Fractures of the diaphysis can be transverse, oblique, spiral, or comminuted. Reduction is achieved by traction and digital manipulation. When the fracture is stable, it can be treated nonoperatively.
If the fracture is irreducible, ORIF is indicated.
Other indications for ORIF are open fractures, or soft-tissue lacerations.
|Minimally displaced, stable fractures|
- Open fractures
- Residual displacement after closed reduction
|Compression plate fixation|
|Open fracture or gross displacement|
- Poor soft tissues
|Basic surgical experience, no specialized skills|
|Some specialized surgical experience|
|Highly experienced and skilled surgeon|
|Basic equipment only|
|Simple surgical and imaging resources|
|Full specialized surgical and imaging resources|