Ogunlade S O, Omololu A B, Alonge T O, Salawu S A, Bamgboye E A
Department of Surgery, University College Hospital, Ibadan, Nigeria.
West Afr J Med. 2002 Oct-Dec;21(4):282-5. doi: 10.4314/wajm.v21i4.27998.
A total of 35 patients who presented in the Accident and Emergency Department of University College Hospital with displaced distal radial fracture between January 2000 and March 2001 had reduction of the fracture under haematoma block using 10ml of 2% lignocaine. There was significant reduction of the pain following infiltration of the fracture site with lignocaine and significant pain reduction during manipulation compared to pain score at presentation. All the patients had satisfactory reduction of the fracture. The fracture was mobilised in Plaster of Paris 6 weeks in patients with Collens' fracture and 3 weeks in patients with distal radial epiphyseal injury. All patients had good range of movement at 8 weeks after removal of Plaster of Paris and patients expressed satisfaction with this method. We recommend the use of Haematoma block for patients of 15 years and above with displaced distal radial fracture in the Accident and Emergency Department.
2000年1月至2001年3月期间，共有35例因桡骨远端骨折移位而到大学学院医院急诊科就诊的患者，在血肿内麻醉下使用10毫升2%利多卡因进行了骨折复位。与就诊时的疼痛评分相比，用利多卡因浸润骨折部位后疼痛明显减轻，手法复位时疼痛也显著减轻。所有患者骨折均获得满意复位。Colles骨折患者在复位后用巴黎石膏固定6周，桡骨远端骨骺损伤患者固定3周。拆除巴黎石膏8周后，所有患者的活动范围良好，患者对该方法表示满意。我们建议在急诊科对15岁及以上因桡骨远端骨折移位的患者使用血肿内麻醉。
