Compare the Effectiveness of Hematoma Block versus Intravenously Sedation for Reduction of Colles Fracture

Abstract

Objective: To compare the effectiveness of hematoma block versus intravenous sedation in reduction of colles fractures. Study Design: Randomized control trial Place and Duration: Conducted at the Emergency department of Lady Reading Hospital Peshawar for duration of six months i.e January 2020 to June 2020. Methodology: One hundred and twenty patients of both gender presented with distal radius fracture were enrolled in this study. After taking written informed consent from all the patients’ detailed demographics including age, sex, BMI, site of fracture, cause of fracture and radiographic assessment were recorded. All the patients were equally divided into two groups. Group I (Hematoma Block) consist of 60 patients and group II (Intravenous Sedation) contains 60 patients. Pain was recorded on visual analogue scale VAS at the start and after procedure of reduction. Data was analyzed by SPSS 24.0. Results: Majority were females 40 (66.7%) in group I and 41 (68.3%) in group II and the rest were males 20 (33.3%) and 19 (31.7%). Mean age of the patients in group was 27.48±19.64 years with mean BMI 25.12±9.46 kg/m2 and in group II mean age was 26.72±9.48 years with mean BMI 24.48±17.61 kg/m2. In group I 35 (58.3%) had left side fracture while in group II 32 (53.3%) cases had left hand fracture. Falling was the most common cause of colles fracture found in 45 (75%) patients of group I and 42 (70%) patients in group II followed by accident 13 (21.7%) and 15 (25%) in group I and II. Before reduction means pain score by using VAS among both groups was 8.60±8.23 and 8.03±5.23, during induction mean VAS score reduced to 3.77.±5.42 and 3.09±4.44 and after reduction mean VAS score was lower in hematoma block 1.01.±2.22 as compared to group II 2.06.±4.14. Post-treatment complications were higher in group II as compared to group I. Conclusion: In this research we concluded that hematoma block is a safe and effective as compared to intravenous sedation for the decrease of colles fracture pain in patients. Keywords: Colles Fracture, Hematoma Block, Intravenous sedation, VAS, Pain Reduction