Comparison of the effect of closed reduction under non-anesthetic and axillary brachial plexus block on patients with distal radius fractures

  • Zhou Kailiang ,
  • Wu Shengzhong ,
  • Lin Lianyang ,
  • Huang Zhiyong ,
  • Guo Shengfeng
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  • Department of Pediatric Orthopedics, Beijing Jishuitan Hospital Guizhou Hospital, Guiyang 550014, China

Received date: 2023-10-17

  Online published: 2024-11-26

Abstract

Objective: To compare the effects of closed reduction under non-anesthesia and axillary brachial plexus block on patients with distal radius fractures. Methods: From May 2021 to May 2023, 88 patients aged 0~16 years old who underwent distal radius fracture treatment in Beijing Jishuitan Hospital Guizhou Hospital were selected and randomly divided into control group (44 patients) and experimental group (44 patients). The control group underwent closed reduction under non-anesthesia, the experimental group underwent closed reduction under axillary brachial plexus block. Mean artery pressure (MAP), mean heart rate and mean respiration were measured. The wrist joint activity before and after reduction was recorded. Visual Analogue Scale (VAS) was used to evaluate the degree of patients' own pain. The success rate of reduction and the incidence of complications in the two groups were recorded. Results: After reduction, the MAP, mean heart rate and mean respiration level in the experimental group were lower than those in the control group (P<0.05). The levels of radial bias angle, palm curvature, pronation and supination in the experimental group were higher than those in the control group (P<0.05). The VAS score level at the immediate, 12 h, 24 h and 48 h postoperative period in the experimental group was lower than that in the control group (P<0.05). The reduction success rate in the experimental group was higher than that in the control group (P<0.05). The overall complication rate was slightly higher in the experimental group than that in the control group (P>0.05). Conclusion: Compared with closed reduction under non-anesthetic state, closed reduction under axillary brachial plexus block can reduce blood pressure, heart rate, respiration and pain in children with distal radius fracture, improve their wrist function and success rate of reduction, with high safety.

Cite this article

Zhou Kailiang , Wu Shengzhong , Lin Lianyang , Huang Zhiyong , Guo Shengfeng . Comparison of the effect of closed reduction under non-anesthetic and axillary brachial plexus block on patients with distal radius fractures[J]. Journal of Baotou Medical College, 2024 , 40(11) : 50 -54 . DOI: 10.16833/j.cnki.jbmc.2024.11.011

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