Conservative treatment of fractures

Fractures that do not affect the articular surfaces, are not significantly dislocated, are relatively stable, or if the older person is too old to tolerate surgery, conservative treatment can be considered. Conservative treatment of fractures also follows the three main principles of fracture management, which are reduction, immobilization and functional exercise. When treating a fracture conservatively, it first needs to be repositioned and immobilized. If there is a misalignment, it needs to be repositioned; if the misalignment is not obvious, it can not be repositioned; then fixation, fixation can be considered to use splints, casts or external fixation braces and a variety of functional braces; and later need to carry out functional exercises. Generally speaking, the early stage of fracture may be more painful in the first 2-3 days, so it can be immobilized first, and there is no need to do excessive activities after immobilization. Usually after 3 days, the swelling and pain start to subside gradually, and then functional exercises should be started. Functional exercises in the early stage are generally isometric contraction exercises, muscle tensing, can not be carried out a large range of activities. In the later stage, it is necessary to carry out the exercise of the range of motion of the joints and muscle strength exercise, and then carry out other auxiliary treatment, you can carry out hot compresses, the application of drugs to reduce swelling and relieve pain and promote the healing of the fracture of the drug, plasters also have a certain effect of reducing swelling and promote blood circulation.