The treatment principles for femoral fractures in children are reduction, fixation and rehabilitation training. Reduction can be done by manipulation or surgery, fixation uses plaster or internal fixation equipment, and rehabilitation training includes functional exercise and physical therapy. Femoral fractures are mostly caused by trauma, such as falls, collisions, etc., and a few are related to bone diseases or genetic factors. 1. Reduction is the first step in treating femoral fractures. Manual reduction is suitable for simple fractures, and the fracture ends are aligned through traction and adjustment. Complex fractures or when manual reduction fails, surgical reduction is required, such as closed reduction and internal fixation or open reduction and internal fixation, to ensure accurate alignment of the fracture ends. 2. Fixation is the key to maintaining the reduction effect. Plaster fixation is suitable for stable fractures, and the fracture site is protected by external fixation. Unstable fractures or surgical reduction require internal fixation, such as intramedullary nails, steel plates and screws, to provide stronger stability. 3. Rehabilitation training is an important part of restoring function. Passive joint movement is performed in the early stage to prevent joint stiffness. Active movement is gradually added in the middle stage, such as leg lifting and knee bending, to enhance muscle strength. In the later stage, physical therapy is combined, such as hot compress and electrotherapy, to promote blood circulation and tissue repair. 4. Prevention of complications is an important consideration in treatment. Closely monitor blood circulation in the affected limb to prevent vascular damage. Pay attention to wound care to prevent infection. Regularly review X-rays to assess fracture healing and adjust treatment plans in a timely manner. The treatment of femoral fractures in children requires comprehensive consideration of reduction, fixation and rehabilitation training to ensure fracture healing and functional recovery. Parents should actively cooperate with doctors in treatment, pay attention to the condition of the child, deal with abnormalities in a timely manner, and promote the early recovery of the child. Through scientific treatment and care, most pediatric femoral fractures can heal completely and restore normal activity ability. |
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