If you have a broken leg, you definitely cannot walk again, otherwise the fracture will become more serious. You should be more careful at this time. Try to stay in bed and rest in the early stages of recovery, which will make your condition improve even better. You should also use plaster to fix the broken part to avoid deformity. 1. Treatment principles The fracture treatment principles commonly used internationally are those of the AO organization: 1) Reconstruct anatomical relationships through fracture reduction and fixation. Reduction is the basis of fixation and functional exercise. Timely and correct reduction should be achieved after a fracture. Fixation is to maintain the position after reduction by various means to prevent it from shifting again and create conditions for fracture healing; 2) Use fixation or splinting to restore stability according to the "personality" of the fracture and the needs of the injury; 3) Use delicate manipulation and gentle reduction techniques to protect the blood supply to soft tissue and bone; 4) Early and safe activity training for the whole body and affected area. It is to restore the function of the damaged limb by performing reasonable activities as quickly as possible on the basis of maintaining the correct reduction of the fracture. 2. Fracture fixation methods There are two main types: external fixation and internal fixation. 1. External fixation: It is mainly used to maintain the reduction of the fracture after manual reduction. If the internal fixation is not strong enough after open reduction, external fixation can also be used as an auxiliary measure. Commonly used external fixation methods include plaster bandages, small splints, traction, external fixators and brace fixation. 2. Internal fixation: refers to a fixation method that uses internal fixation devices made of metal or degradable materials to fix the fracture in an appropriate position after incision and reduction. In clinical practice, different types of internal fixation devices can be selected according to the actual needs of fracture fixation. Commonly used ones include various bone plates, screws, intramedullary nails, bone round needles (Steinmann wires, Kirschner wires, etc.), stainless steel wires, and products made of biodegradable materials. The main purpose of internal fixation is to restore the function of the affected limb as quickly as possible. Internal fixation cannot permanently replace broken bones, but can only serve as a temporary support. At present, the internationally recognized principles of biological internal fixation (BO) are: 1) Reduction should be performed away from the fracture site to protect the attachment of the local soft tissue of the fracture; 2) Do not sacrifice the blood supply to the fractured part to force the anatomical reduction of the comminuted fracture fragments. If a larger fracture fragment must be reduced, the soft tissue pedicles that supply blood should be preserved as much as possible. |
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