No-anesthesia for Colles fracture.

Autor: Issin A; Erzincan Binali Yıldırım University, Mengücek Gazi Education and Research Hospital Orthopedics and Traumatology Department, Erzincan, Turkey., Yurten H; Elazığ Fethi Sekin City Hospital, Orthopedics and Traumatology Department, Elazığ , Turkey., Özcan S; Yalova Education and Research Hospital Orthopedics and Traumatology Department, Yalova, Turkey. Electronic address: seckinozcan1301@gmail.com.
Jazyk: angličtina
Zdroj: Injury [Injury] 2024 Jul; Vol. 55 (7), pp. 111614. Date of Electronic Publication: 2024 May 15.
DOI: 10.1016/j.injury.2024.111614
Abstrakt: Background: This study aims to measure the perceived pain during the reduction of Colles fracture without anesthesia in both children and adults. It describes the process and reveals duration for reduction, total hospital stays and compares them with the same procedure under hematoma block.
Methods: We employed the Wong-Baker FACES pain scale to assess pain reduction in 135 adults and 98 pediatric patients undergoing Colles fracture reduction with or without hematoma block. We also measured the time required for the reduction and the overall process.
Results: For fracture reduction without anesthesia, Wong-Baker FACES scores were 9.2 for children and 8.7 for adults. With hematoma block, scores dropped to 7.5 for children and 5.2 for adults with only a 10 min addition to the hospital stay. Pain scores among pediatric patients exhibited moderate to strong negative correlations with age. The reduction maneuver itself took an average of 5 s.
Conclusions: The reduction of a Colles fracture is nearly instantaneous, making the reduction without anesthesia tolerable. Pediatric patients don't benefit from hematoma block as much as adult counterparts. It significantly reduced pain scores by 1.7 points in children and 3.5 points in adults.
Level of Evidence: Level I, Randomized Controlled Trial.
Competing Interests: Declaration of competing interest The author(s) declared no potential conflicts of interest and/or funding with respect to the research, authorship, and/or publication of this article. ICMJE forms for all authors are available.
(Copyright © 2024. Published by Elsevier Ltd.)
Databáze: MEDLINE
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