Cautions after fixation in TCM trauma treatment
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(1) The diseased limb should be properly raised for relieving swelling of the limb. Soft pillow may be used to pad it high.

(2) The situation of blood circulation of the diseased limb, especially in one to four days after fixation, should be closely investigated. One should pay attention to pulsation of artery of extremity end, as well as temperature, color, sensation, extent of swelling, active movement of fingers or toes. If there occurs disturbance of blood circulation, the ties must be loosened timely; if it does not work yet, the ties should be loosened, and bandaging be done again.

(3) If there occurs pain in a fixed focus under pad, or in two ends of splint, or at the prominence of bone, the splints should be taken apart and examination be done for fear of occurrence of compression ulcer.

(4) Adjust the tightness of splints time and again. After resolution of swelling, the splints may also become loose. So, the tightness of the ties should be examined every day and adjusted timely.

(5) Regular roentgenoscopy or roentgenogram should be done for knowing whether there is displacement of fracture, especially in 2 weeks after reposition. If there occurs displacement, reduction should be performed again.
 
(6) The patient should be encouraged to do functional exercise timely.

(7) Time to remove splintage: The duration of splintage is mainly determined according to the concrete situation of fracture union clinically.


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