手指引导法治疗儿童长骨骨折

目的 介绍一种治疗儿童骨伤的新方法。方法 应用手指引导法治疗的儿童长骨骨折１３６例，其中肱骨颈骨折１２例，肱骨干骨折８例，肱骨髁上折６５例尺桡骨双骨折２６例，股骨干骨析２２例，开放性桡骨远端骨折２例，开放性胫骨骨折１例。手指引导法：对于闭合性骨折，行小切口切开复位，术者用食指指端进行探查以协助复位，对于开放性骨折，术者很容易用食指指端探到肌折端，以协助良好复位。全部随访至骨折愈合（３个月至１年２月

Finger-guided method for the treatment of long-bone fractures of children

Objective:To introduce a new method for the treatment of long bone fractures of childeren.Methods:136 cases of long bone fractures were treated with finger-guided method.The fractures consisted of the fracture of the surgical neck of the humeri in 12 cases,humeral shaft 8 cases,supracondylar 65 cases,double fractures of the radius and ulna 26 cases,femural shaft 22 cases,open fracture of the distal end of the radius 2 cases and open fracture of the tibial shaft one case.The finger guided method was carried out as follows:1.For the closed fractures,open reduction was done with small incisions;the operator uses the index finger tip to explore and help the reduction with the insertion of the K-wire by his assistant.2.For the open fractures,the operator can have easy access to the fracture ends using the tip of the index finger to help perfect reduction.Results:All the patients were followed-up for 3 to 14 months,with an average of 5 months.Satisfactory function and outlook were seen in all patients except 3.Conclusion:Finger-guided method is advisable to be adopted for fractures of long bones in children,especially suitable for open reduction.This method is simple,time saving,less traumatic,safe and practicable.