How to care for a 5-year-old child with a right rib fracture?

Patient's question:

A 5-year-old child with a right rib fracture, surgery performed on July 18, and steel pins inserted. X-rays now indicate that the pins can be removed. What precautions should be taken during the pin removal? The previous surgery left a long scar. Can subcutaneous stitches be used this time? How can the scar be minimized? Thank you!

Doctor's answer:

Fracture of the ribs, the practice of exercise and fixation, mild cases can be active on the ground. Severe cases requiring bed rest can adopt an inclined position (semi-sitting position), while those undergoing rib traction should lie flat. Encourage patients to cough and clear phlegm by pressing the chest, and practice diaphragmatic breathing exercises. Once symptoms subside, patients should be encouraged to engage in free movement on the ground. It is advisable to consume more vegetables, protein, and vitamin-rich foods to prevent the occurrence and progression of osteoporosis. In the early stage of the fracture, a light diet is recommended to facilitate blood stasis removal and swelling reduction. In the later stage, a more flavorful diet should be chosen to nourish the liver and kidneys, which is beneficial for fracture healing and functional recovery. Wishing the patient a speedy recovery!

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