12-year-old tong tong is in a lively and active age, accidentally fell when playing, stood up and found that the right arm can not move, tong tong mother anxiously took tong tong to the nearest hospital for treatment, limited by medical conditions, tong tong mother took tong tong to the taihe county people's hospital orthopedic department.
Doctors in the third ward of orthopedics considered that the child was fractured at the junction of the humeral shaft and the metaphyseal end, and decided to use an external fixator for the treatment of the child.
Tong Tong's mother asked incomprehensibly: "I heard that children fracture your hospital is taking minimally invasive surgery, why should my child use that shelf?" Such a cold day, how to wear clothes, is not your technology is not good, will not do it, we do high-speed rail to the provincial city, anyway, now is also convenient! ”
The doctor explained: "Tong Tong Mother, Tong Tong's fracture site and type are special, not a simple cadre fracture, nor a conventional horizontal type, it is a spiral fracture, can not be routinely used elastic intramedullary nail fixation treatment, unstable, easy to lead to failure, belongs to the special fracture site, what kind of disease with what kind of medicine, you think, of course, the external fixation frame is also a minimally invasive operation." ”
Tong Tong's mother expressed understanding: "After you said this, I understand, thank you doctor." ”
Fractures at the junction of the humeral shaft and the epiphyseal end in older children have been the mainstay of non-surgical treatment. Commonly used traditional treatment methods are splint after manual reduction, U-shaped cast, overhanging plaster and other fixations. However, the above methods generally have unstable fixation, fractures are prone to re-displacement, resulting in multiple reduction treatments, increasing patient pain, and prone to fracture end separation and displacement or vertical wrist radial nerve injury due to rough reduction caused by neuromuscular injury, as well as shoulder and elbow joint dysfunction caused by external fixation.
The advantages of the external fixator are mainly manifested as: (1) the surgical trauma is small and the operation is simple; (2) the surgical fixation does not involve the epiphysis, and the impact on the growth and development of the affected limb is small.
Minimally invasive orthopedics pediatrics
The medical staff of Taihe County People's Hospital are always on the way forward!
Text: Orthopedics Ward 3 Shi Xinglei
Audit: Medical Services Division
EDIT: Public Information Section