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The observation and treatment of nerve injury after bone plate fixation need to be combined with symptom identification, medical examination and targeted treatment measures, as follows:
Symptom observation
Abnormal sensations: If numbness, tingling, burning sensation or loss of sensation occurs in the fracture area, it may indicate nerve damage. For example, a fracture of the upper limb may cause numbness in the fingers, and a fracture of the lower limb may affect the sensation of the foot.
Motor dysfunction: Nerve damage may lead to muscle weakness or paralysis, manifested as the inability of the injured muscles to move normally.
Abnormal reflexes: Nerve damage may cause reflex changes in the corresponding area, such as weakened or absent tendon reflexes.
Pain: Persistent or aggravated pain, especially when accompanied by abnormal sensations or muscle weakness, may be related to nerve damage.
2. Medical examination
Imaging examination: Through X-ray films, CT scans or MRI, it is confirmed whether the plate position is compressing the nerve, and the fracture healing status and the location of nerve injury are evaluated.
Electrophysiological tests: Electromyography or nerve conduction velocity tests can assess nerve function, determine the extent of injury and whether the problem is caused by steel plate compression.
3. Conservative treatment
Pain management: Use non-steroidal anti-inflammatory drugs or other analgesics to relieve symptoms.
Neurotrophic drugs: B vitamins (such as vitamin B1, B6, B12) and mecobalamin and other drugs can promote nerve repair.
Physical therapy: Electrical stimulation therapy, hot compresses and functional exercises can help enhance nerve regeneration capacity and improve functional recovery.
4. Surgical intervention
If conservative treatment is ineffective and nerve injury continues to deteriorate, surgical adjustment or removal of the plate should be considered to relieve nerve compression.
For severe nerve injury, nerve exploration, repair or reconstruction surgery may be required.
5. Rehabilitation training
Early passive movement and massage should be carried out to maintain the physiological length of the muscles and the range of motion of the joints.
As the condition improves, rehabilitation measures such as active exercise, physical therapy, acupuncture and hyperbaric oxygen are gradually carried out.
6. Psychological support
The recovery period of nerve injury is relatively long, and patients may experience psychological stress. Appropriate psychological counseling and support need to be provided.
Precautions
Seek medical attention promptly and follow up regularly to closely monitor the recovery of nerve injury.
The treatment plan should be based on the individual’s condition and the doctor’s advice to avoid blind self-treatment.