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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
Best Article of current issue
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MEDIAN NERVE COMPRESSION AFTER COLLES FRACTURE REDUCTION
Rabah Abdulla AL- Ebadi, F.I.C.M.S (Ortho)*, Ali Hussein Mustafa M.B.Ch.B, Laith Katab Omar ALAshou, F.I.C.M.S, Omar Abed Kassem C.A.B.M.S. and Mohammed Idrees Altahan C.A.B.M.S.
Colles' fracture is one of the most common fractures in all ages including old age group. Carpal tunnel syndrome is a common complication of this fracture, it is very important to select the type of analgesia or anesthesia to avoid the occurrence of carpal tunnel syndrome. Objective: The aim of the study is to assess the risk of carpal tunnel syndrome occurrence after hematoma block in reduction of Colles' fracture in comparison with reduction under other methods of analgesia (Conscious analgesia, general anesthesia, Bier?s block). Patient and Methods: A comparative prospective study of 80 patients diagnosed with Colles? fracture in the emergency department of Al-Jumhoori and Al-Salam Teaching Hospitals in Mosul from January 2020 – to December 2020. Patients are randomized into 2 groups, 40 patients for each group, in the 1st group the fracture was reduced under hematoma block anesthesia, while in the 2nd group the reduction done under sedative analgesia, Bier?s block or general anesthesia. All patients were examined for symptoms and signs of median nerve compression carpal tunnel syndrome (CTS) pre reduction, immediately after reduction, after 2 days, 1 week and every 2 week for 6 week. All patients were reduced and immobilized in the same way. Results: The 80 patients who included in the study were free from signs and symptoms of CTS. The incidence of CTS was (27.5%) in group 1 with hematoma block and (8.3%) in group II with different methods of analgesia. Conclusion: According to the results of this study we suggested the use of hematoma block as a method of anesthesia in reduction of Colles? fracture just for those patients who were not fit for other methods of analgesia.[Full Text Article]