The child was taken to the emergency room by his family in a state of pain, crying and panic.
On March 19, Master - Specialist Doctor 1 Nguyen Xuan Truong (Orthopedic Trauma Center, Tam Anh General Hospital, Ho Chi Minh City) said that the X-ray results determined that the child had a fractured right femur with both ends of the broken bone displaced. To ensure the best recovery process, the doctors decided to apply a full body cast, from the ankle to the chest.
According to Dr. Truong, because the fracture is near the hip joint and young children are not yet aware of keeping their bodies still, a long cast helps create the most stable environment for the bone to recover. This method not only helps to stabilize the broken bone but also limits the movement of the leg and upper body, while protecting the hip joint and spine.
Before the cast is applied, the child is given intravenous anesthesia. However, because organs such as the heart, lungs, liver and immune system are not fully developed, the child is at risk of complications such as arrhythmia, low blood pressure or difficulty breathing. Therefore, the doctor must carefully calculate the anesthetic dosage and closely monitor the child's reactions.
X-ray results showed a fracture in the patient's right thigh.
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The anesthesia process was difficult because the veins in the child's arms were too small, forcing the doctor to take a vein from the groin - an area with many blood vessels and nerves. The child was scared and could not maintain a stable position, so the doctors had to operate very carefully. After more than an hour, the full body plastering was completed. The intervention was considered successful, helping to fix the broken bone and facilitate rapid healing, while reducing the risk of infection or complications if the plaster became loose.
After two days of observation, the child was discharged from the hospital. The doctor instructed the family on how to care for the child, including cleaning the cast area and ensuring adequate nutrition to support the recovery process. Parents were also advised to avoid overfeeding the child, as the cast can put pressure on the abdomen, causing discomfort. It is expected that the child will be able to remove the cast and make a full recovery after 4-6 weeks.
According to Dr. Truong, fractures near the hip joint can affect the development of the hip joint and surrounding soft tissue, limiting mobility later on. Therefore, children need to be re-examined weekly to monitor the bone healing process and adjust the cast if necessary.
Parents should not play the game of juggling and shaking children.
Dr. Truong said that bone fractures are common injuries in young children because their skeletal system is still developing, the bones are soft and easily affected by external forces. Therefore, when playing with children, parents should avoid movements that are too strong. In particular, the doctor warned against juggling or shaking young children. In addition to the risk of bone fractures, these actions can also seriously affect the nervous system.
At this age, the child's head is large in comparison to the body, while the neck muscles are still weak and not strong enough to support it. Furthermore, the child's brain is still developing, located in the cerebrospinal fluid environment.
Doctors advise parents not to juggle or shake children.
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"If shaken violently or thrown high and then falling, the brain can move by inertia and collide with the skull, leading to the risk of cerebral edema, increased intracranial pressure, and damage to cerebral blood vessels. These injuries can cause long-term consequences, from mild to severe, such as slow development, impaired language ability, difficulty learning, reduced vision or blindness, deafness, nerve paralysis, convulsions, and even death," the doctor analyzed.
Source: https://thanhnien.vn/be-1-tuoi-bi-gay-xuong-dui-bac-si-chi-nguy-hiem-khi-tung-hung-tre-185250319133645462.htm
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