, you can flex and extend the finger, palm and wrist joints, which is beneficial to the smooth flow of qi and blood. After the swelling begins to subside, the upper arm muscles of the affected limb should be used to perform contraction and relaxation activities to increase the squeezing force between the two fracture ends on the longitudinal axis.

Prevent the separation of the broken ends and keep the fracture site relatively stable; in the middle stage, in addition to continuing the initial exercises, the shoulder and elbow joint activities should be gradually carried out; in the later stage, the shoulder and elbow joint activities should be strengthened to prevent the joints from becoming stiff, and cooperate with drug fumigation to restore joint function as soon as possible.

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