Xiaoaxiao's health blog

sitting X-rays before, Wang Jie, pointing every day, X-rays after the fracture, said: “old school, so I finally have a son, you have to give me serious point, I do not want him crippled. You see every day around both ends of the fracture dislocation, there is almost 1 / 4 does not fit, it may not affect bone growth, or will be slower healing, fracture healing will not affect the future function, left legs would not become Shui feet, be no need to look at the entire complex, not to say that open reduction can be up to 100% it? Otherwise forget altogether surgery. “Having said that she shed tears come.

Oh, Jie Wang a series of “would not” put my heart feel better. Really unexpected disaster, the day a babysitter to go out every day with a 3-year-old play, cross the road, unwatched, gave little guy hit the motorcycle. Immediately on the left thigh swelling, stations can not stand up. Wang Jie to hear the sad news, really like towering skyscrapers, a pedal space, a tearful call me. I immediately put her to the hospital every day, the initial inspection, every day, the central left thigh swelling, pain, limited mobility, his left leg seems to become shorter. Only from these clinical signs and symptoms can be an initial diagnosis of left femoral shaft fracture, after X-rays through the camera proved to be the middle of transverse fracture of left femur. Do not wait, I propose an immediate income hospital for treatment every day.

admission, according to the injury every day and age, I recommend closed reduction, external fixation, suspension traction and other conservative treatment. Wang Jie couple now has Liushenwuzhu, that everything I had heard. Next, with the help of two assistants, the way I used to every day as light reset. Although the action light, can be every day, after all, only 3 years old, this time tears of pain a person Ku Cheng, Wang Jie like to see his son suffering, but also the side secretly tears. Reset splint, reviewing X-rays. Wang Jie face barrage of questions that a bunch, I totally understand her feelings as a mother at this time. In order for her to understand the characteristics and treatment of pediatric fractures, reduce the psychological burden of her, facing the X-ray film, and I made her the explanation.

children and adult bone structure is quite different, so also is the fracture, but have different characteristics. For children, the children of long bone ends of the bone marrow, cartilage between the epiphysis and the metaphyseal growth plate of bone that constitute the epiphyseal plate, epiphyseal and epiphyseal plate has the ability to grow vertically. Children are in growing, as thick and rich supply of blood periosteum and other reasons, the time required for fracture healing was significantly shorter, younger, shorter healing time. Such as femoral shaft fracture, adult completely healed in about 2-3 months, the baby about three weeks to completely heal. Clinically, there is almost no situation of children in closed fracture is not healing.

In addition, children's shaping ability, through the epiphysis and the epiphyseal growth plate, and the role of weight-bearing, etc., can the direction of motion consistent with the angular deformity was corrected itself , the closer the epiphyseal plate fracture, the younger the shaping ability of the stronger. Given these characteristics, clinical fractures in children almost all conservative treatment.

fracture of both ends of the agreement reached every day, 3 / 4; two fracture surfaces are not rotated to the position. Our standard of clinical fracture is fracture reduction function does not exist at both ends rotate and separate, and joint activities in the same direction with the cross into the corner no more than 150 degrees, the backbone of the contact area after fracture reduction at both ends more than 1 / 3, compared with healthy lower limb less than 2 centimeters shorter side. Reset as long as the means to achieve this level of functionality to achieve fracture reduction standards, it would not be forced to more accurately reset. After fracture healing, bone remodeling by the residual deformity usually can correct its own, the future limb function did not affect trophies with normal children as a happy life.

but in real life, the parents of the children, lack of awareness of these features fracture, the blind pursuit of precision reset. Subjectively speaking, these parents wish for the sake of children, but sometimes is by obtaining the counter. Repeatedly reset, first of all caused by repeated physical harm to children, followed by easy to fracture the surrounding blood vessels, nerve damage caused. Prone to cause relaxation of muscles repeatedly pull, resulting in fracture separation, but this influence fracture healing. If the reset function can be used to achieve closed reduction of fracture, but insist on using open reduction surgery, although able to accurately reset, but it is to pay a higher price than the former, children have to suffer after surgery and implants (such as steel , screws and other things) out of physical pain again. Surgical manipulation to the periosteum of fracture and blood supply to the injury suffered again after the operation there is the possibility of infection. Implants such as epiphyseal injuries may cause bone development disorders, wound scars also affect appearance. The rate of fracture healing after surgery and limb function was not better than the manual reduction. Of course, not all types of fractures do not require surgery, an experienced orthopedic surgeon according to fracture site, type, and the patient's systemic and local circumstances determine the need for surgery.

Wang Jie heard me talk after this speech, his face relaxed a lot: “I know every day no need to reset the fracture, not to surgery. This is what we at ease. “After a month of suspension traction, discharged every day, and weeks later, they see their parents hopped in a small guy, and seemed not to fracture off.

here, by the way the earth to remind parents and children once the fracture, as long as a doctor can achieve functional reduction manual reduction requirements, there is no need for anatomic reduction. Less pain as possible to the child, a little more joy it.