Let’s start with a question that probably torments the readers of the historical part of the story: whose technology – Pirogov or Mathijsen – is used by modern doctors?
For a plaster cast, bandages prepared in advance, rubbed with plaster are used. They are dipped in water, and then they fix the area of the patient’s body that needs to be immobilized. Medical practice has reconciled our heroes, who, by the way, during their lifetime never competed or feuded.
A personal acquaintance with plaster most often brings people together after an unsuccessful landing or collision with something solid. True, the majority of the ideas about the course of treatment remain in the spirit of the classic Soviet comedy film: “Slipped, woke up, plaster cast.” Finding out the details of the process will not hurt those who want not to get lost in a difficult situation and are ready, if necessary, to help others.
Types of fractures
It is not so easy to break the integrity of the bone. In our minds there is a type who will obviously go for a cast on an arm or leg – this is a young lover of extreme sports. Indeed, traumatic fractures are leading in the statistics of citizens’ visits to doctors. However, many peaceful people turn to the trauma center for help, and not only the risky guys. There are also fractures called pathological – those that have arisen as a result of the disease.
Depending on whether the skin is damaged in the affected area, bone fractures are divided into open and closed. The former look much more dangerous than the latter, but this impression is deceiving. The only thing that an open fracture is more dangerous than a closed one is the risk of wound infection. Other difficulties in treatment are associated with the nature of the violation of the integrity of the bone: is there a displacement, are there multiple fractures, is the joint affected.
What is popularly called a “crack” in a bone is an incomplete fracture. It differs from full – to the entire thickness of the bone, it differs only in the lower risk of displacement of fragments at the moment when the patient makes his way to professional doctors. If the treatment is not started on time, the consequences will not allow it to be judged so lightly. Exacerbate the situation and complete the process of turning the “crack” into a complete fracture respected by all are capable of physical exertion on the injured area, repeated bruises, even minor ones.
Without an X-ray, and sometimes also an MRI or CT scan, it is impossible to determine exactly what condition the bone is in and how severe the damage is. The direction for this type of examination should be given by the doctor after examining the victim. The sufferer’s personal impressions are often misleading.
What happens: after each painful blow or fall, you need to run to the trauma center? Or, on the contrary, to call any frightening symptoms a simulation and ignore them?
There are signs by which a violation of the integrity of the bone can be suspected. If they are observed, you cannot postpone the visit to the doctor.
The appearance of a wound from which something white sticks out, will help even the most ardent hater of modern medicine to make the right decision and immediately call for help from certified doctors. Even if the bone is intact, the treatment of deep wounds requires professional medical attention.
The most accurate symptom of a fracture is deformation of the injured part of the body… If it is present, in no case should you try to “straighten” the bone on your own – the self-appointed doctor will cause repeated damage to the already affected part of the body.
A fracture should be suspected if the victim feels severe pain and tends to restrict movement.
Presence on an injured area of the body edema that does not subside within 24 hours, indicates serious damage to soft tissues and a high probability of bone damage. Do not calm yourself down and watch for several days how the limb swells and loses mobility, it’s time to go to the clinic.
Once the diagnosis has been made, the therapeutic process begins. Depending on the nature of the damage, a decision is made what the treatment will be, and it can be:
- Surgical – fixation of bone fragments with needles, pins, arthroplasty.
- Conservative – a plaster cast.
The latter is used not only for the treatment of fractures. It has proven to be effective in the treatment of injured ligaments and muscles, and is recommended for diseases of the musculoskeletal system associated with the destruction of bone tissue.
After a number of operations, immobilization of the patient with a plaster cast is also recommended. First of all, this concerns the correction of congenital defects in young patients who are indifferent to the advice of doctors to avoid physical activity. The use of plaster in dentistry stands apart.
Gypsum is applied in a specially designated room. Doctors perform this procedure on a special table, as a rule, together. The help of the patient’s relatives is not required. All the terrible tools that the patient will notice here are needed to work with quickly hardening bandages, and not in order to carry out emergency amputation of a limb in case of failure.
Once the procedure is completed, the patient is returned to freedom or placed in a hospital ward. If constant medical supervision is not required, then you can recover at home.
At first he will chuckle, feeling like the protagonist of a cult comedy movie, but soon he will realize that the most difficult is yet to come. He will have to live with this bulky, incomprehensible than on the arm or leg for about a month!
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