Nursing steps of external fixation bracket

The development of external fixation and its application in orthopaedics external fixator can fix fractures and correct some bone deformities. It is an important instrument in orthopaedics. Traction therapy is a method to apply external force to a certain part or joint of the body to make it separate to a certain extent, and the surrounding soft tissues get appropriate traction, so as to achieve the purpose of treatment. Now I will share with you the nursing guidelines in these two aspects.

Preoperative preparation:

Psychological nursing external fixator is a new operation. Nurses should actively publicize the advantages of external fixator to eliminate patients' fear.

Prepare all routine reports, such as blood routine, urine routine, bleeding and clotting time, liver and kidney function, electrocardiogram, X-ray film, etc.

The upper and lower joints of the fracture site of the operation field skin preparation, and the upper and lower distal extension of 6cm is the range of skin preparation.

Blood group determination and blood preparation were done one day before operation, skin sensitivity test of conventional drugs was completed, the whole body was cleaned, and fasting was started 12 hours before operation.

The operation field skin was disinfected with 75% ethanol and wrapped with sterile dressing.

Give preoperative medication according to the doctor's advice.

Postoperative care:

Routine nursing according to brachial plexus or continuous epidural anesthesia.

After the operation of upper limb fracture in lying position, the affected limb was raised by thin pillow for 30o. After the operation of lower limb fracture, a thin pillow is placed in the carmine fossa and lower leg to make the knee flexion 20o-30o, so as to promote lymphatic and venous blood reflux and reduce swelling. The limb with vascular injury or interosseous membrane hypertension should not be padded up to avoid aggravating muscle ischemia, swelling and necrosis.

To prevent nail hole infection, 75% ethanol was used twice a day at the nail hole. The gauze shall be changed frequently every 1 ~ 2 days for the leakage at the nail hole.

Functional exercise

(1) Muscle exercise: the static contraction or relaxation of muscle can be done on the day after operation, 2 ~ 3 times a day, 15 ~ 30min each time.

(2) Joint exercise: shoulder joint and elbow joint are the key points of upper limb fracture. The shoulder joint is mainly abducted, lifted and rotated, and the elbow joint is mainly flexed, extended and rotated. Exercise can be started 2 ~ 3 days after operation. Lower limb fracture mainly exercises knee flexion for 80 O and ankle flexion for 90 o.

Health coaching:

Ask the patient to keep the skin around the nail hole dry, drop 75% ethanol twice a day, and change the dressing once every other day.

Keep exercising every day.

Regular outpatient reexamination.

If there is much purulent secretion in the nail hole, go to the hospital for treatment in time.