![]() ![]() Nasal fractures are common traumatic injuries with more than 90% occurring by blunt mechanism and over half suffering from a concomitant TBI. The strongest associated injuries with nasal fracture included open wound of the nose (odds ratio : 8.71, 95% confidence interval : 8.49–8.94, Of all patients, 10.1% underwent closed or open reductions at index hospitalization. Concomitant injuries included traumatic brain injury (TBI 56.9%), malar/maxillary fracture (27.9%), and open wound of the face (38.6%) and nose (9.5%). Closed fractures occurred in 93.0% of patients. Blunt trauma accounted for 90.5% of fractures, with motor vehicle accident being the most common mechanism (27.5%). Most were male (74.8%) with a mean age of 45.6 years. Of 5,494,609 trauma patients in the NTDB, 255,533 (4.6%) had a nasal fracture. A multivariable logistic regression model was used to identify predictors for nasal fracture in trauma. Patients ≥18 years of age with nasal fractures were included. A retrospective analysis of the National Trauma Data Bank (NTDB) from 2007 to 2015 was performed. This study sought to provide a large descriptive analysis and identify associated injuries and risk factors for nasal fractures in trauma using a national database. However, the literature characterizing associated injuries and risk factors for nasal fractures is sparse and is mostly composed of single-center experiences. Learn more about how Fox Valley Orthopedics can help you by dialing (630) 584-1400 to book an appointment with one of our board-certified orthopedic surgeons.Nasal fractures account for up to 58% of facial fractures. ORIF is done by making an incision above the site of the fracture, so your orthopedic surgery can access the broken parts directly. ORIF may be an emergency procedure, or it can be done after swelling subsides, scheduling surgery about a week or so from the date of the injury, so your doctor can ensure the bones are set correctly. “Open reduction/internal fixation” (ORIF) is the term for surgical treatment aimed at realigning a broken bone using screws, plates, pins, or rods. Your orthopedic surgeon will only recommend surgery if the possible benefits outweigh the risks and if it is the best way to ensure your bones grow in proper alignment. It’s important to know that closed fracture reduction is not always feasible or successful, and you may still require surgery to repair the broken bone. Not all fractures can be fixed with a closed reduction, especially if they are unstable, open, or if the risk-to-benefit ratio is unfavorable as determined by the orthopedic surgeon. Once your bone is set, your doctor will take another X-ray to make sure the bone is in the correct position before covering it with a cast or splint to protect it while it heals. Your doctor will move the broken bone pieces back into the proper position so it can heal properly. The procedure is usually done shortly after the bone is broken in an outpatient procedure.īefore the closed reduction starts, you will be given anesthesia to block pain, and you may be awake or asleep, depending on what you and your doctor determine is best. A closed reduction is a nonoperative treatment in which your orthopedic surgeon manipulates bone pieces back into their correct position and alignment. Your orthopedic surgeon will examine you and take X-rays to determine whether a closed reduction is the best treatment option for you. How Closed Fracture Reduction Is Performed Patients who are the best candidates for closed reductions typically only have a single breakage point in the fracture, which is determined with an X-ray. The bones are simply reset before covering the injury with a cast or splint. ![]() While some fractures are complex and require surgery to place plates, pins, or screws, so the bone(s) can heal properly, other fractures can be reset without surgery, using a closed reduction method that is done without making any incisions in the skin. You want to ease the pain and get back to your everyday life as soon as possible. Breaking a bone is a traumatic injury and makes daily living more difficult. ![]()
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