Effectiveness and Functional Outcome of Extra-Articular Distal Radius Fracture Reduced in Hematoma Block in Adult Population in A Tertiary Care Hospital
Syed Alam Zeb, Muhammad Azfar Khanzada, Adnan Yaqub, Muhammad Tahir Lakho, Qazi Farhat Ullah, Sadaf Ismat
Objective: To determine the effectiveness and functional outcomes of extra-articular distal radius fracture reduced via hematoma block in adult population.
Study Design: Descriptive/Observational
Place and Duration: Study was conducted at Orthopaedic department of Dr.Ruth K.M Pauf Civil Hospital Karachi for period of one year from 1st September 2019 to 31st August 2020.
Methodology: Eighty Two patients of both genders presented with extra-articular distal radius fractures were enrolled in this study. Patients ages were ranging between 18 to 70 years. After taking written consent, detailed demographics including age, sex, BMI, fracture duration and side of fracture were recorded. Patients were managed by reduction in ahematoma Block. Pre and post reduction radiographs were obtained. Effectiveness of hematomablock were assessed by VAS during reduction. Patients were followed for 3 months. Functional outcomes were examined by Mayo Wrist Score after 3 months. Data was analyzed by SPSS 24.0.
Results: There were 45 (54.88%) females and 37 (45.12%) were males with mean age 42.46±10.58 years. Mean fracture duration was 8.26±3.74 hours. Effectiveness of hematoma block was found in 68 (82.93%) in term of pain by VAS. 50 (60.98%) patients had excellent, 24 (29.27%) had good, 6 (7.32%) had fair and 2 (2.44%) had poor functional outcomes at final follow-up via Mayo wrist score
Conclusion: Hematoma block is an effective and safe way of reducingextra-articular distal radius fractures.
Keywords: Distal Radius Fractures, Extra-articular, Hematoma Block, VAS, Mayo Wrist Score