FRACTURE REDUCTION

It is not uncommon for people with mobility limitations to suffer fractures from falls in the home environment. Often moving them to a hospital for treatment is painful. In some of these cases relegation to the home is possible.

It is ALWAYS preceded by an x-ray.

A classic example is the Colles fracture of the tibiocarpal joint. Occurs when the patient falls to the ground, placing the hands forward on the floor to support the fall. The retraction is done under local anesthesia. This is achieved by injecting a cosmetic into the area of ​​the fracture. The orthopedist puts the broken end of the rostrum back into place with special manipulation. A plaster cast is then placed for 4 weeks.

Another case is the fracture in the upper part of the humerus. In this case (after the x-ray shows that it is a fracture and not a dislocation and that the fracture is below the head of the bone and not in the middle of the diaphysis), all that is required is a two-week cast. Physiotherapy follows to restore mobility.

It should be noted that the above ways of dealing with fractures at home are only aimed at people with severe limitations in mobility (generally elderly people). Hospital treatment is preferable because:

• Reversal can be done by administration of intoxication for absolute analgesia.
• Repeated radiological control and, if necessary, corrective reduction is done for a perfect result, which is important for young people, in whom the full range of motion of the adduction is important.
• In some cases, surgical correction is indicated for better results.