Objective To compare the effect of cocktail local analgesia and brachial plexus block in postoperative pain management for pediatric supracondylar fracture of humerus with Gartland type Ⅲ.Methods Between January 2018 and February 2020, 58 children with supracondylar fracture of humerus with Gartland type Ⅲ were included. There were 34 males and 24 females, the mean age was (6.53±2.44) years(range 2 to 10 years). All patients were randomly divided into two groups: 39 cases in cocktail group used cocktail local analgesia, and 19 cases in nerve blocking group uesd brachial plexus block. WB-FACES pain score, swelling grade, anaesthetic toxic reaction were recorded, and at following up time of bone healing, Mayo score, ROM of elbow flexion and extension, and ROM of arm pronation and supination were recorded.Results All children were followed up for (17.32±4.02) months(ranged from 12 to 37 months).WB-FACES pain score and swelling grade in cocktail group at 1st day and 7th day were similar to nerve blocking group (P>0.05), but lower than nerve blocking group at 2nd day and 3rd day (P<0.05). There was no significant difference between the two groups regarding to anaesthetic toxic reaction (P>0.05). The time of bone healing in cocktail group [(5.46±1.41) weeks] was similar to nerve blocking group [(5.11±1.15) weeks](t=0.955, P=0.343). Regarding to Mayo score, ROM of elbow flexion and extension, and ROM of arm pronation and supinatio, there was no significant difference between two groups at 3rd month and last follow-up (P>0.05).Conclusion The effect of early pain management with cocktail local analgesia for Gartland type Ⅲ pediatric supracondylar fracture of humerus is superior to brachial plexus block. It is simple to operate, and has the same safety as brachial plexus block. |