What to do with comminuted fractures

What to do with comminuted fracture?

1. Comminuted fractures are more common in clinical practice. Due to factors such as car accidents and violence, patients sent to the hospital are all suffering from comminuted fractures. Comminuted fractures are not terrible. The most important thing is that the blood, ligaments, muscles and other attachment points on the fracture fragments in comminuted fractures cannot be stripped away, that is, the comminuted bone fragments cannot be stripped into dead bones, and must be combined with blood circulation. With blood supply, the comminuted bone fragments can grow together with the surrounding bones, thereby achieving relatively strong fixation.

2. For comminuted fractures, there are certain particularities when choosing steel plates and nails. Attention must be paid to protecting blood transport while achieving strong fixation. Therefore, new steel plates and new surgical methods have also been designed for comminuted fractures. For example, minimally invasive techniques can be used to treat comminuted fractures. It is not how long the wound of the steel plate needs to be cut, but that the steel plate is inserted through several point-like openings. In addition, the place where the bones are quickly crushed should not be too disturbed. On both sides of the crushed bone blocks, the bones are fixed by steel plates, and the crushed bone blocks in the middle are attached to the surrounding area after being reset, which plays a good protective role for the muscle attachment on the crushed bone blocks. In other words, keep the fragments alive and in a state of blood supply. Finally, it is found that with such fixation, the healing time of the fracture is not much different from that of the uncomminuted fracture, and a good early recovery can be achieved.

3. Give symptomatic treatment of traditional Chinese medicine to promote blood circulation and remove blood stasis, reduce swelling and relieve pain, and set bones to relieve pain. Give magnetic heat therapy and treatment to promote blood circulation and activate collaterals. To prevent the occurrence of joint deformity or stiffness caused by comminuted fractures, fumigation and bathing should be performed with traditional Chinese medicine under the guidance of rehabilitation doctors to dredge the meridians, perform limb function exercises, and prevent muscle atrophy and limb thrombosis. Traction reduction and technical reduction must be given to restore the normal physiological and anatomical structure of the bones, restore the force line and function of the limbs, and fix them with screws and plates.