After a fracture, in order to achieve good alignment of the fracture end, early functional exercise and prevention of deformity, a plate, intramedullary pin, steel nail or other internal fixation material may be required to fix the fracture end during the surgical treatment. The purpose of fixation is to promote good alignment and healing of the fracture, and the internal fixation material will fail after the fracture is healed;
Before the fracture is completely healed, the internal fixation material only plays the role of temporary fixation; it can not fully support the body weight or limb movement, so premature or improper functional exercise will make the internal fixation fatigue and fracture or appear nail pulling, nail fracture, plate loosening, etc. Therefore, it should be scientific and reasonable functional exercise, and strictly follow the medical prescription.
I. Dietary guidance.
Diet should be combined with the characteristics of fracture repair process, scientific and reasonable allocation, in principle, give high protein, high calorie, high vitamin diet, for patients who need to be bedridden for a long time should apply more vegetable oil, such as peanut oil, sesame oil, vegetable oil, soybean oil, which has laxative effect and helps to relieve constipation, choose foods rich in plant fiber, such as coarse vegetables, fruits, beans and other coarse foods, which is beneficial to prevent constipation and reduce Cholesterol is beneficial, eating style can choose to eat less and more meals, in order to facilitate digestion and absorption.
2. Drug instruction.
1, after the removal of stitches generally do not need to take antibiotic drugs appropriate to take anti-swelling and pain relief drugs.
2. Take 5 tablets of Shujianjijian three times a day (for children) until the fracture heals.
III. Functional exercise.
1.Plaster fixation for upper limb fracture is usually 4-6 weeks, and plaster fixation for lower limb fracture is usually 6-8 weeks, the doctor will give a special explanation if the plaster fixation time needs to be extended.
2. When the cast is fixed, functional exercise of the muscles should be performed, functional exercise of the upper limb extension and flexion support, and functional exercise of the lower limb contraction of the quadriceps.
3, after the cast should be fixed joint application of orthopedic washing medicine for fumigation and a certain degree of difficulty in functional training, the upper finger can actively extend and flex the elbow and wrist joint functional exercise. The lower limbs are free from weight-bearing ankle and knee extension and flexion functional exercises. Should follow the principle of gradual progress, do not use violence so as to damage the joint ligaments or make the patient have fear.
4. After the fracture is healed, the upper extremity can be supported by holding objects and the lower extremity can be fully weight-bearing functional exercise (before the fracture is fully healed, it is strictly forbidden to hold objects and weight-bearing exercises prematurely to prevent the failure of the internal fixation).
IV. Special reminders.
1. The doctor should give you your outpatient cases and imaging data (X-rays, MR films, CT films, etc.) before discharge.
You should keep your outpatient cases and imaging materials (X-rays, MR films, CT films, etc.) before discharge, and bring them along with your next follow-up consultation.
2. The second follow-up consultation should be recorded in the outpatient case.
If you lose them, you should replace them in time to avoid affecting your records.
3.Repeat consultation time is generally once a month, or less for children, if there are special circumstances, contact your doctor in charge.
4.There are two copies of this instruction, one for you to keep and one for the case.
5.If you have preoperative separation of the lower tibial fibula, intraoperative tension screw fixation may be required, and the nail needs to be removed 6-8 weeks after surgery to prevent your exercise and the breakage of the steel nail.