The outcomes after the use of bier’s block for the manipulation of distal radius fractures in the emergency department
International Journal of Development Research
The outcomes after the use of bier’s block for the manipulation of distal radius fractures in the emergency department
Received 29th April, 2017; Received in revised form 14th May, 2017; Accepted 26th June, 2017; Published online 22nd July, 2017
Copyright ©2017, Al-Sadek et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: Our aim was to identify what proportion of patients can achieve a satisfactory reduction with Bier’s block that can be treated non-operatively. Methods: All patients who received a Bier’s block in Emergency department in 2015 were identified using electronic patient databases. Results: 92% or 60 out of 65 patients had radiological improvement in their fracture position post-manipulation, 2 out of 5 patients had radiological improvement in fracture position continued to be managed non-operatively. 12 out of 65 patients receiving Bier’s block manipulation went on to need surgery. Conclusion: Bier’s blocks are very effective at allowing good fracture reduction in the Emergency Department and the majority of these patients go on to be managed non-operatiely
