Is there an orthopedic teacher How should I treat a metacarpal fracture?

Surgical and conservative** each has its advantages. Perfect reduction and internal fixation can be achieved after surgery. You can exercise the function early, and the function of the hand will be better.

But you can ask how much the two steel plates cost (3000-200000 yuan), plus the cost of surgery, anesthesia, examination, anti-inflammatory drugs, the cost is really high. In addition, it is necessary to have a second operation to remove the steel plate.

If the position of the metacarpal fracture is better after manual reduction, the plaster cast is also acceptable, and the function may be poor, but it can still be refined after a little hard exercise.

So that's right, I personally feel that the six hospitals are better, depending on how high your personal requirements are, of course, the doctor will not guarantee a complete recovery for you in the case of surgery, and will also talk about what infection and so on, so that you hesitate.

That is, the guy who is upstairs "looking for Chinese herbal medicine ** is faster", the position is not good after the fracture and does not go to reduction, I don't know if it is useful to use Chinese medicine alone, even if the fracture position is better, do not fix it and get any Chinese medicine. If it turns crooked in the end, it will definitely hate Chinese medicine to death again. The signboard of Chinese medicine may also be smashed by this group of people or some unrealistic expectations.

In addition, fracture healing is a natural process, and there is no medicine to make the fracture grow faster, and if there is, it is just commercial speculation.

Fracture. I think it's faster to find Chinese herbal medicine**.

I've broken bones a few times. Both the cast and the splint are slow.

Only the herbs of Chinese medicine come quickly... This point of Western medicine is not as good as Chinese medicine...

Agree with what was said upstairs.

Now that there are so many medical disputes, it's better to be comprehensive, and you can choose between two methods!

There is no problem with the practice of the two doctors, the first doctor feels that it is easy to move with a simple plaster cast after manual reduction, so it is recommended that you use internal fixation, and the second doctor feels that the reduction situation is good and can be conservative** on the conservative** to reduce the burden for you! However, it is better to make a traction brace when the cast is applied! Pull your metacarpal bones up!

It prevents the problem of easy displacement as much as possible! It is recommended that you go to the hospital for a follow-up X-ray in 1 month! The first of the fracture is fixation-reduction-functional exercise.

There are generally two options for fractures: conservative and surgical, according to your situation, the doctor adopts a conservative method, don't worry, as long as you pay attention to nutrition and later functional exercises, you can recover quickly.

Wishing you a speedy and healthy day!!

According to what you said, if you have a fracture, you will immediately swell and pain and have limited movement, and you can still type, but the pain is very severe, and you suspect a fracture. It is recommended to take a look at it. This kind of longitudinal impact injury can easily cause a fracture at the base of the metacarpal bone.

First, immediately go for an x-ray to see if there are any fractures. If the fracture is displaced, look at the displacement to determine whether it should be immobilized with a cast or a K-wire.

Second, if you don't have a fracture, congratulations, take a set of blood circulation and blood stasis, such as Yunnan Baiyao, just take it orally. You can apply a local hot compress to reduce swelling. If the pain is particularly severe, you can take a painkiller by mouth for a few days, such as norfotin.

Condition analysis: Zhi Zhenran.

Hello, you are two months after the fracture.

Guidance: Doctor Lu Tang's fist is to exercise the bending function of the little finger, unable to bend and bend and tendon adhesion after surgery, the sooner the exercise recovers, the better, the X-ray can not see clearly, can not judge whether it is completely healed, physical exercise should be carried out gradually.

1.Consolidation method.

First metacarpal basal fracture: Thumb traction distal and radial, then push the first metacarpal head radial and dorsal, and press the thumb firmly against the volar and ulnar fracture to correct the radial and dorsal angulation.

Fracture and dislocation at the base of the first metacarpal bone: the method of correction is the same as above.

Metacarpal neck fracture: due to the angle of the broken end of the metacarpal bone to the dorsal side, the metacarpophalangeal joint is often mistakenly fixed in the hyperextension position, because the lateral collateral ligament is relaxed during the hyperextension position, the metacarpal head is still flexed to the volar side and cannot be reduced, only when the flexion position is 90°, the lateral collateral ligament is tense, and then the index finger Lu Liang is used to press the proximal phalangeal bone to make the base of the phalangeal bone located on the side of the metacarpal head, the bone fragment is pushed to the dorsal side, and the metacarpal shaft is pressed to the volar side with the thumb to accurately reduce.

Metacarpal shaft fracture: Correction of the dorsal protrusion angulation under traction, and then squeezing with the index finger and thumb on both sides of the fracture from the volar and dorsal sides.

2.Fixation method.

The basal fracture of the first metacarpal bone was treated with an abduction splint for 4 weeks. When the dislocation is combined and cannot be stabilized after reduction, the fine gram needle can be used to pass the first test, and the large collection and arrangement can be used for closed needle internal fixation. It can also be fixed with local compression short arm gypsum tubular external fixation, and at the same time add thumb traction, wrap an iron wire on the plaster, and stick a 2 10 cm tape on both sides of the thumb for ** traction, or for distal phalanx bone traction for 3 weeks and 4 weeks.

Old fracture dislocation should be incisional reduction and internal fixation.

After the metacarpal shaft fracture is reduced, a bone pad is placed on both sides of the metacarpal bone to be fixed with adhesive tape, if the fracture piece is angled to the volar side, a felt pad is placed on the volar side to fix it with adhesive tape, and finally a splint is placed on the volar side and dorsal side to fix it with adhesive tape, plus bandage. If it is unstable, it is advisable to add distal phalange bone traction.

3.Exercises.

Early functional exercises, early travel width to external fixation after strengthening activities.

4.Drugs**.

According to the three-stage syndrome differentiation of fractures, external fixation was lifted and fumigated with traditional Chinese medicine.