First and foremost - do not panic!Anxiety relatives, fear, uncertainty, powerlessness fait oppressed child nevrotiziruyut it.The process of healing bone fractures are always long, so please be patient, calm yourself, calm the child and listen carefully to the advice of your doctor.
Statistics show that in 10% of cases there is a fracture of the femur, and 40% are fractures of the tibia, and the rest - fractures of the foot and toes.Fractures of the ankle in children are extremely rare.More often the bone of the lower limbs broken in the fall or jump from a height.Fractures of the foot and toes occur with direct impact, falling heavy on the foot.Most often it is a street or a sports injury.
If after applying the cast or splint (often called splints) of the child to go home, that's good.Apparently, without fracture and its displacements can be treated in a clinic.If the doctor suggests a few days stay in the hospital, listen.The hospital will provide more professional care, and from the first days to be
If the treatment is carried out at home
During the first day there is a gradual drying of the cast.At this time, it is fragile and could break.The injured leg should be given to the exalted position - lay on a pillow or a folded in several layers of blankets, foot should be slightly above the knee.Lay the wet plaster bandage should not be, and to accelerate its drying can be used radiant heat from the desk lamp.
Any presence of children's fractures accompanied by local circulatory disorders, which are manifested by edema, skin discoloration, skin sensitivity violation.The greater the trauma, the more pronounced swelling.Traumatic swelling compresses the tissue tightens them and is a natural protective reaction, which protects bone fragments from the differences and displacement.However, compressing blood vessels, swelling impedes the flow of blood to the bone fragments, slowing their fusion.Therefore recommended the exalted position of the limb, early movement of the fingers of the damaged leg.
By the end of the first week of swelling usually decreases significantly, the skin on the foot becomes a normal color, wrinkles.After a falling edema may occur secondary displacement in the cast.Therefore, in certain types of fractures 4-5-th day the doctor recommends to make X-ray control.By the end of the first week, all discomfort should disappear under the bandage.
correct casting of tightly covers the limb, no pressure, gives a sense of stability and security.At this time, you can start rehabilitation - learning child walking with crutches.Children quickly learn that "science", we often see in a hospital, they run a race with crutches.
not check complications
long-lasting edema or swelling, bluish tint subungual lodges, blanching and reducing the temperature of the toes, sensitivity disorders in the form of "numbness" or "crawling" signal the grave defects of local blood circulation and are grounds for immediatetreatment to the doctor.
can not ignore long-lasting pain is the fracture site.This is related to the pressure casting of the poorly protected or insufficiently modeled bony prominences and can lead to the formation of bedsores.At the next visit to the doctor is required to tell him about it.
Very often arises under the bandage itching.It can be pronounced, debilitating, interfering with sleep, which is also necessary to tell the doctor.If it is possible and will not cause complications, the plaster cast will be removed, the skin will produce hygiene, process it and re-impose a plaster.Independently perform such manipulation is not necessary.
With the passage of time plaster cast "aging", becomes brittle, crack, crumble and break.The inevitable muscle wasting - "shrinking" in the long term treatment - leads to the fact that the dressing becomes loose, no longer fulfills its function and should be replaced.
terms of rehabilitation after fractures and timing of children's fusion of bones depend on the child's age, size, bone mass, its functional and anatomical characteristics and the nature of the fracture.The larger bone, the older the child is, the longer it will take.If the phalanges of the foot heal in 2-3 weeks, then the seam of the tibia may require 2-3 and 4-5 months under certain fractures of the femur.
In recent weeks, wearing a plaster bandage doctor may recommend walking with measured load and under the supervision of parents.This is a very important detail in order to assess the quality of fracture healing.If the child is free to walk and run in a cast, edema, and pain is not present, and the needs in the dressing anymore.Gradually increase the dosage burden: first, the child starts at a slightly injured leg, using crutches, then one crutch leaves, then used a cane, and finally, he is allowed to complete the load.Walking in a cast normalizes muscle tone, improves the vascular walls, promotes functional restructuring of the bone fusion.
Some mobile and excitable children can be fear of removing the cast, it is associated with addiction to it and the violation of the deep sensitivity of the species: the foot is perceived as "not their own".This phenomenon takes place for 2-4 days.At this time, the leg can be bandaged tightly.
before removing the plaster is assigned to control x-ray.No need to worry if, after that, the doctor decides to continue treatment in a cast - the fusion must be reliable!Some children begin to walk before he is allowed to.Usually, nothing terrible happens.A girl of three years received an oblique fracture of the tibia in the fall from the porch.Two weeks leg was in plaster.All this time, Dad wore a baby in her arms.In the third week the parents sat in the kitchen, and the little girl got off the bed and came to him ... Can you imagine the state of the parents ?!After examination of the child found nothing threatening was not allowed walking in a cast, and after 10 days the plaster has been removed completely.
now - for rehabilitation!
Cast removal treatment does not end, and goes into its final phase: restoration of function and rehabilitation after fracture.You should begin with physical therapy combined with massage and physiotherapy.It is important to convince the child to engage in physical therapy alone: training set of exercises he performs in the clinic under the supervision of an instructor and at least twice a day repeats at home on their own.
In the late period in fractures of long bones we see long-lasting muscle wasting, which is shown a decrease in muscle mass.This is the result of trauma and prolonged immobilization.Perhaps some stunting affected limb, which does not usually exceed 1.5-2 cm and not affect gait.
Rare elongation broken limbs as a result of the restructuring and revitalization of the local metabolic processes, aimed at early fusion.Require special attention periarticular and intra-articular fractures, rehabilitation treatment under these faults has its own characteristics.
Given this diversity of outcomes and long-term results of treatment of fractures of the hip and thigh bones, children with such injuries are subject to dispensary observation by a doctor traumatologist orthopaedist in the district hospital for at least a year.
psychological trauma of the lower extremity carries heavier than a hand injury.Sharply reduced physical activity, shrinking living space, formed a certain social isolation.Therefore, from the first day you need to develop a new mode of the day, to provide adequate care for the child.You must try to maintain a good mood, saturate every day of the disease with positive emotions, to allow meetings with friends, classmates.Very useful examples from life and literature, reinforcing confidence in a speedy recovery, forming resistance, tolerance and courage.
great importance diet, child's diet should include foods that contain calcium, phosphorus salts, easily digestible protein, vitamins.Recommended poultry, beef, fresh fish, vegetables, fruits, dairy products.It is necessary to adjust the chair, as in a forced situation the cast may cause intestinal problems.Only calm and confident behavior of parents, good nutrition, strict compliance with all medical recommendations will help your child cope with the trauma, and the family - to survive nagryanuvshaya trouble.