Wrist fracture: plaster fixation or surgery? | Urgent live broadcast

2021-12-08 06:10:00 By : Ms. Esther Zhang

Emergency live broadcast-pre-hospital care, ambulance service, fire safety and civil defense magazine

There are many types of wrist fractures, the most common one is radius fractures, and the others are fractures of the wrist, scaphoid, and lunar bone.

Usually, in the case of a fracture, there will be obvious pain, accompanied by functional impotence and reduced finger mobility, and the inability to move the hand.

However, some fractures may be painless.

If there is swelling, deformity, and pain, we see a fracture, but if there is good mobility and a regular wrist contour, it is more likely to be a contusion.

In the case of a fracture, it is necessary to go to the emergency room, but it is good to fix the wrist. A simple procedure can also be done at home with what you have.

For example, you can take a piece of cardboard, such as the lid of a shoe box, and you must remove the corners from it, then extend your arm forward and place the cardboard under your arm, obviously including your wrists and hands.

If possible, place cotton wool between the arm and the cardboard to prevent direct contact between the arm and the cardboard.

Then wrap the whole thing with a bandage, so that the cardboard sticks to the arm and the wrist is immobile; if there is no gauze, a tea towel will do.

With the wrist fixed in this way, the patient goes to the emergency room.

After entering the emergency room, a clinical examination and X-ray examination by a specialist will be performed; this examination confirms the presence of a fracture and shows the type of fracture.

In some cases, CT scans may be useful to better study fractures.

If the fracture is unstable and cannot be reduced with a plaster cast, surgery is required.

Simple fractures can be treated with plaster casts, while more complex fractures involving joints must be treated with surgery.

Today, the most common intervention is bone plate osteosynthesis: a bone plate with screws is used, which does not need to be removed in most cases; this is a simple operation that takes about 30 minutes to an hour.

It is impossible to return to a completely normal state, but it can reach a state that allows the hand and wrist to be used normally.

Fractures usually heal within 5 weeks, but with appropriate intervention, basic hand functions can be restored more quickly.

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