Metacarpal fracture incision and reduction

Suitable for those with metacarpal fractures. Metacarpal fracture incision and preparation before surgery: 1. Fractures are caused by severe trauma, and patients often have severe pain and blood loss. Pain relief and blood matching should be given before surgery. For those who are generally in poor condition or have been shocked, anti-shock treatment such as infusion and blood transfusion should be given, and surgery should be performed after the condition is stable. 2. X-rays of the front and side of the fracture site should be taken before operation to clarify the location, shape and displacement of the fracture, which is convenient for determining the operation method and internal fixation. For those who need X-rays during the operation, the radiology department and the operating room should be notified in advance to make preparations. 3. The surgeon should put forward the special equipment needed and check whether the equipment preparation is complete to avoid temporary preparation and prolong the operation time. 4. For open fractures, antibiotics and tetanus antitoxin should be used immediately; or for those who have had open fractures delayed surgery for more than 2 weeks, antibiotics and repeated injections of tetanus antitoxin should be used. 5. For internal fixation or bone transplantation after incision and reduction, antibiotics should be administered intravenously immediately after anesthesia, once every 6 hours and shared 4 times. 6. The fracture site must have sufficient scope for cleaning and disinfection preparation. Participants should avoid contact with purulent wounds on the same day and strictly implement hand washing procedures to prevent incision infection. 7. Patients who need to postpone surgery for some reason should be traction first, which can be reset or temporarily fixed. It can overcome soft tissue contracture and reduce the difficulty of reduction during surgery. 8. Fractures that require bone grafting at the same time, such as delayed fractures of the backbone, slow healing fractures, etc., should be prepared for the bone supply area after surgery.