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How to deal with femoral shaft fractures in newborns

I have dealt with about 10 cases, which are basically birth injuries. One of them should be the legendary "brittle bone disease", because a fracture occurred 4 days after birth.

He wanted to be a lazy doctor, but I was right. He came to see me five times for fractures within one year of age. Because he was poor, he could not be persuaded to make a clear diagnosis. My method: 1. Make sure the family members agree to the treatment. Because of the birth injury, the family members are afraid of "protecting each other", which is the most critical. 2. Visit frequently to satisfy the family members, because the thighs are usually very swollen in the past few days and the family members are very nervous. 3. The simplest method is to fix it. Wrap it in the frog position with a diaper and use a bath towel to fix the lower limbs in the hip flexion position. The key point is to put the toes upward and place the two legs in a symmetrical position. There was no bone fricative for 3 days, and the continuity was very stable after 1 week. After 3-4 weeks, the lower limbs could be extended and flexed basically freely, and the swelling was quite obvious

. 4. Care is very important, dry skin is the key. Every diaper change in the first three days must be changed by a doctor or at least a midwife. 5. It is difficult to convince the family members not to take the film, but it must be done. X-ray is more like a secondary injury to a newborn.