The elderly fall and sprain do not blindly paste plaster

  When family and friends get together during the New Year’s holidays, activities for the elderly are abundant. However, it is inevitable that more activities will lead to accidents. If the elderly fall, bruises or occasional sprains may lead to fractures, but for mild fractures or joint sprains, many people tend to ignore treatment or choose the so-called “conservative” treatment, laying a hidden danger for the occurrence of serious sequelae.  The 70-year-old Master Wu, who accidentally fell and injured his thigh hip, heard that there is a fall and fracture is very effective ancestral plaster, let his son buy a post to paste. A few days later, the pain was relieved, and he thought the plaster was working, so he continued to apply it. However, two months later, the injured limb still could not stand, and only then went to the hospital to check, and found that the fracture of the broken femur had been deformed healing.  Zeng Senjun, director of the Department of Traumatology and Orthopedics of the Third Affiliated Hospital of Southern Medical University, said that the general topical plasters can only play an auxiliary role for falls and sprains, and cannot replace the reset and fixation of fractures. Medically speaking, the key to fracture treatment is reset, fixation and functional exercise, and plasters may be effective in relieving pain and reducing swelling, but they are ultimately a cure for the symptoms but not the root cause. Therefore, after bone and joint injuries occur, you should go to a regular hospital for examination and treatment in a timely manner. The treatment of fracture must be reset first, and then given internal and external fixation, in order to ensure the stability of the fracture site and produce the ideal treatment effect. The blind faith in plaster to connect the bone, it is easy to cause the fracture does not heal or deformed healing, leaving disability.  Zeng Senjun said that many people take hot compresses immediately after a fracture, this approach is wrong. Whether it is a fracture or a sprain, must not be early hot compress. As some tiny blood vessels break and bleed after the fracture, immediate hot compress will make the blood vessels expand, thus aggravating the bleeding.  The other common practice is to rub the injury with an iron-clad potion. However, vigorous massage and rubbing will add new injuries to the injured tissue, causing more capillaries to rupture, producing new bleeding and aggravating local swelling and pain. If the injured area is accompanied by a fracture, the fracture may be displaced or the broken end of the fracture may pierce the deep blood vessels and nerves in the affected area due to massage and rubbing, which may aggravate the condition.  Mild fractures are easily ignored Sometimes, because mild fractures are not very painful and may be able to move after the injury, people often do not feel that a fracture has occurred and therefore do not go to the hospital for timely treatment, resulting in many mild fractures developing into traumatic arthritis or fractures that do not heal.  There are also some patients with minor fractures who have been examined in the hospital, and the X-rays have shown bone fractures, only that there is no obvious displacement, and the patients will ignore the doctor’s advice to fix the fracture in a cast, thinking that the fracture will heal on its own without displacement. Zeng Senjun explained, “Although there is no obvious displacement of the fracture, if the treatment is not fixed and continues to move, it can easily lead to re-displacement of the cracked fracture and even require surgery.”  In addition, some minor fractures that are not displaced are not detected by early radiographs. It takes a week or so for the bone at the fracture end to resorb before the film can reveal it. If an orthopedic surgeon suspects a fracture, he or she will admonish the patient to rest in bed, not to stand and walk, and to wait a week before taking the film for a review. However, the problem is that many patients subjectively believe that no fracture has occurred and that there is no need to make a big deal out of it. If they continue to move around, it is likely that a minor fracture will develop into a serious displaced fracture.  Zeng Senjun emphasized, “The injury is swollen within three days of the fracture, and the best time to treat it surgically is about five to seven days after the swelling subsides (when the skin wrinkles), so it is best to treat it within three weeks after the injury.”