Analgesia in Redution of Colle’s Fracture by Hematoma-block in Patients Who Came to Taleghani Hospital-Kermanshah

Introduction: Limb fracture is always accompanied by a sever pain that doctors try to reduce it when they treat such fractures and this in turn results in a better treatment. Hematoma-block is one of the ways that is used to reduce the pain in colle’s fracture. This study examines the clinical analgesia in reduction of Colle’s fracture by Hematoma-block.

Materials & Methods: In this quasi experimental survey and using a convenient sampling method, 42 people  were included with wrist fracture who were referred to Taleghani Clinical and Educational center within 2003- 2004. Each patient was injected with 10ml of Lidocaine 2% to the area of hematoma of fracture. After aspiration, half of that was injected to the hematoma area again. All samples were studied in terms of starting analgesic effects and its quality. The data was gathered using a check list and then were analyzed by descriptive statistics and  Chi two.

Results: All samples were in their thirties, and 59% of them were females. After doing Hematoma-block in Colle’s   fracture area, 94.1% of the patients experienced no pain or a tolerable one. In 70.5% of the males and 69% of females, the analgesic effects started within 2 minutes.  Analgesia duration in 47/5% of the males and 56% of females was 1 hour.

Conclusion:  Similar to the results of other studies, our study found no significant difference between  Hematoma-block and  regional intravenous injection. With regard to the side effects of using intravenous injection of analgesic drugs in Colle’s fracture, Hematoma-block is recommended for this kind of fracture.  Future studies are needed to provide more insight on the method.