November 06, 2020

Bone fractures: traumatologist says what to do / Vechernyaya Moskva

The traumatic season begins in November. Ice-covered streets are often the cause of bruises and bone fractures.

Olga Orekhova, head of the trauma center of the Pavlovskiy hospital (Municipal Clinical Hospital No. 4), tells what to do if you fell and whether it is possible not to change your way of life if you brake something.

Что делать при переломах: советы травматологаPhoto: Alexander Kozhokhin, "Vechernyaya Moskva"


The most common injury in winter is fracture of the lower end of the radial bone located in the area of the wrist joint. It is the most vulnerable fragment of the forearm because falling person involuntarily leans on the hand, thereby transferring the entire body weight to the radial bone.


Olga Orekhova, head of the trauma center of the Pavlovskiy hospital (Municipal Clinical Hospital No. 4)

The doctor reminds: if you suspect a fracture of the radial bone, immobilize the arm first. To do this, apply a splint to the injured limb. You can use available materials to make the splint, for example, board, plywood or thick cardboard. In case of pain, take an analgesic. The arm with the splint should be fixed by a triangular bandage and the elbow should be flexed at 90 degree angle. After that immediately contact the nearest trauma center, even if you feel no severe pain. In fact, a bone fracture can manifest itself in different ways. It is very important to make the correct diagnosis and start treatment on time.

“People are worried that sick leave will knock them out of their usual life schedule, but the consequences of self-treatment can be even more serious than a few days off work,” Orekhova assures, “Today, a bone fracture is not an obstacle for an active life. New technologies help patients to maintain their quality of life during the recovery period.

For example, in addition to traditional plaster casts, now there is polymer plaster, which is considered an alternative to the standard fixative. It is lighter and snugger than traditional plaster material.”

“In addition to circular polymer plaster casts, we use modern plastic orthoses,” says the doctor, “These polymer orthoses are made of figurable material. When applied to the patient’s injured limb, it reliably immobilizes the fracture taking the required shape.”


Что делать при переломах: советы травматологаPhoto: Alexander Kozhokhin, "Vechernyaya Moskva"

Что делать при переломах: советы травматолога

Photo: Alexander Kozhokhin, "Vechernyaya Moskva"

The orthoses, which are used in the Pavlovskiy hospital, were developed by Zdravprint, an innovative Troitsk company from the TechnoSpark group of the Fund for Infrastructure and Educational Programs of the RUSNANO Group.

Application of the orthosis takes 3-5 minutes when you need to wait about an hour for the plaster to harden. At the same time, the orthosis does not become loose, does not require circular closure, and the skin does not itch under it. Unlike its plaster counterpart, it does not absorb water, so the patient can take a shower without worrying about integrity of the fixator and skin comfort.

Что делать при переломах: советы травматолога

Photo: Alexander Kozhokhin, "Vechernyaya Moskva"

Что делать при переломах: советы травматолога

Photo: Alexander Kozhokhin, "Vechernyaya Moskva"

The main advantage of the orthosis for patients is that it allows them to live a normal life. The orthosis has an aesthetic look, patients can put on their usual clothes, drive a car and even visit a swimming pool and go to the sea.

At the Pavlovskiy hospital you can easily replace a plaster with a polymer fixative, regardless of your place of residence or registration in a medical institution. To do that, you need to consult a traumatologist with your statutory health insurance and get an appointment card to application of the orthosis. If there are no contraindications, order the orthosis and have it installed at the doctor’s.

Что делать при переломах: советы травматолога

Photo: Alexander Kozhokhin, "Vechernyaya Moskva"

However, despite the fact that new technologies help to make medical procedures more comfortable with every year, traumatologists remind that preventive measures are the best treatment. Therefore, on the eve of the winter season, pay more attention to your loved ones, help people who have difficulty walking on the street, choose shoes with non-slip soles and, in case of injury, immediately consult a doctor, especially since trauma bays work around the clock seven days a week.

Source: Vechernyaya Moskva

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