If you have a broken hand, you should pay more attention to it when you sleep. It is best not to pressurize the injured part, otherwise it will affect the improvement of your condition. Don't exercise excessively. Pay more attention to rest and fix the broken part. Only when the condition is recovering can you do some moderate functional exercises to gradually restore your function. Wrist fractures are common in daily life, and most of the injured are elderly people. Most of the patients fall with their palms landing on the ground. The fracture often occurs 2 cm proximal to the joint at the distal end of the radius, which is clinically called Colle's fracture. If not treated promptly and effectively, the patient's wrist joint will be left with symptoms such as joint deformity, limited joint movement, and joint pain, which often cause many inconveniences to the patient's daily life. Therefore, correct reduction and good fixation must be achieved during diagnosis and treatment. Treatment mainly includes manual reduction, small splint or plaster splint external fixation. Although conservative treatment can achieve early joint function training, conservative treatment has the concern of unstable fracture fixation, which may cause the fracture to displace again and lead to treatment failure. Surgical treatment mainly involves open reduction and internal fixation with plates. Open reduction surgery can provide strong internal fixation. Wrist flexion resistance exercises. Then, increase the intensity and difficulty of forearm and wrist exercises every 3-4 days. When training the range of motion of joints, avoid using force or violence to avoid causing new injuries. During the recovery period, patients should also add some hand application activity training, such as building blocks, weaving, etc. During the recovery period, patients with fractures must ensure a balanced diet, eat less spicy or allergenic foods, and avoid smoking. Scientific research shows that some chemical components emitted by smoking can hinder the healing of fractures. 1. For non-displaced fractures, a functional plaster splint or a small splint can be used for fixation for 4 weeks. 2. Displaced fractures require closed reduction. The surgeon pulls the patient's palm and thumb along the long axis of the forearm to cause ulnar deviation of the wrist and pronation of the forearm. The wrist is then flexed and pressure is applied to the palmar and ulnar sides of the distal radius fracture. Keep the wrist in pronation and slight palmar flexion and ulnar deviation, and fix it with a forearm plaster splint or small splint for 4 weeks. Change it to neutral position for 4 weeks after 10 to 14 days. 3. Reset standard ⑴The radial styloid process is 1 to 2 cm lower than the ulnar styloid process. ⑵ The dorsal side of the distal radius must be flat without bony protrusions, and the arc-shaped depression on the palm side must be restored. ⑶ The hand does not deviate radially, the contour of the ulnar head is normal, and the affected fingers can move well. ⑷X-ray shows that the distal radial articular surface is tilted toward the palmar surface. 4. Treatment of Malunion If the deformity is mild and has little impact on wrist function, surgical treatment is not considered. If the deformity is not too severe and only rotation disorder is present, ulnar head resection can be performed. For patients with severe deformity and no forearm rotation disorder, Campbell surgery can be performed, which is partial resection of the ulnar head and distal radial osteotomy. |
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