Instinctively, when falling people protect themselves by to handing brace. When a powerful stress acts on the wrist, it may lead to wrist fractures. The elderly because of their own reasons such as osteoporosis, has the greater the chance of fractures. If the wrist fractures, there will be local pain, swelling, bruising, deformity, etc., but also the activities of the wrist is limited, and some patients even have finger numbness and other symptoms, then the preliminary judgment can fracture occurred.
Conservative treatment
For the fracture stable, with no significant displacement, Or through manual reduction of the basic anatomical position to restore bone, articular surface, power lines and bone length good person, can be treated conservatively. Conservative treatment may be taking the brace or plaster, while patients need regular visits to the hospital to review the film. If it is found to fracture displacement again, you may need surgery.
Surgical treatment
For the patients whose fracture is unstable unsuccessful manual reduction combined with other wrist or dislocation, or whose has severe wrist ligament or who has nerve injury, the general surgery should be applied. Surgical treatment may be external fixation, or opening reduction and internal fixation, internal fixation material often used include Kirschner, steel bolts.
Nursing of non-surgical treatment
1. Diet: It should be high protein, high-calorie, calcium-rich, easily digestible food. Drink more water, and eat more vegetables and fruits.
2. After restoration fracture is fixed, it is not free to move position, or to maintain effective fixed. Attention to maintain the distal fracture segment palm colt deviation. Splints and plaster elastic fit, especially after the peak of swelling and swelling, should be adjusted at any time, tight affect limb blood circulation, too loose will not achieve fixation.
3. Patients with plaster or splint supine elevate the limb to facilitate lymphatic drainage and venous return and reduce swelling. When patients are out of bed with a sling limb hanging in the chest, do not sag or with walking and swinging, so as to avoid resetting the fracture re-displacement.
Nursing after surgery
1. To maintain position and fixed.
2. Observe blood supply of the wound and limb fingertip, and skin color, movement, sensation and swelling. If there is abnormal promptly, notify the physician.
3. exercise: 1) early and mid: same day or next day after doing shoulder exercises swing hanging position. 2-3 days after doing the shoulder, elbow active movement, finger activity exercises daily increase range of motion and strength. 2-3 weeks after surgery, do wrist curl holding vigil muscle contraction exercises. Increase after the third week flexor, for fingers, on the palm of resistance exercise.2) late: Start initiative wrist flexion exercises, wrist flexion resistance exercises. 3-4 days increased pronation, supination exercises, one week after wrist dorsiflexion increased traction. 10 days pronation increase traction, two weeks after forearm supination increase traction.
