HEMATOMA BLOCK LOCAL ANESTHESIA FOR CLOSED REDUCTION OF COLLES-TYPE FRACTURES

Abstract

Objective:

To describe the outcome of hematoma block local anesthesia for closed reduction of Colles-type

Methodology:

This descriptive study was conducted at Khalifa Gul Nawaz Teaching Hospital & District

Headquarters Teaching Hospital Bannu, from February 2009 to August 2010. A total of 70 patients having

Colles-type fractures were recruited for this study. Closed reduction and plaster casting was performed

under HB in Accident & Emergency Department. Pre- and post-reduction radiographic assessment was

done. A questionnaire about pain perception was administered to patients. It included a visual analogue

scale as well. Fractures requiring re-manipulation were noted. Any local or systemic complications of

anesthesia were recorded. Patients were sent home 3 hours after reduction. Follow-up of the patients was

done up to 12 weeks.

Results:

Out of 70 patients, 30 were males & 40 were females. They were in the age range of 20-80years.

On assessing their pain perception with VAS, during closed reduction under HB, 36 patients had no pain,

24 had mild pain, 6 were feeling moderate pain, and 4 were feeling severe pain. 12 patients required remanipulation

for improper reduction. 2 patients developed carpal tunnel syndrome, 3 developed reflex

sympathetic dystrophy & one developed localized infection at the site of infiltration. No systemic

complications of anesthesia were noted.

Conclusion:

HB can be used effectively for closed reduction of Colles-type fractures, especially in a

district hospital which lacks advanced anesthesia and intensive care facilities.

fractures in emergency care setting.