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[Comparison between Robert Jones dressing and "U" splint in ankle fractures]
Ernesto Enrique Romero Zepeda1, Martín Cadenas Tovar, Juan Manuel Vargas Espinosa
1Hospital General "Dr. Miguel Silva", Morelia, Michoacán, UNAM. netoquique@hotmail.com
Objective:
To compare the Robert Jones bandage with the "U" splint in edema control of ankle fractures.
Material And Methods:
A prospective, longitudinal study, open, comparative and randomized made in 32 male patients (72%) and 16 female patients (28%), the average age was 36.9 years. Patients with an ankle fracture within 12 hours of evolution were registered. Both ankles previous to immobilization were measured, dividing the patients in 2 groups. Group 1 were treated with Robert Jones Bandage, and group 2 with "U" splint. The pain previous to immobilization was registered using an analogous visual scale. Twenty-four hours later the circumference and the pain was measured again.
Results:
Group 1 displayed less edema, mean 17.69 mm, in comparison with group 2, of 8.33 mm (p < or = 0.36). Pain previous to immobilization in group 1 was a mean of 7 and in group 2 of 5.5 (p < or = 0.3); 24 hours later, a mean of 2 in both (p < or = 0.8).
Conclusions:
There were no significant differences between both immobilization methods.
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01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:10Ankle Joint